Vol. 2 No. 2 (2023): Promoting Integrative Healthcare: Education, Policy, and Management

Original Research Article

Short-term evaluation of the AIDET communication framework at a tertiary teaching hospital in Ghana

Justice Kwesi Baah
Medical and Scientific Research Centre, University of Ghana Medical Centre, Accra, Ghana
Dzidzor Fiase
Medical and Scientific Research Centre, University of Ghana Medical Centre, Accra, Ghana
Francis Kyereboah
Human Resources Directorate, University of Ghana Medical Centre, Accra, Ghana
George Kyei
Medical and Scientific Research Centre, University of Ghana Medical Centre, Accra, Ghana | Department of Medicine, Washington University in Saint Louis, Saint Louis, Missouri, USA | Department of Virology, Noguchi Memorial Institute for Medical Research, University of Ghana, Accra, Ghana
Nana Adwoa Konadu Dsane
Medical and Scientific Research Centre, University of Ghana Medical Centre, Accra, Ghana


Ghana, AIDET, health communication, patient satisfaction, personal satisfaction, patient-centered care

How to Cite

Google Scholar

Link to Google Scholar

Accepted for publication: 2023-12-10
Peer reviewed: Yes

Search Relations - Article by Author(s)

Share this article on:


Background: Effective communication is crucial for health professionals who engage with patients daily. The AIDET (Acknowledge, Introduce, Duration, Explanation, and Thank you) communication framework can facilitate the attainment of patient-centered care by ensuring that clinical staff establish effective communication and interaction with patients.

Objective: This study aimed to assess the impact of the AIDET communication framework on improving patient satisfaction with healthcare services.

Methods: A two-group posttest design was employed to evaluate the short-term outcomes of AIDET in enhancing patient satisfaction scores and health worker-patient communication in Ghana. A modified AIDET tool and three components of the PSQ-III instrument (comprising communication, interpersonal interaction, and time) were administered to patients without AIDET experience (comparison group) from February to March 2021 and patients with AIDET experience (intervention group) from November 2021 to January 2022, following AIDET training intervention conducted from April to October 2021. Data analysis included the computation of frequencies, means (SD), and independent t-tests.

Results: Patients without AIDET experience viewed the importance of AIDET at 81.6%, compared to 96.6% for patients with AIDET experience. Overall, patients were not satisfied with all PSQ-III components combined. However, more than 80% of patients reported satisfaction with the time component of the PSQ-III, with a higher proportion (90.8%) for the intervention group. The patients in the intervention group rated the importance of AIDET significantly higher (48.51 ± 5.79) compared to patients in the comparison group (41.98 ± 6.53), with a mean difference of 6.53 (95% CI = -7.867 - 5.184; SD ±0.68; p <0.001).

Conclusion: The use of AIDET in communicating with patients and their relatives is well-positioned to assist health facilities in achieving higher patient satisfaction scores and positive patient outcomes. However, the study revealed that using AIDET may not yield all positive outcomes in the short term.

Total views 399 [Abstract: 303 | PDF: 96 ]

Funding Description

Funds for the training and the study were provided by the University of Ghana Medical Center


Download data is not yet available.

Declaration of Conflicting Interest

The authors declared no conflict of interest in this study.


We wish to thank Dr. Darius Osei, CEO of the University of Ghana Medical Centre, and Dr. Kwame Anim-Boamah, Director of Medical Affairs, University of Ghana Medical Centre, for accepting AIDET as a communication framework within UGMC. Our sincere gratitude goes to Mr. Karl Osei Afoduo and Mr. Bright Ansah Adjei for their immense support during the training. We are also thankful to Mr. Raymond Matey, Mr. Richard Nyarkotey, Mr. Kofi Agbenyga, Ms. Joyce Dede Lartey, Mr. Samuel Lartey, and Ms. Cindy Annang for their support during the data collection.

Authors’ Contributions

All authors made a significant contribution to the research according to ICMJE authorship criteria. JKB: Conceptualization and the draft of the manuscript (30%); DF: Supported data collection (10%); F.K: Review of the manuscript (5%); GK: Facilitation of training and review of the manuscript (25%); NAKD: Facilitation of training, conceptualization, and draft of the manuscript (30%). All authors reviewed and approved the manuscript.

Data Availability Statement

The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.

Declaration of the Use of AI in Scientific Writing

None declared.


Adhikari, M., Paudel, N. R., Mishra, S. R., Shrestha, A., & Upadhyaya, D. P. (2021). Patient satisfaction and its socio-demographic correlates in a tertiary public hospital in Nepal: A cross-sectional study. BMC Health Services Research, 21, 135. https://doi.org/10.1186/s12913-021-06155-3

Allen, T., Rieck, T., & Salsbury, S. (2016). Patient perceptions of an AIDET and hourly rounding program in a community hospital: Results of a qualitative study. Patient Experience Journal, 3(1), 42-49. https://doi.org/10.35680/2372-0247.1115

Amporfro, D. A., Boah, M., Yingqi, S., Cheteu Wabo, T. M., Zhao, M., Ngo Nkondjock, V. R., & Wu, Q. (2021). Patients satisfaction with healthcare delivery in Ghana. BMC Health Services Research, 21(1), 1-13. https://doi.org/10.1186/s12913-021-06717-5

Barber, S. (2018). Patient care in decline: AIDET as a tool for improvement. Radiologic Technology, 89(4), 419-421.

Burgener, A. M. (2017). Enhancing communication to improve patient safety and to increase patient satisfaction. The Health Care Manager, 36(3), 238-243. https://doi.org/10.1097/hcm.0000000000000165

Djordjevic, I. M., & Vasiljevic, D. (2019). The effect of sociodemographic factors on the patient satisfaction with health care system. Serbian Journal of Experimental and Clinical Research, 20(3), 251-255. https://doi.org/10.1515/sjecr-2017-0042

Fu, K., Li, S., & Lu, S. (2020). Application and effect evaluation on Acknowledge-Introduce-Duration-Explanation-Thank you (AIDET) communication mode in cataract daytime operation nursing. Annals of Eye Science, 5(12), 1-8. https://doi.org/10.21037/aes.2020.03.01

Howick, J., Moscrop, A., Mebius, A., Fanshawe, T. R., Lewith, G., Bishop, F. L., Mistiaen, P., Roberts, N. W., Dieninytė, E., & Hu, X.-Y. (2018). Effects of empathic and positive communication in healthcare consultations: A systematic review and meta-analysis. Journal of the Royal Society of Medicine, 111(7), 240-252. https://doi.org/10.1177/0141076818769477

Institute for Healthcare Communication. (2016). Impact of communication in healthcare. https://healthcarecomm.org/about-%20us/impact-of-communication-in-healthcare/

Joseph, V. (2020). Incorporating acknowledge, introduce, duration, explanation, and thank you (AIDET) framework and patient satisfaction in the primary care setting. Acta Scientific Medical Sciences, 4(1), 96-101.

Katsaliaki, K. (2022). Evaluating patient and medical staff satisfaction from doctor–patient communication. International Journal of Health Care Quality Assurance, 35(1), 38-55. https://doi.org/10.1108/IJHCQA-03-2022-0033

Li, L., Li, Y., Yin, T., Chen, J., & Shi, F. (2022). A cohort study of the effects of integrated medical and nursing rounds combined with AIDET communication mode on recovery and quality of life in patients undergoing percutaneous coronary intervention. Computational and Mathematical Methods in Medicine, 2022, 9489203. https://doi.org/10.1155/2022/9489203

Predila, A.-M. (2020). Barriers of communication in the medical system. Social Sciences and Education Research Review, 7(1), 395-401.

RAND Corporation. (n.d.). Patient Satisfaction Questionnaire from RAND Health Care. https://www.rand.org/health-care/surveys_tools/psq.html

Register, S. J., Blanchard, E., Belle, A., Viles, A., Moore, S. P., MacLennan, P., & White, M. L. (2020). Using AIDET® education simulations to improve patient experience scores. Clinical Simulation in Nursing, 38, 14-17. https://doi.org/10.1016/j.ecns.2019.09.005

Roh, J. W., Kim, Y., Lee, O.-H., Im, E., Cho, D.-K., & Choi, D. (2022). Successful primary percutaneous coronary intervention without stenting: Insight from optimal coherence tomography. Yonsei Medical Journal, 63(4), 399-404. https://doi.org/10.3349%2Fymj.2022.63.4.399

Scott, J. (2012). Utilizing AIDET and other tools to increase patient satisfaction scores. Radiology Management, 34(3), 29-33.

Studer Group. (2005). AIDET®: five fundamentals of patient communication. Gulf Breeze, FL: Studer Group.

Thangkratok, P., Poohomjarean, H., & Rinsathorn, S. (2017). Effects of AIDET communication program on satisfaction among patients and families in Cardiac Care Unit, Bangkok Heart Hospital. Songklanagarind Medical Journal, 35(4), 335-342.

Thompson, T. L. (2014). Encyclopedia of health communication. London: SAGE Publications.

Ware, J. E., Jr., Snyder, M. K., Wright, W. R., & Davies, A. R. (1976). Results regarding scales constructed from the Patient Satisfaction Questionnaire and measures of other health care perceptions. Springfield, VA: National Technical Information Service.

Readers are able to give us their valuable feedbacks here. The comments will be reviewed by the editors and then published here. Important Note: The "Comments" related to the Galley Proof PDF must NOT be submitted via this form. Authors should submit their comments on their galley proofs only via system