Clinician empathy is associated with differences in patient-clinician communication behaviors and higher medication self-efficacy in HIV care

Tabor E. Flickinger, Somnath (Som) Saha, Debra Roter, Philip (Todd) Korthuis, Victoria Sharp, Jonathan Cohn, Susan Eggly, Richard D. Moore, Mary Catherine Beach

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objective: We examined associations of clinicians' empathy with patient-clinician communication behaviors, patients' rating of care, and medication self-efficacy. Methods: We analyzed 435 adult patients and 45 clinicians at four outpatient HIV care sites in the United States. Negative binomial regressions investigated associations between clinician empathy and patient-clinician communication, assessed using the Roter Interaction Analysis System (RIAS). Logistic regressions investigated associations between clinician empathy and patient ratings of clinician communication, overall satisfaction, and medication self-efficacy. Results: Clinicians in the highest vs. lowest empathy tertile engaged in less explicitly emotional talk (IRR 0.79, p <0.05), while clinicians in the middle vs. lowest engaged in more positive talk (IRR 1.31, p <0.05), more questions (IRR 1.42, p <0.05), and more patient activating talk (IRR 1.43, p <0.05). Patients of higher empathy clinicians disclosed more psychosocial and biomedical information. Patients of clinicians in both the middle and highest (vs. lowest) empathy tertiles had greater odds of reporting highest medication self-efficacy (OR 1.80, 95% CI 1.16-2.80; OR 2.13, 95% CI 1.37-3.32). Conclusions: Clinician empathy may be expressed through addressing patient engagement in care, by fostering cognitive, rather than primarily emotional, processing. Practice implications: Clinicians should consider enhancing their own empathic capacity, which may encourage patients' self-efficacy in medication adherence.

Original languageEnglish (US)
Pages (from-to)220-226
Number of pages7
JournalPatient Education and Counseling
Volume99
Issue number2
DOIs
StatePublished - Feb 1 2016

Fingerprint

Self Efficacy
Communication
HIV
Patient Participation
Foster Home Care
Medication Adherence
Ambulatory Care
Patient Care
Logistic Models
insulin receptor-related receptor

Keywords

  • Empathy
  • HIV/AIDS
  • Medication adherence
  • Patient-clinician communication
  • Self-efficacy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Clinician empathy is associated with differences in patient-clinician communication behaviors and higher medication self-efficacy in HIV care. / Flickinger, Tabor E.; Saha, Somnath (Som); Roter, Debra; Korthuis, Philip (Todd); Sharp, Victoria; Cohn, Jonathan; Eggly, Susan; Moore, Richard D.; Beach, Mary Catherine.

In: Patient Education and Counseling, Vol. 99, No. 2, 01.02.2016, p. 220-226.

Research output: Contribution to journalArticle

Flickinger, Tabor E. ; Saha, Somnath (Som) ; Roter, Debra ; Korthuis, Philip (Todd) ; Sharp, Victoria ; Cohn, Jonathan ; Eggly, Susan ; Moore, Richard D. ; Beach, Mary Catherine. / Clinician empathy is associated with differences in patient-clinician communication behaviors and higher medication self-efficacy in HIV care. In: Patient Education and Counseling. 2016 ; Vol. 99, No. 2. pp. 220-226.
@article{48713a07590f47c38c5eeed7d1fcd1a6,
title = "Clinician empathy is associated with differences in patient-clinician communication behaviors and higher medication self-efficacy in HIV care",
abstract = "Objective: We examined associations of clinicians' empathy with patient-clinician communication behaviors, patients' rating of care, and medication self-efficacy. Methods: We analyzed 435 adult patients and 45 clinicians at four outpatient HIV care sites in the United States. Negative binomial regressions investigated associations between clinician empathy and patient-clinician communication, assessed using the Roter Interaction Analysis System (RIAS). Logistic regressions investigated associations between clinician empathy and patient ratings of clinician communication, overall satisfaction, and medication self-efficacy. Results: Clinicians in the highest vs. lowest empathy tertile engaged in less explicitly emotional talk (IRR 0.79, p <0.05), while clinicians in the middle vs. lowest engaged in more positive talk (IRR 1.31, p <0.05), more questions (IRR 1.42, p <0.05), and more patient activating talk (IRR 1.43, p <0.05). Patients of higher empathy clinicians disclosed more psychosocial and biomedical information. Patients of clinicians in both the middle and highest (vs. lowest) empathy tertiles had greater odds of reporting highest medication self-efficacy (OR 1.80, 95{\%} CI 1.16-2.80; OR 2.13, 95{\%} CI 1.37-3.32). Conclusions: Clinician empathy may be expressed through addressing patient engagement in care, by fostering cognitive, rather than primarily emotional, processing. Practice implications: Clinicians should consider enhancing their own empathic capacity, which may encourage patients' self-efficacy in medication adherence.",
keywords = "Empathy, HIV/AIDS, Medication adherence, Patient-clinician communication, Self-efficacy",
author = "Flickinger, {Tabor E.} and Saha, {Somnath (Som)} and Debra Roter and Korthuis, {Philip (Todd)} and Victoria Sharp and Jonathan Cohn and Susan Eggly and Moore, {Richard D.} and Beach, {Mary Catherine}",
year = "2016",
month = "2",
day = "1",
doi = "10.1016/j.pec.2015.09.001",
language = "English (US)",
volume = "99",
pages = "220--226",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "2",

}

TY - JOUR

T1 - Clinician empathy is associated with differences in patient-clinician communication behaviors and higher medication self-efficacy in HIV care

AU - Flickinger, Tabor E.

AU - Saha, Somnath (Som)

AU - Roter, Debra

AU - Korthuis, Philip (Todd)

AU - Sharp, Victoria

AU - Cohn, Jonathan

AU - Eggly, Susan

AU - Moore, Richard D.

AU - Beach, Mary Catherine

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Objective: We examined associations of clinicians' empathy with patient-clinician communication behaviors, patients' rating of care, and medication self-efficacy. Methods: We analyzed 435 adult patients and 45 clinicians at four outpatient HIV care sites in the United States. Negative binomial regressions investigated associations between clinician empathy and patient-clinician communication, assessed using the Roter Interaction Analysis System (RIAS). Logistic regressions investigated associations between clinician empathy and patient ratings of clinician communication, overall satisfaction, and medication self-efficacy. Results: Clinicians in the highest vs. lowest empathy tertile engaged in less explicitly emotional talk (IRR 0.79, p <0.05), while clinicians in the middle vs. lowest engaged in more positive talk (IRR 1.31, p <0.05), more questions (IRR 1.42, p <0.05), and more patient activating talk (IRR 1.43, p <0.05). Patients of higher empathy clinicians disclosed more psychosocial and biomedical information. Patients of clinicians in both the middle and highest (vs. lowest) empathy tertiles had greater odds of reporting highest medication self-efficacy (OR 1.80, 95% CI 1.16-2.80; OR 2.13, 95% CI 1.37-3.32). Conclusions: Clinician empathy may be expressed through addressing patient engagement in care, by fostering cognitive, rather than primarily emotional, processing. Practice implications: Clinicians should consider enhancing their own empathic capacity, which may encourage patients' self-efficacy in medication adherence.

AB - Objective: We examined associations of clinicians' empathy with patient-clinician communication behaviors, patients' rating of care, and medication self-efficacy. Methods: We analyzed 435 adult patients and 45 clinicians at four outpatient HIV care sites in the United States. Negative binomial regressions investigated associations between clinician empathy and patient-clinician communication, assessed using the Roter Interaction Analysis System (RIAS). Logistic regressions investigated associations between clinician empathy and patient ratings of clinician communication, overall satisfaction, and medication self-efficacy. Results: Clinicians in the highest vs. lowest empathy tertile engaged in less explicitly emotional talk (IRR 0.79, p <0.05), while clinicians in the middle vs. lowest engaged in more positive talk (IRR 1.31, p <0.05), more questions (IRR 1.42, p <0.05), and more patient activating talk (IRR 1.43, p <0.05). Patients of higher empathy clinicians disclosed more psychosocial and biomedical information. Patients of clinicians in both the middle and highest (vs. lowest) empathy tertiles had greater odds of reporting highest medication self-efficacy (OR 1.80, 95% CI 1.16-2.80; OR 2.13, 95% CI 1.37-3.32). Conclusions: Clinician empathy may be expressed through addressing patient engagement in care, by fostering cognitive, rather than primarily emotional, processing. Practice implications: Clinicians should consider enhancing their own empathic capacity, which may encourage patients' self-efficacy in medication adherence.

KW - Empathy

KW - HIV/AIDS

KW - Medication adherence

KW - Patient-clinician communication

KW - Self-efficacy

UR - http://www.scopus.com/inward/record.url?scp=84959453213&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959453213&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2015.09.001

DO - 10.1016/j.pec.2015.09.001

M3 - Article

VL - 99

SP - 220

EP - 226

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 2

ER -