Increasing adherence to diabetes self-management: An examination of the influence of patient-centered and compliance gaining communication on patient satisfaction, trust, and motivation
Abstract
The goal of this project was to investigate physician-patient communication in the context of diabetes management. Utilizing patient centered communication (PCC), compliance gaining, and politeness theory frameworks, this research examined the influence of physician communication on patient reports of satisfaction, trust and motivation to perform individualized diabetes care regimens. To answer the research questions posed in the project, thirty in-depth interviews were completed with diabetes patients of African American descent. Participants associated physician communication and behaviors consistent with PCC constructs and politeness theory ideas regarding acceptance and honesty in the physician-patient relationship with higher satisfaction and trust reports. Alternatively, communication and behavioral factors related to greater motivation to adhere to diabetes regimens were associated with physician usage of compliance gaining behavior, particularly communication that posed a threat to patient's autonomy. Results of this project supplement the current literature regarding PCC and its association with higher patient reported satisfaction and trust ratings. Research outcomes also provide evidence supporting the usage of communication highlighting the negative consequences of poor diabetes management to encourage patients to adhere to diabetes regimens. The results of this dissertation project have practical implications for medical professionals, patients, and support partners regarding communication that could facilitate effective diabetes management practices.
Degree
Ph.D.
Advisors
Cho, Purdue University.
Subject Area
Communication|Medicine
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