Showing items related by title, author, creator and subject.

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  PATIENTS Day 2019: Training for Cardiologists and their Patients about Patient-Centered Outcomes Research (PCOR)

  Cooke, Catherine E.; Burroughs, Angela; Mullins, C. Daniel; Perfetto, Eleanor M. (2019-05-31)
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  Healthcare Provider Communication with Young Adults: Patient-Centered Communication, Patient Satisfaction, Patient Trust, Social Support, Self-Care Skills, and Emotional Well-Being

  Nichols, Helen M.; Sacco, Paul; 0000-0002-6782-0869 (2018)

  Patient-centered communication is critical to the delivery of quality healthcare services. Although numerous health outcomes have been connected to patient-provider communication, there is limited research that has explored the processes and pathways between communication and health. Research among young adults (ages 26-39 years) is even more scarce, despite findings that health communication does vary with age. This study used data from the 2014 Health Interview National Trends Survey to (1) test a scale of seven items measuring patient-centered communication among young adults age 26 to 39 and (2) explore the relationship between patient-centered communication, patient trust, patient satisfaction, social support, self-care skills, and emotional well-being among young adults age 26 to 39. Exploratory and confirmatory factor analyses were conducted and results showed that a one-factor model of patient-centered communication among young adults fit the data well. In the final regression model, income, history of depression diagnosis, patient-centered communication, patient trust, social support, and patient self-efficacy (self-care skills) were all significantly related to emotional well-being. Post-hoc analyses showed that self-efficacy and patient trust modify the association between general health and emotional well-being. Among respondents who reported poor overall health, increases in self-efficacy and trust in their provider are associated with corresponding improvement in their predicted emotional well-being. This is in contrast to respondents who reported excellent overall health, for whom an improvements in self-efficacy and trust did not have the same effect on predicted emotional well-being. There was a significant interaction between depression and self-efficacy, as respondents who reported being diagnosed with depression showed a stronger relationship between self-efficacy and greater predicted well-being. Post-hoc analyses also showed significant interactions between patient-centered communication, satisfaction, and social support. Respondents who reported lower levels of PCC, showed decreased predicted emotional well-being as their satisfaction and perceived social support increased. These findings suggest the need to explore the means through which communication can impact emotional well-being, specifically among young adults who are in poor health or have a history of depression. Future research should also include longitudinal studies, in order to determine causality and directionality among constructs.
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  Patient Engaged Human Factors and Ergonomics: Performance Barriers to the Work of Medication Management in Older Heart Failure Patients

  Mickelson, Robin; Holden, Richard, Ph.D.; Schubert, Christine (2014)

  Background: Human factors and ergonomic (HFE) theories and methods have successfully been applied to the work of health care professionals to improve safety, effectiveness, and efficiency of healthcare delivery. HFE approaches have rarely been utilized to explore the performance of patients as active agents engaged in healthcare work. Purpose: The purpose of this study was to describe the nature and prevalence of barriers to medication management performance of older adult heart failure (HF) patients using a patient engaged HFE work system model...