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- Author or Editor: Katja A. Sutherland x
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Abstract
OBJECTIVE
To determine clients’ preferences for veterinarians’ communication during decision-making in relation to 3 clinical contexts: preventive care, general problem (eg, illness or injury), and urgent appointments.
METHODS
A cross-sectional online questionnaire was distributed by use of snowball sampling to veterinary clients owning a pet. Demographic information was collected, and participants were then randomly assigned to a scenario reflecting one of the following clinical contexts (appointment types): preventive, general problem, or urgent. Discrete choice exercises were used to solicit client preferences for 5 aspects of veterinarians’ communication approach to decision-making with clients in clinical contexts: amount of information, presentation of plan (options or a recommendation), communication of value, nature of client involvement, and communication of financial cost. Relative-preference scores were calculated using hierarchical bayesian modeling.
RESULTS
Responses for 1,614 participants were included in the final analysis. The majority were female, lived in Canada, and were financially stable. Across clinical decision-making contexts, participants preferred to collaborate with the veterinarian, be offered options with a clear recommendation, be informed of present and future costs, and have benefits of any action regarding their pet’s health explained to them. For the general-problem context, participants preferred veterinarians’ communication to focus solely on concerns; in contrast, in preventive care and urgent contexts, participants preferred that communication include both normal findings and concerns.
CONCLUSIONS
Irrespective of clinical decision-making context, participants preferred collaborative decision-making with a veterinarian.
CLINICAL RELEVANCE
Veterinary professionals should consider, when possible, communication that supports a collaborative approach to decision-making with clients.
Abstract
OBJECTIVE
To determine dog owner preferences for information communicated during veterinarian-client obesity-related conversations within companion animal practice.
SAMPLE
Dog owners recruited using snowball sampling.
METHODS
A cross-sectional online questionnaire was distributed to dog owners. A discrete choice experiment was used to determine the relative importance, to participating dog owners, of information about selected weight-related attributes that would encourage them to pursue weight management for a dog when diagnosed as overweight by a veterinarian.
RESULTS
A total of 1,108 surveys were analyzed, with most participating dog owners residing in Canada. The most important weight-related attribute was life expectancy (relative importance, 28.56%), followed by the timeline for developing arthritis (19.24%), future quality of life (18.91%), change to cost of food (18.90%), and future mobility (14.34%).
CLINICAL RELEVANCE
Results suggest that dog owners may consider information relating to an extension of their dog's life as the most important aspect of an obesity-related veterinary recommendation. By integrating dog owner preferences into discussions between clients and veterinary professionals about obesity, there is the potential to encourage more clients to engage in weight management efforts for their overweight or obese dog.
Abstract
OBJECTIVE
To determine the relative importance of information communicated to cat owners during veterinarian-client obesity-related conversations.
SAMPLE
Cat owner participants recruited via snowball sampling.
METHODS
A cross-sectional online questionnaire was distributed to cat owners who owned cats of any weight status. A discrete choice experiment design was used to determine the relative importance of obesity-related attributes to cat owners when receiving information from a veterinarian.
RESULTS
A total of 1,095 questionnaires were analyzed. Participating cat owners resided primarily in Canada and the US. Impact on life expectancy was the most important attribute that would encourage participants to pursue weight management for a cat with obesity (relative importance, 32.66%), followed by change to cost of food (20.40%), future quality of life (20.38%), future mobility (14.40%), and risk of developing diabetes (12.15%).
CLINICAL RELEVANCE
Findings suggest that cat owners consider the impact on life expectancy to be most important when considering whether to follow a veterinarian's recommendation for their cat to lose weight. When veterinary professionals are communicating about obesity in practice, there is the potential to increase owner engagement in weight management efforts for cats by emphasizing the obesity-related information owners prefer to receive.
Abstract
OBJECTIVE
To compare pet owners’ and veterinarians’ perceptions of veterinarian-client conversations concerning pet weight and identify challenges related to communication about weight.
SAMPLE POPULATION
Veterinarians (n = 24) and pet owners (27) in southern Ontario, Canada.
PROCEDURES
3 veterinarian and 5 pet owner focus groups were conducted with a semistructured interview format. Thematic analysis of verbatim transcripts was conducted.
RESULTS
Pet owners valued weight as an important health indicator for pets yet did not expect to discuss weight extensively at every appointment. Owners expected veterinarians to provide options and tailor recommendations when discussing weight management. Owners appeared more concerned with underweight animals, whereas veterinarians focused on obese animals. Veterinarians identified communication challenges, including the perception that owners are uninterested in discussing weight and conversations can become adversarial. Veterinarians reported various benefits and challenges of using humor to address pet weight and emphasized that weight-related conversations often depend on the existing veterinarian-client relationship.
CLINICAL RELEVANCE
Some perceptions of pet owner expectations expressed by veterinarians in this study align with owner preferences, yet several opportunities exist for changes to veterinarians’ approaches to weight-related communication with clients.
Abstract
OBJECTIVE
To explore client preferences for how value is communicated via written means and to assess the consistency of this preference with how veterinary clinic websites present this information for preventive care services.
METHODS
First, a questionnaire was developed to assess clients’ preference between 2 researcher-developed paragraphs recommending senior pet screening (one focused on the function of screening, the other on pet benefits of screening) and distributed from August 17 to November 2, 2023. Second, veterinary clinic websites were retrieved with a search engine using predefined search phrases related to 4 preventive care topics (flea and tick prevention, heartworm prevention, dental cleaning, and senior bloodwork). Each website was coded for the frequency of 4 codes related to how the value of the preventive care service was communicated (feature, function, pet benefit, or client benefit).
RESULTS
From the questionnaire, 58.0% (166/286) of participants preferred the benefit-focused communication. Those who saw the benefit-focused paragraph were more likely to indicate being “extremely likely” to discuss senior pet screening with a veterinarian. Of the 128 website pages coded, the mean text percentages for each code were 13.3% feature, 10.5% function, 6.4% pet benefit, and 1.0% client benefit.
CONCLUSIONS
Results suggest that opportunities exist to increase communication of the benefits of veterinary care on veterinary clinic websites, which may align more with clients’ preferences.
CLINICAL RELEVANCE
Through online communication, veterinary professionals may have an opportunity to increase client engagement with preventive care services by emphasizing the benefits of preventive care services in addition to the function.
Abstract
OBJECTIVE
Pet weight may be difficult for veterinary professionals to address with clients, particularly when pets are overweight or obese. The objective of this study was to characterize the communication processes and content of weight-related conversations occurring between veterinary professionals and clients.
SAMPLE
Audio-video recordings of 917 veterinarian-client-patient interactions involving a random sample of 60 veterinarians and a convenience sample of clients.
PROCEDURES
Companion animal veterinarians in southern Ontario, Canada, were randomly recruited, and interactions with their clients were audio-video recorded. Interactions were reviewed for mentions of weight, then further analyzed by means of a researcher-generated coding framework to provide a comprehensive assessment of communication specific to weight-related interactions.
RESULTS
463 of 917 (50.5%) veterinary-client-patient interactions contained an exchange involving the mention of a single patient’s (dog or cat) weight and were included in final analysis. Of the 463 interactions, 150 (32.4%) involved a discussion of obesity for a single patient. Of these, 43.3% (65/150) included a weight management recommendation from the veterinary team, and 28% (42/150) provided clients with a reason for pursuing weight management.
CLINICAL RELEVANCE
Findings illustrate opportunities to optimize obesity communication to improve the health and wellbeing of veterinary patients.