Adapted from Providing CLAS - Think Cultural Health with input from people living with IBD and an expert steering committee
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- Building Trust: Elicit information and questions with respect and compassion.
- Forming the Basis: Gather essential insights for a productive discussion.
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- Patient-Centered Approach: Sit at eye level, focus on the patient (not the chart or screen).
- Seamless Communication: Allow uninterrupted patient expression.
- Validate Knowledge: Express patient’s authority with statements like “You know your body better than I do.”
- Embrace Patient Perspective: Understand their health views, needs, and priorities.
- Some questions you can ask:
- What does your typical day look like?
- What are the IBD symptoms you have experienced since your last visit?
- What questions do you have about your IBD?
- Some questions you can ask:
- Explore Patient’s Worldview using Arthur Kleinman’s explanatory model questions:
- What do you fear most?
- What are your chief complaints?
- What care do you think you should receive?
- What are the most important results you hope to receive from care?
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- Encourage Inquiry.
- Invite patient questions.
- Clear and Respectful Responses: Answer fully and respectfully without interruptions.
“Ask Me 3” Technique:
- Empower Patients: Encourage patients to ask you three key questions.
- What is my main problem?
- What do I need to do?
- Why is it important for me to do this?
- Vital Information Exchange: Address main problem, required actions, and importance.
Open-Ended Inquiry:
- Effective Engagement: Use open-ended questions.
- Inviting Dialogue: Encourage patient input without leading questions.
To make sure your communication has been effective, check understanding using the “teach-back” method.
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Share information with the patient and their family in a clear and simple manner.
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Confirm understanding by asking them to explain in their own words what they need to know and do. Consider saying, “I want to be sure we are on the same page. Can you tell me …?” or “I want to make sure that I explained things clearly. Can you explain to me what we just talked about?”
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If they tell you something that is not completely correct, respectfully and patiently present the information again, rephrasing it. Then ask them to tell it back to you in their own words again. Repeat this step until their response is complete and satisfactory.
Related Patient Resources
Appointment Guide
Created by the Color of Gastrointestinal Illnesses, this downloadable PDF helps individuals prepare for and get the most out of their medical appointments related to IBD. The guide offers practical tips and checklists for organizing medical information, asking questions, tracking symptoms, and discussing treatment options during appointments.
DownloadEffective Partnering
A webpage from the Crohn’s and Colitis Foundation that focuses on the concept of effective partnering between patients and healthcare providers in the context of IBD. Emphasizes the importance of open communication, mutual respect, and shared decision-making between patients and their healthcare team.
Visit siteShared Decision-Making
Focuses on shared decision-making in the context of IBD. Explains the concept of shared decision-making as a collaborative approach between patients and healthcare providers to make informed decisions about treatment options and management plans.
DownloadReference
- 1. Office of Minority Health, U.S. Department of Health and Human Services. Think cultural health. Providing CLAS. Accessed April 1, 2024. https://thinkculturalhealth.hhs.gov/assets/pdfs/resource-library/providing-clas.pdf.