Evidence map›Paper›PMID 32948401›Full record

ArticlePatient education and counseling2021

Engagement and Affective Communication During Pediatric Nephrology Clinic Visits: Associations with Medication Adherence.

Trevor W Glenn, Kristin A Riekert, Debra Roter, Michelle N Eakin, Cozumel S Pruette, Tammy M Brady, Susan R Mendley, Shamir Tuchman, Barbara A Fivush, Cyd K Eaton

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Medication adherence in youths with CKD: habits for success.Pediatric nephrology (Berlin, Germany) · 2023
    Trial
  2. Review
  3. Observational
  4. Article
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 at 3 institutions in 1 country.

Trevor W GlennJohns Hopkins University School of Medicine, Baltimore MD - 733 N Broadway, Baltimore, MD, 21205, USA. Electronic address: tglenn3@jhmi.edu.
Kristin A RiekertJohns Hopkins University School of Medicine, Baltimore MD - 733 N Broadway, Baltimore, MD, 21205, USA. Electronic address: kriekert@jhmi.edu.
Debra RoterJohns Hopkins University School of Medicine, Baltimore MD - 733 N Broadway, Baltimore, MD, 21205, USA. Electronic address: droter1@jhu.edu.
Michelle N EakinJohns Hopkins University School of Medicine, Baltimore MD - 733 N Broadway, Baltimore, MD, 21205, USA. Electronic address: meakin1@jhmi.edu.
Cozumel S PruetteJohns Hopkins University School of Medicine, Baltimore MD - 733 N Broadway, Baltimore, MD, 21205, USA. Electronic address: csouthe1@jhmi.edu.
Tammy M BradyJohns Hopkins University School of Medicine, Baltimore MD - 733 N Broadway, Baltimore, MD, 21205, USA. Electronic address: tbrady8@jhmi.edu.
Susan R MendleyUniversity of Maryland School of Medicine, Baltimore MD - 655 W Baltimore St S, Baltimore, MD, 21201, USA. Electronic address: susan.mendley@nih.gov.
Shamir TuchmanChildren's National Medical Center, Washington DC - 110 Irving St NW, Washington, DC, 20010, USA. Electronic address: stuchman@childrensnational.org.
Barbara A FivushJohns Hopkins University School of Medicine, Baltimore MD - 733 N Broadway, Baltimore, MD, 21205, USA. Electronic address: bfivush@jhmi.edu.
Cyd K EatonJohns Hopkins University School of Medicine, Baltimore MD - 733 N Broadway, Baltimore, MD, 21205, USA. Electronic address: ceaton4@jhmi.edu.
Johns Hopkins University · USChildren's National · USUniversity of Maryland, Baltimore · US

Funding

Doctor-Teen Communication & Antihypertensive Adherence in Chronic Kidney DiseaseR01DK092919 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI RIEKERT, KRISTIN A · 2011 to 2016
$2.5M
NIDDK NIH HHS R01 DK092919
6 · The paper itself

Abstract

objectiveTo evaluate whether engagement and affective communication among adolescents and young adults (AYAs) with chronic kidney disease (CKD), caregivers, and pediatric nephrology providers during outpatient clinic visits predicts antihypertensive medication adherence.

methodsAYAs (n = 60, M age = 15.4 years, SD = 2.7, 40% female, 43% African American/Black) and caregivers (n = 60, 73% female) attended audio-recorded clinic visits with pediatric nephrologists (n = 12, 75% female). Recordings were analyzed using global affect ratings of the Roter Interactional Analysis System. Antihypertensive medication adherence was monitored electronically before and after clinic visits. A linear regression model evaluated associations between affect ratings and post-visit adherence.

resultsAYAs took 84% of doses (SD = 20%) pre-visit and 82% of doses (SD = 24%) post-visit. Higher AYA engagement (β = 0.03, p = .01) and the absence of provider negative affect (β=-0.15, p = .04) were associated with higher post-visit adherence, controlling for pre-visit adherence, AYA sex, age, and race, and clustered by provider.

conclusionsPost-visit adherence was higher when AYAs were rated as more engaged and providers as less negative. PRACTICE IMPLICATIONS: AYAs with lower engagement may benefit from further adherence assessment. Communication strategies designed to more actively engage AYAs in their care and diminish provider conveyance of negative affect during clinic visits may positively influence adherence among AYAs with CKD.

Indexed as

NephrologyAdolescentAmbulatory CareAmbulatory Care FacilitiesChildCommunicationFemaleHumansMaleMedication AdherencePhysician-Patient RelationsYoung Adultadolescentchronic kidney diseasecommunicationMedication adherencephysician-patient relations

Identifiers

PMID32948401
PMCPMC7933303
OpenAlexW3083691611

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.