Effect of patient‐provider communication on patient risk awareness: The moderating role of trust based on scenario experiment

Hu, Huiling; Gong, Haiyan; Wu, Xuan-Na; Wu, Xue

doi:10.1002/pchj.530

Cited by 6 publications

(4 citation statements)

References 55 publications

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“…This hypothesis was supported by our semistructured interviews, in which patients with true and FP results both reported coping responses by engaging in other healthy behaviors or external support systems. Providers’ framing of test results, including any risk of FPs, as well as treatment options for those with newly diagnosed HCC may have also helped mitigate psychological distress, although we were unable to assess patient-provider communication as part of our study 38,39 . Notably, patients now often have immediate access to test results through electronic medical record patient portals prior to provider communication.…”

Section: Discussionmentioning

confidence: 99%

“…Providers' framing of test results, including any risk of FPs, as well as treatment options for those with newly diagnosed HCC may have also helped mitigate psychological distress, although we were unable to assess patient-provider communication as part of our study. [38,39] Notably, patients now often have immediate access to test results through electronic medical record patient portals prior to provider communication. Future studies are needed to evaluate how this change in communication will impact patient interpretation and psychological reactions to positive or indeterminate surveillance results.…”

Section: Discussionmentioning

confidence: 99%

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Hepatocellular carcinoma surveillance may be associated with potential psychological harms in patients with cirrhosis

Narasimman¹,

Hernáez

Cerda

et al. 2023

Hepatology

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Background and Aims: The value of HCC surveillance is determined by the balance between benefits and harms; however, no studies have enumerated psychological harms. Approach and Results: We fielded surveys measuring psychological harms to patients with cirrhosis in a multicenter randomized trial of HCC surveillance outreach. All patients with positive or indeterminate surveillance results and matched patients with negative results were invited to complete surveys measuring (1) depression through the Patient Health Questionnaire-ninth version, (2) anxiety through State-Trait Anxiety Inventory, (3) HCC-specific worry through Psychological Consequences Questionnaire, and (4) decisional regret. Patients were classified into 4 groups: true positive (TP), false positive (FP), indeterminate, and true negative (TN). Multivariable longitudinal regression analysis using the generalized estimating equation method was performed to compare the means of measures across groups. We conducted 89 semistructured interviews in a subset of patients stratified by health system and test results. Of 2872 patients in the trial, 311 completed 1+ follow-up survey (63 FP, 77 indeterminate, 38 TP, and 133 TN). Moderate depression decreased in TN patients, increased in TP, and had intermittent but mild increases in those with FP and indeterminate results. High anxiety temporarily increased in patients with TP results but resolved over time and was stable in those with FP and indeterminate results. Decisional regret was low and did not differ across groups. In semistructured interviews, patients reported apprehension, anxiety, emotional distress, and coping related to HCC surveillance. Conclusions: Psychological harms of HCC surveillance appear mild but differ by test result. Future research should determine the impact of psychological harms on the value of HCC surveillance programs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hepatocellular carcinoma surveillance may be associated with potential psychological harms in patients with cirrhosis

Narasimman¹,

Hernáez

Cerda

et al. 2023

Hepatology

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“…Regarding communication between the patient and healthcare professionals, Hu called for a strategy to improve patient-provider communication and trust to improve patient acceptability of uncertainty in clinical work. Therefore, many fields' experts should check the awareness level of a layperson on a topic before engaging in risk communication [19].…”

Section: Discussionmentioning

confidence: 99%

Risk communication regarding radiation exposure by experts using two concepts of regulatory science and ALARA

Yoshida

2023

J. Radiol. Prot.

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In the Tohoku region of Japan, risk communication programs on radiation exposure have great importance, especially with respect to reducing the stress and anxiety among those caused by radiation exposure. Although the concepts of ALARA (that is, abbreviation of as low as reasonably achievable), and RS (that is, abbreviation of Regulatory Sciences) were very important for the smooth operation of risk communication among a wide range of stakeholders, our previous research showed that only 23.5% and 16.5% medical doctors in Japan had accurate awareness of them, respectively. To enhance risk communication more effectively, this study examined the levels of awareness of concepts of ALARA and RS among academic experts in Japan and compared their level of awareness of technical terms regarding radiation to that of the expected level that a layperson might have. This study also showed that, even among faculty working at graduate schools in Japan, only 29.8% and 39.4% had accurate knowledge of ALARA and RS. To improve the knowledge of laypeople and experts on these concepts, they should be added to the primary education curriculum. This study demonstrated that among experts in many academic fields, a significant range of estimates existed of lay knowledge of technical terms regarding radiation. The highest scores were assigned by faculty in the field of humanities. Thus, before to conducting risk communications, experts from all fields should identify the expected level of awareness among laypeople on the topic. In addition, risk communications regarding radiation should be conducted by academic experts and healthcare professionals together with facilitators or lecturers.

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“…However, trust from diferent sources is crucial when patients are assessing the risks of treatment. Hu et al [45] used a scenario-based experiment to investigate the efect of trust on risk perception to 316 college students, fnding that only individuals with high afective trust had high receptivity to risk, while cognitive trust had no efect on risk perception. Indeed, interpersonal trust has both emotional and cognitive dimensions, while institution trust has only cognitive dimensions.…”

Section: Discussionmentioning

confidence: 99%

Association among Doctor-Patient Communication, Trust, and Patients’ Negative Stereotypes for Healthcare Professionals during COVID-19: A Cross-Sectional Study

Wang,

Bu,

Wang

et al. 2023

Journal of Nursing Management

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Aim. The purpose of this study was to examine the association among doctor-patient communication, trust, and patients’ negative stereotypes for healthcare professionals during COVID-19. Background. Patients’ negative stereotypes for healthcare professionals have been considered a major cause of violence against healthcare professionals. During COVID-19, since the fear for illness could exacerbate patients’ negative stereotypes for healthcare professionals, therefore, how to inhibit patients’ negative stereotypes for healthcare professionals has become a top priority. Methods. From January 2020 to April 2020, a cross-sectional survey study was performed in which a total of 2000 patients were convenience-sampled from different regions of China. The survey measured doctor-patient communication, institutional trust, interpersonal trust, and patients’ negative stereotypes for healthcare professionals, respectively. After standardizing the total data scores, the association between doctor-patient communication, trust and patients’ negative stereotypes for healthcare professionals using the bootstrap method was built. Results. There was a moderate to the high correlation between doctor-patient communication, patients’ negative stereotypes for healthcare professionals, interpersonal trust, and institution trust (r = 0.36–0.68, p < 0.01). Mediation analysis showed that patients’ interpersonal trust (β = −0.25, 95% CI: −0.312–−0.209) than patients’ institution trust (β = −0.02, 95% CI: −0.042–−0.007) played a greater role in suppressing negative stereotypes through doctor-patient communication. Conclusions. Through communication, healthcare professionals and patients increase their familiarity and identification, thereby reducing patients’ negative stereotypes. Moreover, because interpersonal trust connotes emotional and cognitive trust, it was more beneficial than institution trust in reducing negative stereotypes. Implications for Nursing Management. The results of this study can tell governments, healthcare organizations, communities, and healthcare professionals that reducing violent behaviors based on negative stereotypes requires attention to institutional trust building, interpersonal trust development, and communication improvement.

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Effect of patient‐provider communication on patient risk awareness: The moderating role of trust based on scenario experiment

Cited by 6 publications

References 55 publications

Hepatocellular carcinoma surveillance may be associated with potential psychological harms in patients with cirrhosis

Hepatocellular carcinoma surveillance may be associated with potential psychological harms in patients with cirrhosis

Risk communication regarding radiation exposure by experts using two concepts of regulatory science and ALARA

Association among Doctor-Patient Communication, Trust, and Patients’ Negative Stereotypes for Healthcare Professionals during COVID-19: A Cross-Sectional Study

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