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dc.contributor.authorNichols, Helen M.
dc.date.accessioned2018-06-07T18:44:42Z
dc.date.available2018-06-07T18:44:42Z
dc.date.issued2018
dc.identifier.urihttp://hdl.handle.net/10713/7946
dc.descriptionUniversity of Maryland, Baltimore. Social Work. Ph.D. 2018en_US
dc.description.abstractPatient-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.en_US
dc.language.isoen_USen_US
dc.subjectemotional well-beingen_US
dc.subjectpatient-centered communicationen_US
dc.subjectpatient-provider communicationen_US
dc.subject.meshHealth Communicationen_US
dc.subject.meshSelf Efficacyen_US
dc.subject.meshYoung Adulten_US
dc.titleHealthcare Provider Communication with Young Adults: Patient-Centered Communication, Patient Satisfaction, Patient Trust, Social Support, Self-Care Skills, and Emotional Well-Beingen_US
dc.typedissertationen_US
dc.contributor.advisorSacco, Paulen_US
dc.description.urinameFull Texten_US
dc.contributor.orcid0000-0002-6782-0869
refterms.dateFOA2019-02-19T18:01:04Z


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