Perceived Helpfulness of Physicians’ Communication Behavior and Breast Cancer Patients’ Level of Trust Over Time
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We evaluated the association between physicians’ communication behavior and breast cancer patients’ trust in their physicians.
Longitudinal survey conducted at baseline, 2-month, and 5-month follow-up during first year of diagnosis.
Newly diagnosed breast cancer patients (N = 246).
We collected data on patient perceptions of the helpfulness of informational, emotional, and decision-making support provided by physicians and patients’ trust. Linear regression models evaluated the association of concurrent and prior levels of physician support with patients’ trust.
At baseline, patients who received helpful informational, emotional, and decision-making support from physicians reported greater trust (p < 0.05, p < 0.001, and p < 0.01, respectively). At the 2-month assessment, baseline informational support and informational and emotional support at 2-months were associated with greater trust (p < 0.05, p < 0.01, and p < 0.05, respectively). At the 5-month assessment, only helpful emotional support from physicians at 5 months was associated with greater trust (p < 0.01). Interestingly, while perceived helpfulness of all three types of physician support decreased significantly over time, patient trust remained high and unchanged.
Findings suggest that while informational and decision-making support may be more important to patient trust early in the course of treatment, emotional support from physicians may be important to maintain trust throughout the initial year of diagnosis.
- Mechanic D, Meyer S. Concepts of trust among patients with serious illness. Soc Sci Med. 2000;51:657–68. CrossRef
- Thom DH, Stanford Trust Study Physicians. Physician behaviors that predict patient trust. J Fam Pract. 2001;50:323–8.
- Gordon HS, Street RL Jr., Sharf BF, et al. Racial differences in trust and lung cancer patients’ perceptions of physician communication. J Clin Oncol. 2006;24:904–9. CrossRef
- Keating NL, Gandhi TK, Orav EJ, et al. Patient characteristics and experiences associated with trust in specialist physicians. Arch Intern Med. 2004;164:1015–20. CrossRef
- Keating NL, Green DC, Kao AC, et al. How are patients’ specific ambulatory care experiences related to trust, satisfaction, and considering changing physicians? J Gen Intern Med. 2002;17:29–39. CrossRef
- Fiscella K, Meldrum S, Franks P, et al. Patient trust: is it related to patient-centered behavior of primary care physicians? Med Care. 2004;42:1049–55. CrossRef
- Gustafson DH, Hawkins R, Pingree S, et al. Effect of computer support on younger women with breast cancer. J Gen Intern Med. 2001;16:435–45. CrossRef
- Brady MJ, Cella DF, Mo F, et al. Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. J Clin Oncol. 1997;15:974–86.
- Cella DF, Tulsky DS, Gray G, et al. The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol. 1993;11:570–9.
- Arora NK, Finney Rutten LJ, Gustafson DH, et al. Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly diagnosed with breast cancer. Psychooncology. 2007;16:474–86. CrossRef
- Cohen J. Statistical power analysis for the behavioral sciences, 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.; 1988.
- Finney Rutten LJ, Arora NK, Bakos AD, et al. Information needs and sources of information among cancer patients: a systematic review of research (1980–2003). Patient Educ Couns. 2005;57:250–61. CrossRef
- Pollak KI, Arnold RM, Jeffreys AS, et al. Oncologist communication about emotion during visits with patients with advanced cancer. J Clin Oncol. 2007;25:5748–52. CrossRef
- Ommen O, Janssen C, Neugebauer, et al. Trust, social support and patient type — associations between patients perceived trust, supportive communication and patients preferences in regard to paternalism, clarification and participation of severely injured patients. Patient Educ Couns. 2008. doi:10.1016/j.pec.2008.03.016.
- Thom DH, Hall MA, Pawlson LG. Measuring patients’ trust in physicians when assessing quality of care. Health Aff (Millwood). 2004;23:124–32. CrossRef
- Pearson SD, Raeke LH. Patients’ trust in physicians: many theories, few measures, and little data. J Gen Intern Med. 2000;15:509–13. CrossRef
- Burkitt Wright E, Holcombe C, Salmon P. Doctors’ communication of trust, care, and respect in breast cancer: qualitative study. BMJ. 2004. doi:10.1136/bmj.38046.771308.7C.
- Safran DG, Kosinski M, Tarlov AR, et al. The primary care assessment survey: tests of data quality and measurement performance. Med Care. 1998;36:728–39. CrossRef
- Thom DH, Ribisl KM, Stewart AL, et al. Further validation and reliability testing of the trust in physician scale. Med Care. 1999;37:510–7. CrossRef
- Perceived Helpfulness of Physicians’ Communication Behavior and Breast Cancer Patients’ Level of Trust Over Time
Journal of General Internal Medicine
Volume 24, Issue 2 , pp 252-255
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- breast cancer
- patient-physician communication
- longitudinal analysis
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