Large-Scale Survey Findings Inform Patients’ Experiences in Using Secure Messaging to Engage in Patient-Provider Communication and Self-Care Management: A Quantitative Assessment

This study investigates channel choice and effective patient-provider communication, patient satisfaction, self-efficacy, and self-care management among patients with a chronic disease by applying and testing two prominent media choice theories: channel expansion theory and media synchronicity theory. A national sample of respondents with chronic disease completed measures assessing constructs from each theory. The model for media synchronicity theory provided a better fit for the data than did the model for channel expansion theory. By providing an integrative model of effective patient-provider communication, this research provides practitioners and patients with theoretically -based empirical guidance to advance the study of chronic disease management.

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Patient-provider communication, maternal anxiety, and self-care in pregnancy

Social Science & Medicine ◽

10.1016/j.socscimed.2017.08.011 ◽

2017 ◽

Vol 190 ◽

pp. 133-140 ◽

Cited By ~ 14

Author(s):

Jennifer Nicoloro-SantaBarbara ◽

Lisa Rosenthal ◽

Melissa V. Auerbach ◽

Christina Kocis ◽

Cheyanne Busso ◽

...

Keyword(s):

Self Care ◽

Maternal Anxiety ◽

Provider Communication ◽

Patient Provider Communication ◽

In Pregnancy

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Dimensions of patient-provider communication and diabetes self-care in an ethnically diverse population

Journal of General Internal Medicine ◽

10.1046/j.1525-1497.2003.31968.x ◽

2003 ◽

Vol 18 (8) ◽

pp. 624-633 ◽

Cited By ~ 148

Author(s):

John D. Piette ◽

Dean Schillinger ◽

Michael B. Potter ◽

Michele Heisler

Keyword(s):

Self Care ◽

Ethnically Diverse ◽

Provider Communication ◽

Diverse Population ◽

Patient Provider Communication

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Barriers and facilitators to self-care communication during medical appointments in the United States for adults with type 2 diabetes

Chronic Illness ◽

10.1177/1742395314525647 ◽

2014 ◽

Vol 10 (4) ◽

pp. 303-313 ◽

Cited By ~ 37

Author(s):

Marilyn D Ritholz ◽

Elizabeth A Beverly ◽

Kelly M Brooks ◽

Martin J Abrahamson ◽

Katie Weinger

Keyword(s):

Type 2 Diabetes ◽

Self Care ◽

The United States ◽

Barriers And Facilitators ◽

Provider Communication ◽

Semistructured Interview ◽

Interview Guide ◽

Clinical Benefits ◽

Patient Provider Communication

Objective Diabetes self-care is challenging and requires effective patient–provider communication to achieve optimal treatment outcomes. This study explored perceptions of barriers and facilitators to diabetes self-care communication during medical appointments. Design Qualitative study using in-depth interviews with a semistructured interview guide. Participants Thirty-four patients with type 2 diabetes and 19 physicians who treat type 2 diabetes. Results Physicians described some patients as reluctant to discuss their self-care behaviors primarily because of fear of being judged, guilt, and shame. Similarly, patients described reluctant communication resulting from fear of being judged and shame, particularly shame surrounding food intake and weight. Physicians and patients recommended trust, nonjudgmental acceptance, open/honest communication, and providing patients hope for living with diabetes as important factors for improving self-care communication. Further, patients stressed the clinical benefits of physicians directly addressing poor self-care behaviors while physicians described having few strategies to address these difficulties. Conclusions Physician–patient self-care communication barriers included patients’ reluctance to discuss self-care behaviors and physicians’ perceptions of few options to address this reluctance. Treatment recommendations stressed the importance of establishing trusting, nonjudgmental and open patient–provider communication for optimal diabetes treatment. Medical education is needed to improve physicians’ strategies for addressing self-care communication during medical appointments.

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Patient-Provider Communication and Self-care Behavior Among Type 2 Diabetes Patients

The Diabetes Educator ◽

10.1177/0145721705280829 ◽

2005 ◽

Vol 31 (5) ◽

pp. 681-690 ◽

Cited By ~ 54

Author(s):

James E. Aikens ◽

Raymond Bingham ◽

John D. Piette

Keyword(s):

Type 2 Diabetes ◽

Glycemic Control ◽

Self Care ◽

Path Model ◽

Provider Communication ◽

Glucose Testing ◽

Diabetes Outcomes ◽

Patient Provider Communication ◽

Diabetes Patients

Purpose The purpose of this study was to determine whether diabetes self-care behaviors mediate the association between patient-provider communication (PPC) and diabetes outcomes. Methods An ethnically diverse sample of 752 patients with type 2 diabetes was recruited from 3 different health systems. Subjects were interviewed by telephone about their general and diabetes-specific PPC, diabetes self-care behaviors (medication use, glucose testing, eating, and physical activity), and functional status (physical and mental). Glycemic control was assessed with the HbA1c assay. Statistical tests of the hypothetical path model were adjusted for age, gender, marital status, income, ethnicity, medication regimen, and number of comorbid conditions. Results General PPC was associated with mental functioning and physical functioning, and diabetes-specific PPC was associated with glycemic control. However, these associations were not mediated by self-care behaviors, which were independently associated with diabetes outcomes. Conclusions Although self-care and PPC are both important determinants of diabetes patients' health status, these effects are independent. Thus, attempts to improve diabetes outcomes must focus on both good communication and the direct enhancement of illness self-management behaviors.

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Forum on Augmentative and Alternative Communication in Acute Care

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_persp-19-00046 ◽

2019 ◽

Vol 4 (5) ◽

pp. 989-990

Author(s):

Richard R. Hurtig

Keyword(s):

Clinical Trial ◽

Acute Care ◽

Augmentative And Alternative Communication ◽

Large Scale ◽

Care Setting ◽

Provider Communication ◽

Acute Care Setting ◽

Alternative Communication ◽

Patient Provider Communication ◽

Large Scale Clinical Trial

This forum provides some insights into the process of initiating a clinical service to enhance patient–provider communication. It also provides a report of a large-scale clinical trial that introduced augmentative and alternative communication (AAC) tools in an acute-care setting.

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Improving Patient Safety and Patient–Provider Communication

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig12-2019-0021 ◽

2019 ◽

Vol 4 (5) ◽

pp. 1017-1027 ◽

Cited By ~ 1

Author(s):

Richard R. Hurtig ◽

Rebecca M. Alper ◽

Karen N. T. Bryant ◽

Krista R. Davidson ◽

Chelsea Bilskemper

Keyword(s):

Acute Care ◽

Augmentative And Alternative Communication ◽

Health Care Team ◽

Provider Communication ◽

Alternative Communication ◽

Patient Provider Communication ◽

Acute Care Settings ◽

Nurses Perceptions ◽

Communication Needs ◽

The Impact

Purpose Many hospitalized patients experience barriers to effective patient–provider communication that can negatively impact their care. These barriers include difficulty physically accessing the nurse call system, communicating about pain and other needs, or both. For many patients, these barriers are a result of their admitting condition and not of an underlying chronic disability. Speech-language pathologists have begun to address patients' short-term communication needs with an array of augmentative and alternative communication (AAC) strategies. Method This study used a between-groups experimental design to evaluate the impact of providing patients with AAC systems so that they could summon help and communicate with their nurses. The study examined patients' and nurses' perceptions of the patients' ability to summon help and effectively communicate with caregivers. Results Patients who could summon their nurses and effectively communicate—with or without AAC—had significantly more favorable perceptions than those who could not. Conclusions This study suggests that AAC can be successfully used in acute care settings to help patients overcome access and communication barriers. Working with other members of the health care team is essential to building a “culture of communication” in acute care settings. Supplemental Material https://doi.org/10.23641/asha.9990962

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The Need for Nurse Training to Promote Improved Patient-Provider Communication for Patients With Complex Communication Needs

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac22.2.112 ◽

2013 ◽

Vol 22 (2) ◽

pp. 112-119 ◽

Cited By ~ 9

Author(s):

Debora Downey ◽

Mary Beth Happ

Keyword(s):

Health Care Providers ◽

Communication Disorders ◽

Provider Communication ◽

Nurse Training ◽

Care Providers ◽

Speech Language Pathologists ◽

Complex Communication Needs ◽

Team Members ◽

Patient Provider Communication ◽

Communication Needs

Abstract Hospitalized patients across the age continuum often present with complex communication needs (CCN) due to motor, sensory, cognitive, and linguistic barriers they may experience during their admission. Although hospitals recognize the need to enhance communication to improve quality and safety for all patients, the emphasis has been primarily on improving ”care coordination” amongst the health care providers the patient encounters across all points of admission. Most hospitals have yet to focus on improving the patient-provider communication experience, especially for patients with CCN. However, this population no longer can be ignored, as new standards mandate efforts to improve communication for patients with CCN. Nurses, as the team members responsible for continuous care during hospital stays, and speech-language pathologists, as communication disorders specialists, are positioned distinctively to facilitate patient communication and prevent miscommunications between patients and care providers. This article highlights the need to enhance the patient-provider communication experience for patients with CCN. We review the state of nurse training for patients with CCN, discuss the role speech-language pathologists can play in developing and implementing nurse training protocols, and outline basic elements nurse training modules should include.

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