Document Type

Article

Peer Reviewed

1

Publication Date

11-2009

Journal/Book/Conference Title

Health Psychology

Volume

28

NLM Title Abbreviation

Health Psychol

DOI

10.1037/a0016087

PubMed ID

19916633

Abstract

Objective: Research has suggested that congruence between patient characteristics and contextual characteristics is a more robust predictor of outcomes than either patient or context characteristics alone. The goal of the present study was to examine the degree of congruence between patient preferences for the clinical encounter and reports of analogous dimensions of provider behavior and the effects of this congruence on patient outcomes. Design: 218 patients with diabetes (predominately type 2) completed measures of preference for and ratings of perceived provider behavior in three domains (1) information sharing, (2) behavioral involvement, and (3) socioemotional support. Main Outcome Measures: Patient satisfaction, self-reported adherence, and a clinical marker of diabetic control (hemoglobin A1c) were the outcomes of interest. Results: Congruence in information sharing and congruence in behavioral involvement were predictive of glycemic control and self-reported adherence, respectively. Congruence in behavioral involvement and congruence in socioemotional support were predictive of greater patient satisfaction. Conclusion: These findings provide further support for the importance of congruence between patient characteristics and contextual characteristics in predicting patient outcomes.

Keywords

adherence, patient satisfaction, patient-centered care, shared medical decisionmaking

Comments

The research reported here was supported in part by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service grant #IIR04-201 awarded to Dr. Christensen. This project was also supported in part by an Agency for Health care Research and Quality (AHRQ) Centers for Education and Research on Therapeutics cooperative agreement #5 U18 HSO16094.

Published Article/Book Citation

Forthcoming in Health Psychology. http://www.apa.org/journals/hea/

Rights

Author Posting. Copyright © American Psychological Association, 2009. This article may not exactly replicate the final version published in the APA journal. It is not the copy of record. It is posted here by permission of the APA for personal use, not for redistribution.

Recommended Citation

The definitive version was published in Health Psychology, Vol 28(6), Nov 2009, 660-667. doi: 10.1037/a0016087

 

URL

http://ir.uiowa.edu/psychology_pubs/6