Evidence map›Paper›PMID 26395313›Full record

ArticlePatient education and counseling2016

Clinician empathy is associated with differences in patient-clinician communication behaviors and higher medication self-efficacy in HIV care.

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

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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 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 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.

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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  4. Patterns of interactions among patients with advanced pancreatic cancer, their caregivers, and healthcare providers during symptom discussions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Tabor E FlickingerUniversity of Virginia School of Medicine, Charlottesville, VA, USA. Electronic address: TES3J@hscmail.mcc.virginia.edu.
Somnath SahaPortland VA Medical Center, Portland, OR, USA; Oregon Health and Science University, Portland, OR, USA.
Debra RoterJohns Hopkins University, Baltimore, MD, USA.
P Todd KorthuisOregon Health and Science University, Portland, OR, USA.
Victoria SharpSt Luke's Roosevelt, New York, NY, USA.
Jonathan CohnWayne State University, Detroit, MI, USA.
Susan EgglyWayne State University, Detroit, MI, USA.
Richard D MooreJohns Hopkins University, Baltimore, MD, USA.
Mary Catherine BeachJohns 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
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 K24 DA037804NIDA NIH HHS R01 DA019808PHS HHS 290-01-0012
6 · The paper itself

Abstract

objectiveWe examined associations of clinicians' empathy with patient-clinician communication behaviors, patients' rating of care, and medication self-efficacy.

methodsWe analyzed 435 adult patients and 45 clinicians at four outpatient HIV care sites in the United States. Negative binomial regressions investigated associations between clinician empathy and patient-clinician communication, assessed using the Roter Interaction Analysis System (RIAS). Logistic regressions investigated associations between clinician empathy and patient ratings of clinician communication, overall satisfaction, and medication self-efficacy.

resultsClinicians in the highest vs. lowest empathy tertile engaged in less explicitly emotional talk (IRR 0.79, p<0.05), while clinicians in the middle vs. lowest engaged in more positive talk (IRR 1.31, p<0.05), more questions (IRR 1.42, p<0.05), and more patient activating talk (IRR 1.43, p<0.05). Patients of higher empathy clinicians disclosed more psychosocial and biomedical information. Patients of clinicians in both the middle and highest (vs. lowest) empathy tertiles had greater odds of reporting highest medication self-efficacy (OR 1.80, 95% CI 1.16-2.80; OR 2.13, 95% CI 1.37-3.32).

conclusionsClinician empathy may be expressed through addressing patient engagement in care, by fostering cognitive, rather than primarily emotional, processing. PRACTICE IMPLICATIONS: Clinicians should consider enhancing their own empathic capacity, which may encourage patients' self-efficacy in medication adherence.

Indexed as

CommunicationEmpathyMedication AdherencePhysician-Patient RelationsSelf EfficacyAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMiddle AgedPatient SatisfactionPhysiciansTape RecordingEmpathyHIV/AIDSMedication adherencePatient–clinician communicationSelf-efficacy

Identifiers

PMID26395313
PMCPMC5610904

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.