Evidence map›Paper›PMID 26320821›Full record

ArticlePatient education and counseling2016

Respecting patients is associated with more patient-centered communication behaviors in clinical encounters.

Tabor E Flickinger, Somnath Saha, Debra Roter, P Todd Korthuis, Victoria Sharp, Jonathan Cohn, Richard D Moore, Karen S Ingersoll, Mary Catherine Beach

Abstract read
In one paragraph

Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Parent Satisfaction With Communication Is Associated With Physician's Patient-Centered Communication Patterns During Family Conferences.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2016
    Trial
  2. Addressing and supporting the unmet needs of sarcoma survivors: a qualitative study.International journal of qualitative studies on health and well-being · 2025
    Article
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  14. Barriers and Facilitators for Antiretroviral Treatment Adherence Among HIV-Positive African American and Latino Men Who Have Sex With Men.AIDS education and prevention : official publication of the International Society for AIDS Education · 2019
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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

9 authors.

Tabor E FlickingerDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA. Electronic address: TES3J@hscmail.mcc.virginia.edu.
Somnath SahaDepartment of Medicine, Portland VA Medical Center, Portland, OR, USA; Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
Debra RoterDepartment of Medicine, Johns Hopkins University, Baltimore, MD, USA.
P Todd KorthuisDepartment of Medicine, Oregon Health and Science University, Portland, OR, USA.
Victoria SharpDepartment of Medicine, St. Luke's Roosevelt, New York, NY, USA.
Jonathan CohnDepartment of Medicine, Wayne State University, Detroit, MI, USA.
Richard D MooreDepartment of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Karen S IngersollDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
Mary Catherine BeachDepartment of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Anna Palmer Durbin · 2012 to 2026
$67.0M
Cellular and Molecular Mechanisms of HIV NeuropathologyR01DA019808 · NIDA · DREXEL UNIVERSITY · PI MEUCCI, OLIMPIA · 2004 to 2008
$1.8M
Communication Quality and Patient Outcomes in HIV/AIDS and Substance AbuseK24DA037804 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2015 to 2019
$923k
Quality Outcomes for Patients with Drug Abuse and HIVK23DA019809 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KORTHUIS, PHILIP TODD · 2007 to 2011
$892k
Patient-Centeredness in Care of Vulnerable PopulationsK08HS013903 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2003 to 2007
$245k
AHRQ HHS K08 HS013903AHRQ HHS K08HS013903-05NIAID NIH HHS P30 AI094189NIDA NIH HHS K23 DA019808NIDA NIH HHS K23 DA019809NIDA NIH HHS K24 DA037804NIDA NIH HHS R01 DA019808PHS HHS 290-01-0012
6 · The paper itself

Abstract

objectiveAttitudes towards patients may influence how clinicians interact. We investigated whether respect for patients was associated with communication behaviors during HIV care encounters.

methodsWe analyzed audio-recordings of visits between 413 adult HIV-infected patients and 45 primary HIV care providers. The independent variable was clinician-reported respect for the patient and outcomes were clinician and patient communication behaviors assessed by the Roter Interaction Analysis System (RIAS). We performed negative binomial regressions for counts outcomes and linear regressions for global outcomes.

resultsWhen clinicians had higher respect for a patient, they engaged in more rapport-building, social chitchat, and positive talk. Patients of clinicians with higher respect for them engaged in more rapport-building, social chitchat, positive talk, and gave more psychosocial information. Encounters between patients and clinicians with higher respect for them had more positive clinician emotional tone [regression coefficient 2.97 (1.92-4.59)], more positive patient emotional tone [2.71 (1.75-4.21)], less clinician verbal dominance [0.81 (0.68-0.96)] and more patient-centeredness [1.28 (1.09-1.51)].

conclusionsRespect is associated with positive and patient-centered communication behaviors during encounters. PRACTICE IMPLICATIONS: Clinicians should be mindful of their respectful attitudes and work to foster positive regard for patients. Educators should consider methods to enhance trainees' respect in communication skills training.

Indexed as

Attitude of Health PersonnelCommunicationPatient-Centered CarePatient SatisfactionPhysician-Patient RelationsAdultCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMiddle AgedMindfulnessSurveys and QuestionnairesTape RecordingHIV/AIDSPatient–clinician communicationRespect

Identifiers

PMID26320821
PMCPMC5271348

What OpenQuestion holds

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Registered trials

None linked

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.