Patient-Physician Interpersonal Processes of Care at the Time of Diabetes Treatment Intensification and Their Links to Patient Outcomes

Patient-Physician Interpersonal Processes of Care at the Time of Diabetes Treatment Intensification and Their Links to Patient Outcomes Publisher Pubmed

Peimani M^{1, 2} ; Garmaroudi G¹ ; Stewart AL^{3, 4} ; Yekaninejad M⁵ ; Shakibazadeh E¹ ; Nasliesfahani E²

Show Affiliations

1. Department of Health Education & Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2. Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
3. Center for Aging in Diverse Communities, University of California San Francisco, San Francisco, CA, United States
4. Institute for Health & Aging, University of California San Francisco, San Francisco, CA, United States
5. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Patient Education and Counseling Published:2021

Abstract

Objective: To investigate how patient-physician interpersonal processes of care are related to levels of diabetes-related distress, diabetes medication-taking behavior, and HbA1c during conversations with patients about intensifying medication. Methods: We randomly recruited 1270 patients from diabetes specialty clinics in Tehran, Iran who were taking an additional oral diabetes medication or starting insulin during the prior 3 months. This interviewer-administered cross-sectional survey assessed multiple aspects of patient-physician interpersonal processes, diabetes-related distress, and diabetes medication-taking. Clinical history and HbA1c were collected from electronic medical records. Regression estimates and Structural Equation Modeling were used to test associations. Results: Some communication scales indicated a significant relationship with total diabetes distress (P < 0.001). Diabetes medication-taking was associated with less diabetes distress (adjusted odds ratio [aOR]=0.45, P < 0.001), lower Hurried Communication (aOR=0.72, P = 0.013), higher Elicited Concerns (aOR=1.30, P = 0.012), and higher Explained Results (aOR=1.41, P < 0.001) scores. SEM analyses showed medication-taking behavior was associated with a 0.68 decrease in HbA1c. Hurried Communication and diabetes distress were directly associated with HbA1c. Conclusion: Aspects of patient-physician interpersonal processes at the time of intensifying diabetes treatment may be related to experiencing less distress, effective medication-taking, and improved HbA1c. Practice implications: The results are intended to inform communication strategies that physicians might incorporate into practice. © 2021 Elsevier B.V.

2. Type 2 Diabetes Burden and Diabetes Distress: The Buffering Effect of Patient-Centred Communication, Canadian Journal of Diabetes (2022)

3. Patients’ Perceptions of Patient–Provider Communication and Diabetes Care: A Systematic Review of Quantitative and Qualitative Studies, Chronic Illness (2020)

4. Psychosocial Factors and Glycemic Control in Insulin-Naive and Insulin-Experienced People With Type 2 Diabetes: A Path Analysis Model, International Journal of Diabetes in Developing Countries (2018)

5. The Moderating Role of E-Health Literacy and Patient-Physician Communication in the Relationship Between Online Diabetes Information-Seeking Behavior and Self-Care Practices Among Individuals With Type 2 Diabetes, BMC Primary Care (2024)

6. The Impact of Gender Patient-Physician Concordance on Interpersonal Processes of Care and Patients’ Outcomes in the Diabetes Care Setting, Patient Education and Counseling (2023)

7. E-Learning Acceptance: The Mediating Role of Student Computer Competency in the Relationship Between the Instructor and the Educational Content, Teaching and Learning in Nursing (2024)

8. New Insights Into Predictors of Antihypertensive Adherence a Mixed Methods Study of Illness Perceptions and the Physician-Patient Relationship, European Journal of Health Psychology (2024)

Experts (# of related papers)

View all Related Experts

Ensieh Nasli Esfahani (4)

Elham Shakibazadeh (3)

Style	Citing Format
MLA	Peimani M, et al.. "Patient-Physician Interpersonal Processes of Care at the Time of Diabetes Treatment Intensification and Their Links to Patient Outcomes." Patient Education and Counseling, vol. 104, no. 7, 2021, pp. 1659-1667.
APA	Peimani M, Garmaroudi G, Stewart AL, Yekaninejad M, Shakibazadeh E, Nasliesfahani E (2021). Patient-Physician Interpersonal Processes of Care at the Time of Diabetes Treatment Intensification and Their Links to Patient Outcomes. Patient Education and Counseling, 104(7), 1659-1667.
Chicago	Peimani M, Garmaroudi G, Stewart AL, Yekaninejad M, Shakibazadeh E, Nasliesfahani E. "Patient-Physician Interpersonal Processes of Care at the Time of Diabetes Treatment Intensification and Their Links to Patient Outcomes." Patient Education and Counseling 104, no. 7 (2021): 1659-1667.
Harvard	Peimani M et al. (2021) 'Patient-Physician Interpersonal Processes of Care at the Time of Diabetes Treatment Intensification and Their Links to Patient Outcomes', Patient Education and Counseling, 104(7), pp. 1659-1667.
Vancouver	Peimani M, Garmaroudi G, Stewart AL, Yekaninejad M, Shakibazadeh E, Nasliesfahani E. Patient-Physician Interpersonal Processes of Care at the Time of Diabetes Treatment Intensification and Their Links to Patient Outcomes. Patient Education and Counseling. 2021;104(7):1659-1667.
BibTex	@article{ author = {Peimani M and Garmaroudi G and Stewart AL and Yekaninejad M and Shakibazadeh E and Nasliesfahani E}, title = {Patient-Physician Interpersonal Processes of Care at the Time of Diabetes Treatment Intensification and Their Links to Patient Outcomes}, journal = {Patient Education and Counseling}, volume = {104}, number = {7}, pages = {1659-1667}, year = {2021} }
RIS	TY - JOUR AU - Peimani M AU - Garmaroudi G AU - Stewart AL AU - Yekaninejad M AU - Shakibazadeh E AU - Nasliesfahani E TI - Patient-Physician Interpersonal Processes of Care at the Time of Diabetes Treatment Intensification and Their Links to Patient Outcomes JO - Patient Education and Counseling VL - 104 IS - 7 SP - 1659 EP - 1667 PY - 2021 ER -

Science Communicator Platform

Authors

Authors Affiliations

Abstract