Mollie A Ruben1, Mark Meterko2, Barbara G Bokhour3. 1. School of Arts & Sciences, Massachusetts College of Pharmacy and Health Sciences (MCPHS) University, United States; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, United States. Electronic address: Mollie.Ruben@mcphs.edu. 2. Department of Health Law, Policy and Management, Boston University School of Public Health, United States; Performance Measurement, VHA Office of Reporting, Analytics, Performance, Improvement and Deployment (RAPID - 10EA), United States. 3. Department of Health Law, Policy and Management, Boston University School of Public Health, United States; Center for Healthcare Organization and Implementation Research, VA New England Healthcare System, United States.
Abstract
OBJECTIVES: Patient-provider communication is an important component of the medical interaction yet little research has examined the relationships between perceptions of communication and health outcomes or the mechanisms by which communication may ameliorate the pain experience. This is the first study to examine the relationships between patients' perceptions of provider communication, pain intensity and self-efficacy for managing chronic disease. METHODS: The total sample contained 1027 (85.8% male) Veteran patients. Patients responded to surveys about their experiences and outcomes of care, including measures of patient-provider communication, self-efficacy and pain outcomes including pain intensity and pain interference. RESULTS: Results showed more positive perceptions of provider communication were related to lower levels of pain intensity and pain interference and that this relationship was significantly mediated by higher levels of self-efficacy for managing chronic disease. CONCLUSION: More positive provider communication was related to higher levels of self-efficacy, which in turn was related to lower levels of pain intensity and pain interference. Findings suggest that providers may be able to elicit higher levels of self-efficacy in their patients by providing patient-centered communication, which in turn will reduce pain intensity and interference in their patient's lives.
OBJECTIVES:Patient-provider communication is an important component of the medical interaction yet little research has examined the relationships between perceptions of communication and health outcomes or the mechanisms by which communication may ameliorate the pain experience. This is the first study to examine the relationships between patients' perceptions of provider communication, pain intensity and self-efficacy for managing chronic disease. METHODS: The total sample contained 1027 (85.8% male) Veteran patients. Patients responded to surveys about their experiences and outcomes of care, including measures of patient-provider communication, self-efficacy and pain outcomes including pain intensity and pain interference. RESULTS: Results showed more positive perceptions of provider communication were related to lower levels of pain intensity and pain interference and that this relationship was significantly mediated by higher levels of self-efficacy for managing chronic disease. CONCLUSION: More positive provider communication was related to higher levels of self-efficacy, which in turn was related to lower levels of pain intensity and pain interference. Findings suggest that providers may be able to elicit higher levels of self-efficacy in their patients by providing patient-centered communication, which in turn will reduce pain intensity and interference in their patient's lives.
Authors: Audrey L Jones; Stefan G Kertesz; Leslie R M Hausmann; Maria K Mor; Ying Suo; Warren B P Pettey; James H Schaefer; Adi V Gundlapalli; Adam J Gordon Journal: J Subst Abuse Treat Date: 2020-02-29
Authors: Leon Morales-Quezada; Ines Mesia-Toledo; Anayali Estudillo-Guerra; Kevin C O'Connor; Jeffrey C Schneider; Douglas J Sohn; David M Crandell; Ted Kaptchuk; Ross Zafonte Journal: Pain Rep Date: 2020-07-20
Authors: Cleo A Samuel; Olive Mbah; Jennifer Schaal; Eugenia Eng; Kristin Z Black; Stephanie Baker; Katrina R Ellis; Fatima Guerrab; Lauren Jordan; Alexandra F Lightfoot; Linda B Robertson; Christina M Yongue; Samuel Cykert Journal: Support Care Cancer Date: 2019-10-16 Impact factor: 3.603
Authors: Karen E Alsbrook; Caroline K Harpel; Paul W Scott; Annie D Hayden; Colleen J Dunwoody; Susan W Wesmiller Journal: Pain Manag Nurs Date: 2021-03-03 Impact factor: 2.356
Authors: Anne Thackeray; Jackie Waring; Thomas J Hoogeboom; Maria W G Nijhuis-van Der Sanden; Rachel Hess; Julie M Fritz; Molly B Conroy; Maria E Fernandez Journal: Front Public Health Date: 2022-07-11
Authors: Anneliese N Hierl; Hannah Kang Moran; Mark R Villwock; Kimberly J Templeton; Jennifer A Villwock Journal: J Am Acad Orthop Surg Glob Res Rev Date: 2021-06-02
Authors: Manuel Albornoz-Cabello; José Manuel Pérez-Mármol; Mª de Los Ángeles Cardero-Durán; Cristo Jesús Barrios-Quinta; Luis Espejo-Antúnez Journal: Int J Environ Res Public Health Date: 2020-08-12 Impact factor: 3.390