Observational studyAIDS and behavior2019
Emotional Communication in HIV Care: An Observational Study of Patients' Expressed Emotions and Clinician Response.
Observational study in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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Who cites it
12 citing papers in PubMed.
- Role of the Surgeon in De-Escalating Emotion During a Breast Cancer Surgery Consultation: A Qualitative Study of Patients' Experiences in Alliance A231701CD.Annals of surgical oncology · 2024Trial
- A Conversational Agent for Providing Personalized Preexposure Prophylaxis (PrEP) Support: Protocol for Chatbot Implementation and Evaluation.JMIR research protocols · 2026Article
- Acceptability and Usability of Telemedicine for Older Veterans in a Pilot Sample: Mixed Methods Study.JMIR formative research · 2026Article
- Exploring Racial Differences in Family Expressions of Emotion and Clinician Empathy in ICU Family Meetings.CHEST critical care · 2025Article
- Patients' emotional expressions and clinicians' responses in oncology - From recognition to exploration of concerns.PEC innovation · 2025Article
- Taxonomy and effectiveness of clinician agenda-setting questions in routine ambulatory encounters: A mixed method study.Patient education and counseling · 2023Article
- A Principal Investigator as a PrEP-Using Peer Change Agent for HIV Prevention among Black Gay and Bisexual Men: An Autoethnography.International journal of environmental research and public health · 2023Article
- Racial disparities in clinician responses to patient emotions.Patient education and counseling · 2020Article
- Are clinicians' self-reported empathic concern and perspective-taking traits associated with their response to patient emotions?: Communication Studies.Patient education and counseling · 2020Article
- "I'm Not Feeling Like I'm Part of the Conversation" Patients' Perspectives on Communicating in Clinical Video Telehealth Visits.Journal of general internal medicine · 2020Article
- Moving Beyond Viral Suppression: Poor Patient-Provider Communication and Its Impact on Healthcare Outcomes Among People Living With HIV in the United States.Journal of the International Association of Providers of AIDS CareArticle
- Clinician Response to Patient Emotion: Impact on Subsequent Communication and Visit Length.Annals of family medicineArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Emotional support is essential to good communication, yet clinicians often miss opportunities to provide empathy to patients. Our study explores the nature of emotional expressions found among patients new to HIV care, how HIV clinicians respond to these expressions, and predictors of clinician responses. Patient-provider encounters were audio-recorded, transcribed, and coded using the VR-CoDES. We categorized patient emotional expressions by intensity (subtle 'cues' vs. more explicit 'concerns'), timing (initial vs. subsequent), and content (medical vs. non-medical). Emotional communication was present in 65 of 91 encounters. Clinicians were more likely to focus specifically on patient emotion for concerns versus cues (OR 4.55; 95% CI 1.36, 15.20). Clinicians were less likely to provide space when emotional expressions were repeated (OR 0.32; 95% CI 0.14, 0.77), medically-related (OR 0.36; 95% CI 0.17, 0.77), and from African American patients (OR 0.42; 95% CI 0.21, 0.84). Potential areas for quality improvement include raising clinician awareness of subtle emotional expressions, the emotional content of medically-related issues, and racial differences in clinician response.
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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.