Evidence map›Paper›PMID 33579569›Full record

ArticlePatient education and counseling2021

Racial differences in patient perception of interactions with providers are associated with health outcomes in type II diabetes.

Hadley W Reid, Olivia M Lin, Rebecca L Fabbro, Kimberly S Johnson, Laura P Svetkey, Maren K Olsen, Roland A Matsouaka, Sangyun Tyler Chung, Bryan C Batch

Open access · greenAbstract read
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 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

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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 at 1 institution in 1 country.

Hadley W ReidDuke University School of Medicine, Durham, USA. Electronic address: hadley.reid@duke.edu.
Olivia M LinDuke University School of Medicine, Durham, USA.
Rebecca L FabbroDuke University School of Medicine, Durham, USA.
Kimberly S JohnsonDepartment of Medicine, Division of Geriatrics, Duke University School of Medicine, Center for Aging and Human Development, Duke University School of Medicine, Geriatrics Research Education and Clinical Center, Durham Veterans Affairs Medical Center, Durham, USA.
Laura P SvetkeyDepartment of Medicine, Division of Nephrology, Duke University School of Medicine, Durham, USA.
Maren K OlsenDuke University Department of Biostatistics and Bioinformatics, Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, USA.
Roland A MatsouakaDuke University Department of Biostatistics and Bioinformatics, Duke Clinical Research Institute, Duke University, Durham, USA.
Sangyun Tyler ChungDuke University Master of Biostatistics Program, Durham, USA.
Bryan C BatchDepartment of Medicine, Division of Endocrinology, Duke University School of Medicine, Durham, USA.
Duke University · US

Funding

Research Project 3U54MD012530 · NIMHD · DUKE UNIVERSITY · PI JOHNSON, KIMBERLY S. · 2017 to 2022
$8.8M
NRSA Training CoreTL1TR002555 · NCATS · DUKE UNIVERSITY · PI EDELMAN, DAVID · 2018 to 2022
$3.7M
NCATS NIH HHS TL1 TR002555NIMHD NIH HHS U54 MD012530
6 · The paper itself

Abstract

objectivesExamine the association of patient perceptions of care with hemoglobin A1c (HbA1c), medication adherence, and missed appointments in non-Hispanic Black (NHB) and White (NHW) patients with type 2 diabetes (T2DM).

methodsWe used linear and logistic regression models to analyze the association of the Interpersonal Processes of Care survey (IPC) with HbA1c, medication adherence, and missed appointments. We then examined how these associations differed by race.

resultsThere was no overall association between IPC subdomains and HbA1c in our sample (N = 221). NHB patients perceiving their provider always explained results and medications had a HbA1c on average 0.59 (-1.13, -0.04; p = 0.04) points lower than those perceiving their provider sometimes explained results and medications. No effect was observed in NHWs. Never perceiving disrespect from office staff was associated with an average 0.67 (-1.1, -0.24; p = 0.002) point improvement in medication adherence for all patients. Never perceiving discrimination from providers was associated with a 0.44 (-0.63, -0.25; p < 0.0001) decrease in the probability of missing an appointment for NHB patients.

conclusionsThese results demonstrate that particular aspects of communication in the patient-provider interaction may contribute to racial disparities in T2DM. PRACTICE IMPLICATIONS: Communication training for both providers and staff may reduce disparities in T2DM.

Indexed as

Diabetes Mellitus, Type 2Professional-Patient RelationsRace FactorsBlack PeopleGlycated HemoglobinHumansOutcome Assessment, Health CarePerceptionWhite PeopleGlycated HemoglobinGlycemic controlHealthcare disparitiesMedication adherencePatient-provider interactionProvider communicationRacial disparitiesType II diabetes

Identifiers

PMID33579569
PMCPMC8217118
OpenAlexW3128221736

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.