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Travel clinic communication and non-adherence to malaria chemoprophylaxis.
Travel Med Infect Dis. 2011 Nov; 9(6):278-83.TM

Abstract

Many travellers fail to take malaria chemoprophylaxis, despite receiving pre-travel advice. This study examined whether non-adherence could be predicted from verbal communication in the pre-travel consultation, and whether non-adherence was related to the quality of clinician-traveller communication. The consultations of one hundred and thirty consecutive travellers at a UK travel clinic were audiotaped and a follow-up telephone interview was used to assess adherence to malaria chemoprophylaxis. Experienced travel clinic staff were asked to predict adherence and rate the quality of communication from eighteen transcripts of consultations (nine good and nine poor adherence). Clinic staff predicted adherence to malaria chemoprophylaxis significantly better than chance. Poor adherence was related to poor quality communication. Clinic staff provided criteria for good quality clinician-traveller communication. It is concluded that predictors of non-adherence can be identified during the pre-travel consultation. Clinic staff could employ specific communication strategies to improve the effectiveness of consultations.

Authors+Show Affiliations

Department of Psychology, Royal Holloway, University of London, Egham, UK.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22037053

Citation

Farquharson, Lorna, et al. "Travel Clinic Communication and Non-adherence to Malaria Chemoprophylaxis." Travel Medicine and Infectious Disease, vol. 9, no. 6, 2011, pp. 278-83.
Farquharson L, Noble LM, Behrens RH. Travel clinic communication and non-adherence to malaria chemoprophylaxis. Travel Med Infect Dis. 2011;9(6):278-83.
Farquharson, L., Noble, L. M., & Behrens, R. H. (2011). Travel clinic communication and non-adherence to malaria chemoprophylaxis. Travel Medicine and Infectious Disease, 9(6), 278-83. https://doi.org/10.1016/j.tmaid.2011.09.004
Farquharson L, Noble LM, Behrens RH. Travel Clinic Communication and Non-adherence to Malaria Chemoprophylaxis. Travel Med Infect Dis. 2011;9(6):278-83. PubMed PMID: 22037053.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Travel clinic communication and non-adherence to malaria chemoprophylaxis. AU - Farquharson,Lorna, AU - Noble,Lorraine M, AU - Behrens,Ron H, Y1 - 2011/10/28/ PY - 2011/01/18/received PY - 2011/09/14/revised PY - 2011/09/19/accepted PY - 2011/11/1/entrez PY - 2011/11/1/pubmed PY - 2012/3/30/medline SP - 278 EP - 83 JF - Travel medicine and infectious disease JO - Travel Med Infect Dis VL - 9 IS - 6 N2 - Many travellers fail to take malaria chemoprophylaxis, despite receiving pre-travel advice. This study examined whether non-adherence could be predicted from verbal communication in the pre-travel consultation, and whether non-adherence was related to the quality of clinician-traveller communication. The consultations of one hundred and thirty consecutive travellers at a UK travel clinic were audiotaped and a follow-up telephone interview was used to assess adherence to malaria chemoprophylaxis. Experienced travel clinic staff were asked to predict adherence and rate the quality of communication from eighteen transcripts of consultations (nine good and nine poor adherence). Clinic staff predicted adherence to malaria chemoprophylaxis significantly better than chance. Poor adherence was related to poor quality communication. Clinic staff provided criteria for good quality clinician-traveller communication. It is concluded that predictors of non-adherence can be identified during the pre-travel consultation. Clinic staff could employ specific communication strategies to improve the effectiveness of consultations. SN - 1873-0442 UR - https://www.unboundmedicine.com/medline/citation/22037053/Travel_clinic_communication_and_non_adherence_to_malaria_chemoprophylaxis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1477-8939(11)00091-3 DB - PRIME DP - Unbound Medicine ER -