TY - JOUR
T1 - Exploring patient-centeredness
T2 - The relationship between self-reported empathy and patient-centered communication in medical trainees
AU - LaNoue, Marianna D.
AU - Roter, Debra L.
N1 - Funding Information:
This work was supported by The Arnold P. Gold Foundation , Englewood Cliffs, NJ [grant number 04728 ].
Funding Information:
We gratefully acknowledge the Research Institute of the Gold Foundation for their support of this work. Additional acknowledgement to Mohammadreza Hojat, PhD in the Jefferson Center for Research in Medical Education for assistance in obtaining and merging data for this study, and to Thomas Nowlan for his assistance with data collection.
Publisher Copyright:
© 2018 Elsevier B.V.
PY - 2018/6
Y1 - 2018/6
N2 - Objective: To explore the relationships between self-reported Empathy and the patient-centered communication patterns of physician trainees. Methods: “Eighty-four 3rd year medical students completed the Jefferson Scale of Empathy (JSE – student version) and had recordings of a single OSCE analyzed using the Roter Interactional Analysis System (RIAS). Correlation and regression were employed to explore the relationships among JSE total score, 3 JSE subscales, 10 composite codes of provider communication, and a summary ‘patient centered communication’ ratio, reflecting the balance of psychosocial and emotional to biomedical communication of the simulated patient and student. Results: Results indicate that controlling for other elements of student communication, the RIAS composite of codes reflecting ‘emotional responsiveness’ (characterized by empathy statements, legitimization, showing concern, partnership statements and medically relevant provider self-disclosure) was positively related to the JSE Total Score while student ‘question asking’ and ‘biomedical counseling’ were negatively related to the JSE Score. RIAS-coded communication variables accounted for 32.4% of the JSE Total score. Conclusion: The relationship between student expressions of emotional responsiveness and predicted self-reported empathy provides concurrent validation evidence for the JSE. Practice implications: Further research is needed in order to elaborate and further explore a Patient-Centeredness latent variable.
AB - Objective: To explore the relationships between self-reported Empathy and the patient-centered communication patterns of physician trainees. Methods: “Eighty-four 3rd year medical students completed the Jefferson Scale of Empathy (JSE – student version) and had recordings of a single OSCE analyzed using the Roter Interactional Analysis System (RIAS). Correlation and regression were employed to explore the relationships among JSE total score, 3 JSE subscales, 10 composite codes of provider communication, and a summary ‘patient centered communication’ ratio, reflecting the balance of psychosocial and emotional to biomedical communication of the simulated patient and student. Results: Results indicate that controlling for other elements of student communication, the RIAS composite of codes reflecting ‘emotional responsiveness’ (characterized by empathy statements, legitimization, showing concern, partnership statements and medically relevant provider self-disclosure) was positively related to the JSE Total Score while student ‘question asking’ and ‘biomedical counseling’ were negatively related to the JSE Score. RIAS-coded communication variables accounted for 32.4% of the JSE Total score. Conclusion: The relationship between student expressions of emotional responsiveness and predicted self-reported empathy provides concurrent validation evidence for the JSE. Practice implications: Further research is needed in order to elaborate and further explore a Patient-Centeredness latent variable.
KW - Jefferson scale of empathy
KW - Medical provider self-reported empathy
KW - Patient-centered communication
KW - Patient-centeredness
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U2 - 10.1016/j.pec.2018.01.016
DO - 10.1016/j.pec.2018.01.016
M3 - Article
C2 - 29395476
AN - SCOPUS:85041193690
SN - 0738-3991
VL - 101
SP - 1143
EP - 1146
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 6
ER -