Procedural Fairness in Physician-Patient Communication: A Predictor of Health Outcomes in a Cohort of Adults with Overweight or Obesity.
Procedural Fairness in Physician-Patient Communication: A Predictor of Health Outcomes in a Cohort of Adults with Overweight or Obesity.
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医患沟通中的程序公平性：超重或肥胖成年人群体健康结果的预测因素。
DOI：
10.1007/s12529-024-10282-6
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发表时间：
2024
影响因子：
2.7
通讯作者：
Jay,Melanie
中科院分区：
文献类型：
--
作者：
Wittleder,Sandra;Viglione,Clare;Reinelt,Tilman;Dixon,Alia;Jagmohan,Zufarna;Orstad,StephanieL;Beasley,JeannetteM;Wang,Binhuan;Wylie-Rosett,Judith;Jay,Melanie
研究背景本研究旨在探讨患者对医生沟通中程序公平性的感知是否与遵循医生建议的意愿、自我效能信念、饮食行为和身体质量指数相关。方法这是对489例BMI ≥ 25 kg/m2的初级保健患者基线数据的二次分析（43.6%黑人，40.7%西班牙裔/拉丁美洲人，55.8%女性，平均年龄= 50岁），他们参加了纽约市两家医疗机构的体重管理研究。我们进行了普通的最小二乘路径分析与自助探索程序公平性，愿意遵循的建议，自我效能，饮食行为和身体质量指数之间的直接和间接关联，同时控制年龄和gender.ResultsSerial，多个中介模型表明，更高的程序公平性与增加愿意遵循的建议，反过来，与更健康的饮食行为和更低的BMI相关（间接效应=-02，SE = 0.01; 95%CI [-0.04 to-0.01]）。此外，较高的程序公平性与较高的饮食自我效能有关，而饮食自我效能又与较健康的饮食行为和较低的BMI有关（间接效应= −.01，SE = .003; 95%CI [-0.02 to-0.002]）。结论这些发现强调了在医生的治疗中纳入程序公正的重要性。关于不同初级保健患者体重管理的患者沟通。
BackgroundThis study aimed to explore whether patients’ perception of procedural fairness in physicians’ communication was associated with willingness to follow doctor’s recommendations, self-efficacy beliefs, dietary behaviors, and body mass index.MethodsThis was a secondary analysis of baseline data from 489 primary care patients with a BMI ≥ 25 kg/m2(43.6% Black, 40.7% Hispanic/Latino, 55.8% female, mean age = 50 years), who enrolled in a weight management study in two New York City healthcare institutions. We conducted ordinary least squares path analyses with bootstrapping to explore direct and indirect associations among procedural fairness, willingness to follow recommendations, self-efficacy, dietary behaviors, and body mass index, while controlling for age and gender.ResultsSerial, multiple mediator models indicated that higher procedural fairness was associated with an increased willingness to follow recommendations which, in turn, was associated with healthier dietary behaviors and a lower BMI (indirect effect= − .02,SE= .01; 95% CI [− .04 to − .01]). Additionally, higher procedural fairness was associated with elevated dietary self-efficacy, which was, in turn, was associated with healthier dietary behaviors and lower BMI (indirect effect= − .01,SE= .003; 95% CI [− .02 to − .002]).ConclusionsThese findings highlight the importance of incorporating procedural fairness in physician–patient communication concerning weight management in diverse primary care patients.