{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T23:46:43Z","timestamp":1782776803865,"version":"3.54.5"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000897","name":"Cystic Fibrosis Foundation","doi-asserted-by":"publisher","award":["QUEST20PE0"],"award-info":[{"award-number":["QUEST20PE0"]}],"id":[{"id":"10.13039\/100000897","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000897","name":"Cystic Fibrosis Foundation","doi-asserted-by":"publisher","award":["SAWICK14PE1"],"award-info":[{"award-number":["SAWICK14PE1"]}],"id":[{"id":"10.13039\/100000897","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Patient Education and Counseling"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.pec.2025.109183","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T19:41:25Z","timestamp":1747856485000},"page":"109183","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Developing a framework for clinical conversations using a qualitative analysis of the patient experience of SIMPLIFY"],"prefix":"10.1016","volume":"138","author":[{"given":"Jill","family":"Maggs","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liam","family":"Sweeney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4305-6243","authenticated-orcid":false,"given":"Austin","family":"Pucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"McWilliams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Yablon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Ertman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Butcher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin S.","family":"Everhart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Siracusa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex H.","family":"Gifford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Mayer-Hamblett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Callie","family":"Bacon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Goodman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tia","family":"Woo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin A.","family":"Riekert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory S.","family":"Sawicki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1119-0079","authenticated-orcid":false,"given":"Michelle","family":"Prickett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.pec.2025.109183_bib1","doi-asserted-by":"crossref","DOI":"10.5455\/msm.2017.29.192-195","article-title":"Communication skills of physicians and patients' satisfaction","volume":"29","author":"Biglu","year":"2017","journal-title":"Mater Sociomed"},{"issue":"6","key":"10.1016\/j.pec.2025.109183_bib2","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1177\/2374373520962921","article-title":"\u201cFor me, this has been transforming\u201d: a qualitative analysis of interprofessional relationship-centered communication skills training","volume":"7","author":"Hirschmann","year":"2020","journal-title":"J Patient Exp"},{"issue":"4","key":"10.1016\/j.pec.2025.109183_bib3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0094207","article-title":"The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials","volume":"9","author":"Kelley","year":"2014","journal-title":"PLOS One"},{"issue":"7","key":"10.1016\/j.pec.2025.109183_bib4","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.1016\/j.pec.2021.10.025","article-title":"The effect of a relationship-centered communication program on patient experience and provider wellness","volume":"105","author":"Altamirano","year":"2022","journal-title":"Patient Educ Couns"},{"issue":"9","key":"10.1016\/j.pec.2025.109183_bib5","first-page":"1423","article-title":"Effective physician-patient communication and health outcomes: a review","volume":"152","author":"Stewart","year":"1995","journal-title":"Can Med Assoc J"},{"issue":"1","key":"10.1016\/j.pec.2025.109183_bib6","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.pec.2014.05.023","article-title":"The effects of self-assessment and supervisor feedback on residents\u2019 patient-education competency using videoed outpatient consultations","volume":"97","author":"Wouda","year":"2014","journal-title":"Patient Educ Couns"},{"issue":"3","key":"10.1016\/j.pec.2025.109183_bib7","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.pec.2010.01.015","article-title":"A history of patient education by health professionals in europe and north america: from authority to shared decision making education","volume":"78","author":"Hoving","year":"2010","journal-title":"Patient Educ Couns"},{"issue":"16","key":"10.1016\/j.pec.2025.109183_bib8","doi-asserted-by":"crossref","first-page":"2221","DOI":"10.1001\/jama.1992.03480160079038","article-title":"Four models of the physician-patient relationship","volume":"267","author":"Emanuel","year":"1992","journal-title":"JAMA: J Am Med Assoc"},{"issue":"9","key":"10.1016\/j.pec.2025.109183_bib9","doi-asserted-by":"crossref","first-page":"763","DOI":"10.7326\/0003-4819-125-9-199611010-00010","article-title":"Physician recommendations and patient autonomy: finding a balance between physician power and patient choice","volume":"125","author":"QUILL","year":"1996","journal-title":"Ann Intern Med"},{"issue":"24","key":"10.1016\/j.pec.2025.109183_bib10","doi-asserted-by":"crossref","first-page":"2313","DOI":"10.1001\/jama.282.24.2313","article-title":"Brad CH. Informed decision making in outpatient practice time to get back to basics","volume":"282","author":"Braddock","year":"1999","journal-title":"JAMA"},{"issue":"6","key":"10.1016\/j.pec.2025.109183_bib11","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1136\/jme.24.6.394","article-title":"Tell me what's wrong with me: a discourse analysis approach to the concept of patient autonomy","volume":"24","author":"Nessa","year":"1998","journal-title":"J Med Ethics"},{"issue":"6","key":"10.1016\/j.pec.2025.109183_bib12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0100435","article-title":"Patients' preferences for participation in treatment decision-making at the end of life: qualitative interviews with advanced cancer patients","volume":"9","author":"Brom","year":"2014","journal-title":"PLOS One"},{"issue":"3","key":"10.1016\/j.pec.2025.109183_bib13","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.pec.2003.11.009","article-title":"The context of health care communication in chronic illness","volume":"54","author":"Thorne","year":"2004","journal-title":"Patient Educ Couns"},{"issue":"7318","key":"10.1016\/j.pec.2025.109183_bib14","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1136\/bmj.323.7318.908","article-title":"Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations","volume":"323","author":"Little","year":"2001","journal-title":"BMJ"},{"issue":"1","key":"10.1016\/j.pec.2025.109183_bib15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1207\/S15324796ABM2601_01","article-title":"Self-management education: history, definition, outcomes, and mechanisms","volume":"26","author":"Lorig","year":"2003","journal-title":"Ann Behav Med"},{"issue":"ement 1","key":"10.1016\/j.pec.2025.109183_bib16","article-title":"Finding common ground: Patient-centeredness and evidence-based chronic illness care","volume":"11","author":"Wagner","year":"2014","journal-title":"J Altern Complement Med"},{"issue":"3","key":"10.1016\/j.pec.2025.109183_bib17","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1007\/BF00989485","article-title":"Managing chronic illness at home: three lines of work","volume":"8","author":"Corbin","year":"1985","journal-title":"Qual Sociol"},{"issue":"2","key":"10.1016\/j.pec.2025.109183_bib18","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1001\/archpedi.1938.01980140114013","article-title":"York. Cystic fibrosis of the pancreas and its relation to celiac disease: a clinical and pathologic study","volume":"56","author":"Andersen","year":"1938","journal-title":"Am J Dis Child (1911)"},{"issue":"2","key":"10.1016\/j.pec.2025.109183_bib19","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.jcf.2008.09.007","article-title":"High treatment burden in adults with cystic fibrosis: challenges to disease self-management","volume":"8","author":"Sawicki","year":"2008","journal-title":"J Cyst Fibros"},{"key":"10.1016\/j.pec.2025.109183_bib20","article-title":"Acquiring the skills needed to communicate what is in our teams\u2019 heart: love, compassion and partnership\u201d: qualitative analysis of intact multidisciplinary teams\u2019 experience of relationship-centered communication training","volume":"9","author":"Middour-Oxler","year":"2022","journal-title":"J Patient Exp"},{"key":"10.1016\/j.pec.2025.109183_bib21","doi-asserted-by":"crossref","unstructured":"Ramsey B.W., Davies J., McElvaney N.G., et al. A CFTR potentiator in patients with cystic fibrosis and the G551D mutation. 2011. \u3008http:\/\/hdl.handle.net\/10147\/229081\u3009. doi: 10.1056\/NEJMoa1105185.","DOI":"10.1056\/NEJMoa1105185"},{"issue":"4","key":"10.1016\/j.pec.2025.109183_bib22","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/S2213-2600(22)00434-9","article-title":"Discontinuation versus continuation of hypertonic saline or dornase alfa in modulator treated people with cystic fibrosis (SIMPLIFY): Results from two parallel, multicentre, open-label, randomised, controlled, non-inferiority trials","volume":"11","author":"Mayer-Hamblett","year":"2022","journal-title":"Lancet Respir Med"},{"issue":"3","key":"10.1016\/j.pec.2025.109183_bib23","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1177\/160940690300200303","article-title":"Hermeneutic phenomenology and phenomenology: a comparison of historical and methodological considerations","volume":"2","author":"Laverty","year":"2003","journal-title":"Int J Qual Methods"},{"issue":"9","key":"10.1016\/j.pec.2025.109183_bib24","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","article-title":"Standards for reporting qualitative research","volume":"89","author":"O\u2019brien","year":"2014","journal-title":"Acad Med"},{"issue":"3","key":"10.1016\/j.pec.2025.109183_bib25","doi-asserted-by":"crossref","first-page":"385","DOI":"10.4300\/JGME-D-13-00072.1","article-title":"Best practice\u201d for patient-centered communication: a narrative review","volume":"5","author":"King","year":"2013","journal-title":"J Grad Med Educ"},{"issue":"11","key":"10.1016\/j.pec.2025.109183_bib26","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1111\/medu.13375","article-title":"Assessing patient-centred communication in teaching: a systematic review of instruments","volume":"51","author":"Brouwers","year":"2017","journal-title":"Med Educ"},{"issue":"4","key":"10.1016\/j.pec.2025.109183_bib27","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1097\/00001888-200104000-00021","article-title":"Essential elements of communication in medical encounters: the kalamazoo consensus statement","volume":"76","author":"Makoul","year":"2001","journal-title":"Acad Med"},{"issue":"7","key":"10.1016\/j.pec.2025.109183_bib28","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1111\/j.1365-2929.2006.02500.x","article-title":"Communication skills competencies: definitions and a teaching toolbox","volume":"40","author":"Rider","year":"2006","journal-title":"Med Educ"},{"issue":"8","key":"10.1016\/j.pec.2025.109183_bib29","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0236751","article-title":"A qualitative exploration of clinicians\u2019 strategies to communicate risks to patients in the complex reality of clinical practice","volume":"15","author":"Richter","year":"2020","journal-title":"PLOS ONE"},{"issue":"4","key":"10.1016\/j.pec.2025.109183_bib30","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.pcl.2022.04.008","article-title":"Training providers in motivational interviewing to promote behavior change","volume":"69","author":"Budhwani","year":"2022","journal-title":"Pediatr Clin North Am"}],"container-title":["Patient Education and Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399125005506?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399125005506?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:25:26Z","timestamp":1782494726000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0738399125005506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":30,"alternative-id":["S0738399125005506"],"URL":"https:\/\/doi.org\/10.1016\/j.pec.2025.109183","relation":{},"ISSN":["0738-3991"],"issn-type":[{"value":"0738-3991","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Developing a framework for clinical conversations using a qualitative analysis of the patient experience of SIMPLIFY","name":"articletitle","label":"Article Title"},{"value":"Patient Education and Counseling","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pec.2025.109183","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"109183"}}