title: Principles of effective communication with patients who have intellectual disability among primary care physicians.
abstract: OBJECTIVE
  Examine physicians' implementation of effective communication principles with patients with intellectual disabilities (ID) and its predictors.
  
  
  METHODS
  Focus groups helped construct a quantitative questionnaire. The questionnaire (completed by 440 physicians) examined utilization of effective communication principles, attitudes toward individuals with ID, subjective knowledge and number of patients with ID.
  
  
  RESULTS
  Subjective knowledge of ID and more patients with ID increased utilization of effective communication principles. Provision of knowledge that allows patients to make their own medical decisions was predicted by more patients with ID, lower attitudes that treatment of this population group is not desirable, less negative affect and greater perception that treatment of this group is part of the physician's role. Effective preparation of patients with ID for treatment was predicted by higher perception of treatment of this group as part of the physician's role, lower perception of this field as undesirable and higher perception of these individuals as unable to make their own choice. Simplification of information was predicted by a greater perception of treatment of this group as part of the physician's role and more negative affect.
  
  
  CONCLUSIONS
  Greater familiarity may enhance care for these patients.
  
  
  CONCLUSIONS
  Increase exposure to patients with ID within training.
authors.affiliation: Paul Baerwald School of Social Work and Social Welfare, Center for Disability Studies, The Hebrew University of Jerusalem, Jerusalem, Israel. Electronic address: shirli.werner@mail.huji.ac.il.
authors.forename: S
authors.initials: S
authors.lastname: Werner
authors.affiliation: The Department of Occupational Therapy, Ono Academic College, Kiryat-Ono, Israel.
authors.forename: S
authors.initials: S
authors.lastname: Yalon-Chamovitz
authors.affiliation: The Department of Occupational Therapy, Ono Academic College, Kiryat-Ono, Israel.
authors.forename: M
authors.initials: M
authors.lastname: Tenne Rinde
authors.affiliation: The Department of Family Medicine, The Sackler Faculty of Medicine, University of Tel Aviv, Tel-Aviv, Israel.
authors.forename: A D
authors.initials: AD
authors.lastname: Heymann
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008607:Intellectual Disability; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010465:Perception; D010817:Physician-Patient Relations; D058007:Physicians, Primary Care; D036301:Qualitative Research; D011795:Surveys and Questionnaires
keywords: Accessibility; Attitudes; Autonomy; Communication patterns; Decision-making; Intellectual disability; Language simplification; Plain language; Primary care physicians