Evidence map›Paper›PMID 23132201›Full record

Trial reportMedical care2013

Physician communication behaviors and trust among black and white patients with hypertension.

Kimberly D Martin, Debra L Roter, Mary C Beach, Kathryn A Carson, Lisa A Cooper

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medical care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06182475 (Increasing Equity in Live Donor Kidney Transplantation Through Effective Patient-Provider Communication), which is not on this map. Cited by 82 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06182475 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Increasing Equity in Live Donor Kidney Transplantation Through Effective Patient-Provider Communication

TypeinterventionalSponsorTemple UniversityRan2026 to 2027Enrolled70ConditionsKidney Disease, Chronic, End Stage Renal Disease, Kidney ReplacementArmsEPPComm Provider Training
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  5. Observational
  6. Article
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  11. Interventions to improve adherence to oral endocrine therapy for prevention or treatment of breast cancer in Black women of low socioeconomic status.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  12. Article
  13. Article
  14. Article
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  16. Centering Health Equity in an Increasingly Digital Environment.Perspectives in biology and medicine · 2025
    Article
  17. Exploring Health Information-Seeking Behavior and Information Source Preferences Among a Diverse Sample of Cancer Survivors: Implications for Patient Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    Article
  18. Article
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  20. Article

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kimberly D MartinDepartment of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. kdmartin@jhmi.edu
Debra L Roter
Mary C Beach
Kathryn A Carson
Lisa A Cooper

Funding

TRAINING COREP50HL105187 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GOLDEN, SHERITA HILL · 2010 to 2014
$9.8M
Patient-Physician Partnership to Improve HBP AdherenceR01HL069403 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2001 to 2004
$2.5M
Patient-Oriented Research in Cardiovascular DisparitiesK24HL083113 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2006 to 2015
$2.0M
NHLBI NIH HHS K24 HL083113NHLBI NIH HHS K24HL083113NHLBI NIH HHS P50HL0105187NHLBI NIH HHS P50 HL105187NHLBI NIH HHS R01 HL069403NHLBI NIH HHS R01HL069403
6 · The paper itself

Abstract

backgroundRacial differences in patient trust have been observed, but it is unclear which physician communication behaviors are related to trust, and whether the relationship of communication and trust differs among black and white patients.

objectiveWe sought to determine whether there were associations between physician communication behaviors, visit process measures, and patient trust, particularly within racial groups.

methodsStudy participants included 39 primary care physicians and 227 black and white hypertensive patients from community-based practices in Baltimore, MD. Physician informational and affective communication behaviors and visit process measures were coded from visit audiotapes using the Roter Interaction Analysis System. Patient trust was measured using items from the Trust in Physician Scale, and dichotomized (high/low). Logistic regression analysis using generalized estimating equations was used to assess the association of each physician communication behavior and visit process measure with patient trust, among the entire sample and then stratified by patient race.

resultsPositive physician affect and longer visits were significantly associated with high patient trust in unadjusted analyses. After adjustment for covariates, positive physician affect remained a significant predictor of high patient trust in the overall sample (odds ratio 1.26; 95% confidence interval, 1.08, 1.48; P=0.004) and after stratification by race, among black patients (odds ratio 1.35; 95% confidence interval, 1.09, 1.67; P=0.006).

conclusionsPhysician communication behaviors may have a varying effect on patient trust, depending on patient race. Communication skills training programs targeting emotion-handling and rapport-building behaviors are promising strategies to reduce disparities in health care and to enhance trust among ethnic minority patients.

Indexed as

Attitude of Health PersonnelCommunicationPhysician-Patient RelationsTrustAdultBlack or African AmericanChi-Square DistributionCross-Sectional StudiesFemaleHumansHypertensionLogistic ModelsMaleMarylandMiddle AgedPrimary Health Care

Identifiers

PMID23132201
PMCPMC3552122

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.