Search PubMed⌕ Search

Biomedical subjects

J Barker

Publications and source records attributed to J Barker.

188 records · Page 11Linked to original sources
PubMedDate not supplied

The effectiveness of one-to-one risk communication interventions in health care: a systematic review.

OBJECTIVES: To assess whether risk-communication interventions are associated with changes in patient knowledge, attitudes, and behaviors, and to identify aspects of these interventions that modify these effects. DESIGN: Systematic review. DATA SOURCES: 96 studies from the period 1985-1996 retrieved by electronic searching of eight databases, hand searching of four journals, contacting key authors, and reference list searching. MAIN OUTCOME MEASURES: The effect size of the principal outcome was identified from each study. Outcomes measuring behavioral change were preferred; if these were not available, knowledge, anxiety, or risk perceptions were used, according to the focus of the study. Data were available to calculate the principal effect sizes for 82 of the studies. ANALYSIS: Meta-regression. RESULTS: The methodologic qualities of the studies varied. Nevertheless, risk-communication interventions generally had positive (beneficial) effects. Interventions addressing treatment choices were associated with larger effects than were those in other contexts, such as prevention or screening. Interventions using individual risk estimates were associated with larger effects than were those using more general risk information. Two design variables were identified as effect modifiers: randomized controlled trials were associated with smaller effects than other designs, and dichotomous outcomes were associated with larger effects than continuous outcomes. CONCLUSIONS: Risk communication interventions may be most productive if they include individual risk estimates in the discussion between professional and patient. Patient decisions about treatment appear more amenable to change by these interventions than attendance for screening or modification of risky behavior.

Communication↗
PubMedDate not supplied

Don't wait for the crisis. Finding the paradigm in the pattern. Interview by Joe Flower.

Joel Barker has been talking about the future for a long time past. His message: Change happens. Change happens as paradigms shift--the way we picture the universe shifts, and life is different. Relationships and values change their meaning. And because they mean something different, we change them. Barker's question is: How do you manage this change? How do you get ahead of it, and not lag behind it? How do you become its partner and not its victim? These are challenging questions, and hundreds of corporations have invited Barker to come ask them. His client list ranges over much of the Fortune 500--from IBM and DuPont to Honeywell, Boeing, and Gulf Oil--and it includes such healthcare clients as Merck, Upjohn, the Mayo clinics, and the Sisters of Charity. Barker has worked with these questions for the past 17 years, first as director of the pioneering Future Studies Department of the Science Museum of Minnesota, then as president of Infinity Limited, Inc. He has put his answers into a video, "Discovering the Future," and two books, the 1985 Discovering the Future: The Business of Paradigms, and the new Future Edge: The Paradigm Principles Guide for the '90s. We spent a recent morning talking with him about what a paradigm is, and what happens when a paradigm shifts.

Hospital Administration↗
PubMedDate not supplied

Psoriasis.

Explore the source record for details and available documents.

Humans↗