Dc. Bultman et Bl. Svarstad, Effects of physician communication style on client medication beliefs and adherence with antidepressant treatment, PAT EDUC C, 40(2), 2000, pp. 173-185
Citations number
21
Categorie Soggetti
Public Health & Health Care Science","Envirnomentale Medicine & Public Health
The goals of this study were to examine how physician communication style i
mpacts client beliefs and medication taking behavior during treatment for d
epression. The study uses a communication framework and prospective design
to examine physician communication and client beliefs as treatment is initi
ated and again 2 months later. Two telephone interviews were conducted with
100 clients enrolled from 23 community pharmacies. Clients report that phy
sician communication styles vary. In follow-up, 25% of the clients were not
satisfied with their medication and 82% reported missing doses or stopping
treatment earlier than recommended. Path analysis showed that physician in
itial communication style positively influences client knowledge and initia
l beliefs about the medication. Clients with more positive beliefs about th
e treatment are more likely to see the physician in follow-up and are more
satisfied with treatment after attempting medication use. Physician follow-
up communication style and client satisfaction are both predictive of bette
r medication adherence. (C) 2000 Elsevier Science Ireland Ltd. All rights r
eserved.