Communication competence, self-care behaviors and glucose control in patients with type 2 diabetes

Michael L. Parchman, Dorothy Flannagan, Robert L Ferrer, Mike Matamoras

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Objective: To examine the relationship between physician communication competence and A1c control among Hispanics and non-Hispanics seen in primary care practices. Study design: Observational. Methods: Direct observation and audio-recording of patient-physician encounters by 155 Hispanic and non-Hispanic white patients seen by 40 physicians in 20 different primary care clinics. Audio-recordings were transcribed and coded to derive an overall communication competence score for the physician. An exit survey was administered to each patient to assess self-care activities and their medical record was abstracted for the most recent glycosylated hemoglobin (A1c) level. Results: Higher levels of communication competence were associated with lower levels of A1c for Hispanics, but not non-Hispanic white patients. Although communication competence was associated with better self-reported diet behaviors, diet was not associated with A1c control. Across all patients, higher levels of communication competence were associated with improved A1c control after controlling for age, ethnicity and diet adherence. Conclusions: Physician's communication competence may be more important for promoting clinical success in disadvantaged patients. Practice implications: Acquisition of communication competence skills may be an important component in interventions to eliminate Hispanic disparities in glucose control.

Original languageEnglish (US)
Pages (from-to)55-59
Number of pages5
JournalPatient Education and Counseling
Volume77
Issue number1
DOIs
StatePublished - Oct 2009

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Behavior Control
Self Care
Mental Competency
Type 2 Diabetes Mellitus
Communication
Glucose
Hispanic Americans
Physicians
Diet
Primary Health Care
Glycosylated Hemoglobin A
Vulnerable Populations
Medical Records
Observational Studies
Observation

Keywords

  • Blood glucose
  • Communication
  • Diabetes mellitus, Type 2
  • Physician-patient relations

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Communication competence, self-care behaviors and glucose control in patients with type 2 diabetes. / Parchman, Michael L.; Flannagan, Dorothy; Ferrer, Robert L; Matamoras, Mike.

In: Patient Education and Counseling, Vol. 77, No. 1, 10.2009, p. 55-59.

Research output: Contribution to journalArticle

Parchman, Michael L. ; Flannagan, Dorothy ; Ferrer, Robert L ; Matamoras, Mike. / Communication competence, self-care behaviors and glucose control in patients with type 2 diabetes. In: Patient Education and Counseling. 2009 ; Vol. 77, No. 1. pp. 55-59.
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