Communication competence, self-care behaviors and glucose control in patients with type 2 diabetes.

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  • Author(s): Parchman ML;Parchman ML; Flannagan D; Ferrer RL; Matamoras M
  • Source:
    Patient education and counseling [Patient Educ Couns] 2009 Oct; Vol. 77 (1), pp. 55-9. Date of Electronic Publication: 2009 Apr 08.
  • Publication Type:
    Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: Ireland NLM ID: 8406280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5134 (Electronic) Linking ISSN: 07383991 NLM ISO Abbreviation: Patient Educ Couns
    • Publication Information:
      Publication: Limerick : Elsevier
      Original Publication: Princeton, N.J. : Excerpta Medica, c1983-
    • Subject Terms:
      Blood Glucose* ; Clinical Competence* ; Communication* ; Health Behavior* ; Patient Education as Topic* ; Physician-Patient Relations* ; Self Care*; Diabetes Mellitus, Type 2/*prevention & control; Data Collection ; Diet ; Female ; Glycated Hemoglobin ; Hispanic or Latino ; Humans ; Hyperglycemia/prevention & control ; Male ; Middle Aged ; Multivariate Analysis ; Statistics as Topic ; United States
    • Abstract:
      Objective: To examine the relationship between physician communication competence and A1c control among Hispanics and non-Hispanics seen in primary care practices.
      Study Design: Observational.
      Methods: Direct observation and audio-recording of patient-physician encounters by 155 Hispanic and non-Hispanic white patients seen by 40 physicians in 20 different primary care clinics. Audio-recordings were transcribed and coded to derive an overall communication competence score for the physician. An exit survey was administered to each patient to assess self-care activities and their medical record was abstracted for the most recent glycosylated hemoglobin (A1c) level.
      Results: Higher levels of communication competence were associated with lower levels of A1c for Hispanics, but not non-Hispanic white patients. Although communication competence was associated with better self-reported diet behaviors, diet was not associated with A1c control. Across all patients, higher levels of communication competence were associated with improved A1c control after controlling for age, ethnicity and diet adherence.
      Conclusions: Physician's communication competence may be more important for promoting clinical success in disadvantaged patients.
      Practice Implications: Acquisition of communication competence skills may be an important component in interventions to eliminate Hispanic disparities in glucose control.
      (Published by Elsevier Ireland Ltd.)
    • Accession Number:
      0 (Blood Glucose)
      0 (Glycated Hemoglobin A)
    • Publication Date:
      Date Created: 20090411 Date Completed: 20100929 Latest Revision: 20221207
    • Publication Date:
      20240628
    • Accession Number:
      10.1016/j.pec.2009.03.006
    • Accession Number:
      19359125