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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Communication Predictors of Patient and Companion Satisfaction with Alzheimer's Genetic Risk Disclosure
Journal of health communication, v 23(8), pp 807-814
2018
PMID: 30325721
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The objective of this study was to identify how features of Alzheimer's disease (AD) genetic risk disclosure communication relate to patient and visit companion satisfaction. We conducted secondary analyses of 79 session recordings from the fourth REVEAL Study, a randomized-controlled trial of AD genetic risk disclosure among patients with mild cognitive impairment. Patient and companion satisfaction were ascertained from postdisclosure surveys. The Roter Interaction Analysis System (RIAS) was used to code triadic communication between the counselor, patient, and companion. High satisfaction was evident for 24% of patients (N = 19) and 48% of companions (N = 38). Multivariate logistic regressions showed that high patient satisfaction was associated with patients' expression of emotions (OR = 1.1, 95% CI: 1.0-1.1) and companions' questions about psychosocial and lifestyle topics (OR = 1.8, 95% CI: 1.1-2.8). High companion satisfaction was positively related to the RIAS overall patient-centeredness score for the session (OR = 4.0, 95% CI: 1.0-15.6) (all p-values <0.05). Communication predictors of patient and companion satisfaction reflect specific or summary indicators of patient-centeredness. Findings also suggest that visit companions positively influence patient satisfaction. The study results support the growing literature and policy attention directed toward delivering family-centered care.
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Details
- Title
- Communication Predictors of Patient and Companion Satisfaction with Alzheimer's Genetic Risk Disclosure
- Creators
- Yue Guan - Emory UniversityDebra L Roter - Bloomberg (United States)Lori H Erby - National Human Genome Research InstituteJennifer L Wolff - Bloomberg (United States)Laura N Gitlin - Johns Hopkins UniversityJ Scott Roberts - f Department of Health Behavior and Health Education , University of Michigan School of Public Health , Ann Arbor , MI , USARobert C Green - Brigham and Women's HospitalKurt D Christensen - Brigham and Women's Hospital
- Publication Details
- Journal of health communication, v 23(8), pp 807-814
- Publisher
- Taylor and Francis
- Grant note
- UL1 TR001102 / NCATS NIH HHS U19 HD077671 / NICHD NIH HHS R01 HG002213 / NHGRI NIH HHS M01 RR010284 / NCRR NIH HHS U01 HG006500 / NHGRI NIH HHS M01 RR000533 / NCRR NIH HHS P30 AG013846 / NIA NIH HHS K01 HG009173 / NHGRI NIH HHS P30 AG053760 / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000449524000013
- Scopus ID
- 2-s2.0-85055074807
- Other Identifier
- 991020112076404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Communication
- Information Science & Library Science