Evidence map›Paper›PMID 36137906›Full record

ArticlePatient education and counseling2022

Examining the relationship between clinician communication and patient participatory behaviors in cardiology encounters.

Hadley W Reid, Victoria Parente, Maya Das Gupta, Sarah Hantzmon, Maren K Olsen, Hongqiu Yang, Larry R Jackson, Kimberly S Johnson, Kathryn I Pollak

Abstract read
In one paragraph

Article in Patient education and counseling, 2022. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Observational
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.

Hadley W ReidDuke University School of Medicine, Durham, USA. Electronic address: hwreid@bwh.harvard.edu.
Victoria ParenteDepartment of Pediatrics, Duke University School of Medicine, Durham, USA.
Maya Das GuptaCancer Prevention and Control Program, Duke Cancer Institute, Durham, USA.
Sarah HantzmonCancer Prevention and Control Program, Duke Cancer Institute, Durham, USA.
Maren K OlsenDuke University Department of Biostatistics and Bioinformatics, Durham Veterans Affairs Health Care System, Durham, USA; Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, USA.
Hongqiu YangDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Larry R JacksonDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Kimberly S JohnsonDepartment of Medicine, Division of Geriatrics, Duke University School of Medicine, Durham, USA; Center for Aging and Human Development, Duke University School of Medicine, Durham, USA; Geriatrics Research Education and Clinical Center, Durham Veterans Affairs Medical Center, Durham, USA.
Kathryn I PollakCancer Prevention and Control Program, Duke Cancer Institute, Durham, USA; Department of Population Health Sciences, Duke University School of Medicine, Durham, USA.

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
Duke Center for Advancement of Child Health (CAtCH)K12HD105253 · NICHD · DUKE UNIVERSITY · PI Corinne Mary Linardic, Ann M. Reed · 2021 to 2026
$1.5M
Shared Decision-Making to Reduce Racial Disparities in Oral Anticoagulation Use in Patients with Non-Valvular Atrial FibrillationK01HL159041 · NHLBI · DUKE UNIVERSITY · PI JACKSON, LARRY R · 2021 to 2025
$774k
NCATS NIH HHS TL1 TR002555NHLBI NIH HHS K01 HL159041NICHD NIH HHS K12 HD105253NIMHD NIH HHS U54 MD012530
6 · The paper itself

Abstract

objectivesExamine the association of coder ratings of cardiologist behaviors and global scores of cardiologist communication style with patient participation in clinic encounters.

methodsWe coded transcripts of clinic encounters for patient participatory behaviors: asking questions, assertive statements, and expressing negative emotions; clinician behavior counts: reflective statements, open-ended questions, empathic statements, and eliciting questions. We used general linear regression models to examine associations of mean number of patient participatory behaviors with clinician behaviors.

resultsOur sample included 161 patients of 40 cardiologists. Patient female gender was associated with on average 2.1 (CI: 0.06, 4.1; p = 0.04) more patient participatory behaviors. In an adjusted model, clinician reflective statements were associated with on average 0.3 (CI: 0.04, 0.4; p = 0.02) more patient participatory behaviors. A clinician making at least one empathic statement was associated with on average 3.7 (CI: 0.2, 7.1; p = 0.04) more patient participatory behaviors.

conclusionsThese results demonstrate that some individual clinician behaviors are associated with higher patient participation in cardiology encounters. PRACTICE IMPLICATIONS: Clinician reflective and empathic statements may be important targets in communication training to increase patient participation. SECTION: Communication Studies.

Indexed as

CardiologyPatient ParticipationAttitude of Health PersonnelCommunicationEmpathyFemaleHumansPhysician-Patient RelationsCardiologyClinician communicationEmpathyPatient-centered carePatient participation

Identifiers

PMID36137906
PMCPMC9903298

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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.