Academic Journal
View in EDS

Could the overarching tasks in the Glasgow Consensus Statement change teaching and practice?

Bibliographic Details
Title: Could the overarching tasks in the Glasgow Consensus Statement change teaching and practice?
Authors: Gulbrandsen P; Institute of Clinical Medicine, University of Oslo, Norway; HØKH Dept. of Health Services Research, Akershus University Hospital, Norway. Electronic address: pal.gulbrandsen@medisin.uio.no., Udvardi A; Self-employed physiotherapist, Budapest, Hungary.
Source: Patient education and counseling [Patient Educ Couns] 2026 Jul; Vol. 148, pp. 109561. Date of Electronic Publication: 2026 Feb 25.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Elsevier Country of Publication: Ireland NLM ID: 8406280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5134 (Electronic) Linking ISSN: 07383991 NLM ISO Abbreviation: Patient Educ Couns Subsets: MEDLINE
Imprint Name(s): Publication: Limerick : Elsevier
Original Publication: Princeton, N.J. : Excerpta Medica, c1983-
MeSH Terms: Communication* , Consensus Statements as Topic* , Physician-Patient Relations*, Humans
Abstract: Modern healthcare is rapidly changing: there is increased specialization, fragmentation, and digitalization. Patients are likely to meet many providers in different roles and professions in a disease trajectory, and encounters may often be brief and focused on specific problems to be solved. This paper builds on these observations described in the Glasgow Consensus Statement. Existing communication models are designed for the typical general doctor-patient consultations of the past, while healthcare includes a wide variety of situations and tasks. The models do not sufficiently account for important barriers in professional communication. These include lack of acknowledgment of the survival function of communication, the habit of making assumptions, and effects of cognitive overload, uncertainty, vulnerability, and the power asymmetry. We present how we think a focus on three overarching tasks, relevant in all encounters, may help cognitively overloaded clinicians to create an atmosphere of connection and trust both in short and complex conversations. The clinical examples are related to musculoskeletal pain.
(Copyright © 2026 Elsevier B.V. All rights reserved.)
Competing Interests: Declaration of Competing Interest Pål Gulbrandsen and Anna Udvardi did not receive any funding from public, commercial, or non-profit organizations in writing this discussion paper, nor did they use any artificial intelligence (AI) tools. Pål Gulbrandsen drafted the article and revised it critically for important intellectual content. He approved the final version to be submitted. Anna Udvardi drafted the article and revised it critically for important intellectual content. She approved the final version to be submitted.
Contributed Indexing: Keywords: Cognitive overload; Communication; Health professionals; Medicine; Physiotherapy; Supervision; Training
Entry Date(s): Date Created: 20260228 Date Completed: 20260709 Latest Revision: 20260724
Update Code: 20260724
DOI: 10.1016/j.pec.2026.109561
PMID: 41762451
Database: MEDLINE
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://www.doi.org/10.1016/j.pec.2026.109561?
    Name: ScienceDirect (all content) (s7799221)
    Category: fullText
    Text: View record from ScienceDirect
    MouseOverText: View record from ScienceDirect
  – Url: https://resolver.ebsco.com/c/fiv2js/result?sid=EBSCO:cmedm&genre=article&issn=18735134&ISBN=&volume=148&issue=&date=20260701&spage=109561&pages=109561&title=Patient education and counseling&atitle=Could%20the%20overarching%20tasks%20in%20the%20Glasgow%20Consensus%20Statement%20change%20teaching%20and%20practice%3F&aulast=Gulbrandsen%20P&id=DOI:10.1016/j.pec.2026.109561
    Name: Full Text Finder (for New FTF UI) (ns324271)
    Category: fullText
    Text: Full Text Finder
    MouseOverText: Full Text Finder
Header DbId: cmedm
DbLabel: MEDLINE
An: 41762451
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Could the overarching tasks in the Glasgow Consensus Statement change teaching and practice?
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AU" term="%22Gulbrandsen+P%22">Gulbrandsen P</searchLink>; Institute of Clinical Medicine, University of Oslo, Norway; HØKH Dept. of Health Services Research, Akershus University Hospital, Norway. Electronic address: pal.gulbrandsen@medisin.uio.no.<br /><searchLink fieldCode="AU" term="%22Udvardi+A%22">Udvardi A</searchLink>; Self-employed physiotherapist, Budapest, Hungary.
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%228406280%22">Patient education and counseling</searchLink> [Patient Educ Couns] 2026 Jul; Vol. 148, pp. 109561. <i>Date of Electronic Publication: </i>2026 Feb 25.
– Name: TypePub
  Label: Publication Type
  Group: TypPub
  Data: Journal Article
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: TitleSource
  Label: Journal Info
  Group: Src
  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Elsevier%22">Elsevier </searchLink><i>Country of Publication: </i>Ireland <i>NLM ID: </i>8406280 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1873-5134 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2207383991%22">07383991 </searchLink><i>NLM ISO Abbreviation: </i>Patient Educ Couns <i>Subsets: </i>MEDLINE
– Name: PublisherInfo
  Label: Imprint Name(s)
  Group: PubInfo
  Data: <i>Publication</i>: Limerick : Elsevier<br /><i>Original Publication</i>: Princeton, N.J. : Excerpta Medica, c1983-
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: <searchLink fieldCode="MM" term="%22Communication%22">Communication*</searchLink> <br /><searchLink fieldCode="MM" term="%22Consensus+Statements+as+Topic%22">Consensus Statements as Topic*</searchLink> <br /><searchLink fieldCode="MM" term="%22Physician-Patient+Relations%22">Physician-Patient Relations*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Modern healthcare is rapidly changing: there is increased specialization, fragmentation, and digitalization. Patients are likely to meet many providers in different roles and professions in a disease trajectory, and encounters may often be brief and focused on specific problems to be solved. This paper builds on these observations described in the Glasgow Consensus Statement. Existing communication models are designed for the typical general doctor-patient consultations of the past, while healthcare includes a wide variety of situations and tasks. The models do not sufficiently account for important barriers in professional communication. These include lack of acknowledgment of the survival function of communication, the habit of making assumptions, and effects of cognitive overload, uncertainty, vulnerability, and the power asymmetry. We present how we think a focus on three overarching tasks, relevant in all encounters, may help cognitively overloaded clinicians to create an atmosphere of connection and trust both in short and complex conversations. The clinical examples are related to musculoskeletal pain.<br /> (Copyright © 2026 Elsevier B.V. All rights reserved.)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Declaration of Competing Interest Pål Gulbrandsen and Anna Udvardi did not receive any funding from public, commercial, or non-profit organizations in writing this discussion paper, nor did they use any artificial intelligence (AI) tools. Pål Gulbrandsen drafted the article and revised it critically for important intellectual content. He approved the final version to be submitted. Anna Udvardi drafted the article and revised it critically for important intellectual content. She approved the final version to be submitted.
– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: <i>Keywords: </i>Cognitive overload; Communication; Health professionals; Medicine; Physiotherapy; Supervision; Training
– Name: DateEntry
  Label: Entry Date(s)
  Group: Date
  Data: <i>Date Created: </i>20260228 <i>Date Completed: </i>20260709 <i>Latest Revision: </i>20260724
– Name: DateUpdate
  Label: Update Code
  Group: Date
  Data: 20260724
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1016/j.pec.2026.109561
– Name: AN
  Label: PMID
  Group: ID
  Data: 41762451
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=41762451
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/j.pec.2026.109561
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 109561
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Consensus Statements as Topic
        Type: general
      – SubjectFull: Physician-Patient Relations
        Type: general
    Titles:
      – TitleFull: Could the overarching tasks in the Glasgow Consensus Statement change teaching and practice?
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Gulbrandsen P
      – PersonEntity:
          Name:
            NameFull: Udvardi A
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 07
              Text: 2026 Jul
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1873-5134
          Numbering:
            – Type: volume
              Value: 148
          Titles:
            – TitleFull: Patient education and counseling
              Type: main
ResultId 1