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Provider communication effects medication adherence in hypertensive African Americans.

Abstract：

OBJECTIVE:To evaluate the effect of patients' perceptions of providers' communication on medication adherence in hypertensive African Americans. METHODS:Cross-sectional study of 439 patients with poorly controlled hypertension followed in community-based healthcare practices in the New York metropolitan area. Patients' rating of their providers' communication was assessed with a perceived communication style questionnaire,while medication adherence was assessed with the Morisky self-report measure. RESULTS:Majority of participants were female, low-income, and had high school level educations, with mean age of 58 years. Fifty-five percent reported being nonadherent with their medications; and 51% rated their provider's communication to be non-collaborative. In multivariate analysis adjusted for patient demographics and covariates (depressive symptoms, provider degree), communication rated as collaborative was associated with better medication adherence (beta=-.11, p=.03). Other significant correlates of medication adherence independent of perceived communication were age (beta=.13, p=.02) and depressive symptoms (beta=-.18, p=.001). CONCLUSION:Provider communication rated as more collaborative was associated with better adherence to antihypertensive medications in a sample of low-income hypertensive African-American patients. PRACTICE IMPLICATIONS:The quality of patient-provider communication is a potentially modifiable element of the medical relationship that may affect health outcomes in this high-risk patient population.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Schoenthaler A,Chaplin WF,Allegrante JP,Fernandez S,Diaz-Gloster M,Tobin JN,Ogedegbe G

doi

10.1016/j.pec.2008.09.018

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

185-91

issue

2

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(08)00527-2

journal_volume

75

pub_type

杂志文章

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