Pilot evaluation of a Psychological First Aid online training for COVID-19 frontline workers in American Indian/Alaska Native communities.

Introduction: The COVID-19 pandemic exacerbated mental health concerns and stress among American Indians and Alaska Natives (AI/ANs) in the United States, as well as among frontline workers responding to the pandemic. Psychological First Aid (PFA) is a promising intervention to support mental wellbeing and coping skills during and after traumatic events, such as the COVID-19 pandemic. Since PFA is often implemented rapidly in the wake of a disaster or traumatic event, evidence evaluating its impact is lacking.

Physician eye contact and elder patient perceptions of understanding and adherence.

Objective: To Examine physician eye contact (EC), patient understanding and adherence.

Methods: Secondary analysis of National Institute of Aging videotapes (N=52) of physician-elder patients in two visit types: (1) routine (n=20); (2) anxiety-provoking (n=32) was conducted. Self-reports of understanding and adherence were used.

An exploration of patient and family engagement in routine primary care visits.

Background: Older adults are commonly accompanied to routine medical visits. Whether and how family companion behaviours relate to visit processes is poorly understood.

Objective: To examine family companion behaviours in relation to older adults' medical visit processes.

Eye contact in patient-centered communication.

Objective: To understand the relationship between eye contact and patient-centered communication (PC) in physician-elder patient interactions.

Methods: Two instruments-Patient-centered Behavior Coding Instrument (PBCI) and Eurocommunication Global Ratings Scale-were used to measure PC in 22 National Institute of Aging videotapes. Eye contact was measured using a refined eye contact scale in NDEPT.

Discussion of depression in follow-up medical visits with older patients.

Objectives: To determine the frequency of discussion about depression in follow-up medical visits of older patients, who initiates these discussions, the quality of responsiveness of physicians and patients in these discussions, and patient and physician characteristics that influence these discussions.

Design: Convenience sample of 482 audiotaped follow-up visits.

Setting: Three community-based practice sites.

Two-minute mental health care for elderly patients: inside primary care visits.

Objectives: To assess how care is delivered for mental disorders using videotapes of office visits involving elderly patients.

Design: Mixed-method observational analysis of the nature of the topics discussed, content of discussion, and the time spent on mental health.

Settings: Three types of settings: an academic medical center, a managed care group, and fee-for-service solo practitioners.

Nonverbal communication in doctor-elderly patient transactions (NDEPT): development of a tool.

Objective: There are several measurement tools to assess verbal dimensions in clinical encounters; in contrast, there is no established tool to evaluate physical nonverbal dimensions in geriatric encounters. The present paper describes the development of a tool to assess the physical context of exam rooms in doctor-older patient visits.

Method: Salient features of the tool were derived from the medical literature and systematic observations of videotapes and refined during current research.

Prevalence and correlates of doctor-geriatric patient lifestyle discussions: analysis of ADEPT videotapes.

Background: This study identifies the prevalence and correlates of physician-geriatric patient discussions about physical activity and nutrition lifestyle behaviors.

Methods: Between August 1998 and July 2000, 423 older patient visits to 36 physicians were videotaped in three different primary care settings. The patient sample was primarily white, female, well-educated, and financially sufficient, although 12.

The development and psychometric analyses of ADEPT: an instrument for assessing the interactions between doctors and their elderly patients.

Background: The lack of instruments and methodologies designed specifically for assessing doctor-elderly patient interactions has constricted research on effective communication in the medical care of older adults.

Purpose: This article reports on the development, qualitative analyses, and psychometric testing of the Assessment of Doctor-Elderly Patient Transactions (ADEPT), an instrument for assessing interactions between doctors and their elderly patients.

Methods: The ADEPT was based on the recommendations of an expert panel and designed around the three-function model of the medical interview.

Understanding primary care physicians' propensity to assess elderly patients for depression using interaction and survey data.

Objective: The objective of this study was to examine primary care physicians' propensity to assess their elderly patients for depression using data from videotapes and patient and physician surveys.

Study Design: An observational study was informed by surveys of 389 patients and 33 physicians, and 389 videotapes of their clinical interactions. Secondary quantitative analyses used video data scored by the Assessment of Doctor-Elderly Patient Transactions system regarding depression assessment.