Predictors of perceived higher quality patient-provider communication in patients with rheumatoid arthritis
Article first published online: 10 FEB 2014
©2014 American Association of Nurse Practitioners
Journal of the American Association of Nurse Practitioners
Volume 26, Issue 12, pages 681–688, December 2014
How to Cite
Salt, E., Rayens, M. K. and Frazier, S. K. (2014), Predictors of perceived higher quality patient-provider communication in patients with rheumatoid arthritis. American Assoc Nurse Prac, 26: 681–688. doi: 10.1002/2327-6924.12109
Drs. Elizabeth Salt, Mary Kay Rayens, and Susan K. Frazier do not have any conflicts of interest to report related to the manuscript submitted.
- Issue published online: 12 DEC 2014
- Article first published online: 10 FEB 2014
- Manuscript Accepted: 28 OCT 2012
- Manuscript Received: 7 JUN 2012
- University of Kentucky's College of Nursing
- NIH, NINR. Grant Number: 1P20NR010679
- Autoimmune disorders;
- patient-provider communication;
- rheumatoid arthritis
A sample of 150 patients with rheumatoid arthritis (RA) participated in a predictive, descriptive, cross-sectional study which compared contextual factors of patients who perceived higher quality communication with those who perceived lower quality, and determined the predictive power of contextual factors for higher quality patient-provider communication.
A validated, self-report scale measured patient perception of quality of patient-provider communication. Data were analyzed using chi-square tests of association, two-sample t-tests, and multiple linear regression.
Conclusions/implications for practice
There were no differences in external environmental or internal personal factors between those who perceived higher and lower quality of communication. From the linear regression, patients with fewer years of education (p = .008), those taking a greater number of RA medications (p = .03), and those living in an urban area (p = .04) perceived the quality of communication more positively. The findings from this study suggest that contextual factors (years of education, residence, and the number of medications) may affect RA patient perception of the quality of patient-provider communication. This underscores the need for development of appropriate and effective interventions to improve communication and optimize RA patient outcomes.