NLM Title Abbreviation
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.
adherence, patient satisfaction, patient-centered care, shared medical decisionmaking
Published Article/Book Citation
Forthcoming in Health Psychology. http://www.apa.org/journals/hea/
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.
The definitive version was published in Health Psychology, Vol 28(6), Nov 2009, 660-667. doi: 10.1037/a0016087