Evidence map›Paper›PMID 29033551›Full record

ArticlePatient preference and adherence2017

Healthcare provider relational quality is associated with better self-management and less treatment burden in people with multiple chronic conditions.

David T Eton, Jennifer L Ridgeway, Mark Linzer, Deborah H Boehm, Elizabeth A Rogers, Kathleen J Yost, Lila J Finney Rutten, Jennifer L Sauver, Sara Poplau, Roger T Anderson

Abstract read
In one paragraph

Article in Patient preference and adherence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

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

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  4. Predictors of Older Adult Adherence With Emergency Department Discharge Instructions.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021
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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

10 authors.

David T EtonDepartment of Health Sciences Research.
Jennifer L RidgewayDepartment of Health Sciences Research.
Mark LinzerDivision of General Internal Medicine, Hennepin County Medical Center.
Deborah H BoehmMinneapolis Medical Research Foundation.
Elizabeth A RogersDivision of General Internal Medicine, University of Minnesota Medical School, Minneapolis, MN.
Kathleen J YostDepartment of Health Sciences Research.
Lila J Finney RuttenDepartment of Health Sciences Research.
Jennifer L SauverDepartment of Health Sciences Research.
Sara PoplauMinneapolis Medical Research Foundation.
Roger T AndersonDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Developing a self-report measure of burden of treatmentR21NR012984 · NINR · MAYO CLINIC ROCHESTER · PI ETON, DAVID T · 2012 to 2013
$427k
NIDDK NIH HHS P30 DK092926NINR NIH HHS R21 NR012984
6 · The paper itself

Abstract

purposeHaving multiple chronic conditions (MCCs) can lead to appreciable treatment and self-management burden. Healthcare provider relational quality (HPRQ) - the communicative and interpersonal skill of the provider - may mitigate treatment burden and promote self-management. The objectives of this study were to 1) identify the associations between HPRQ, treatment burden, and psychosocial outcomes in adults with MCCs, and 2) determine if certain indicators of HPRQ are more strongly associated than others with these outcomes. PATIENTS AND

methodsThis is a cross-sectional survey study of 332 people with MCCs. Patients completed a 7-item measure of HPRQ and measures of treatment and self-management burden, chronic condition distress, self-efficacy, provider satisfaction, medication adherence, and physical and mental health. Associations between HPRQ, treatment burden, and psychosocial outcomes were determined using correlational analyses and independent samples

resultsMost respondents (69%) were diagnosed with ≥3 chronic conditions. Better HPRQ was found to be associated with less treatment and self-management burden and better psychosocial outcomes (

conclusionGood communication and interpersonal skills of healthcare providers may lessen feelings of treatment burden and empower patients to feel confident in their self-management. Patient trust in the provider is an important element of HPRQ. Educating healthcare providers about the importance of interpersonal and relational skills could lead to more patient-centered care.

Indexed as

adherencemulti-morbiditypatient-centered carepatient–provider relationshiptrust

Identifiers

PMID29033551
PMCPMC5630069

What OpenQuestion holds

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LicenceCC BY-NC
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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.