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Observational Study
. 2016 Apr;21(4):468-82.
doi: 10.1177/1359105314529319. Epub 2014 Apr 16.

Elements of patient-health-care provider communication related to cardiovascular rehabilitation referral

Sanam Pourhabib  1 , Caroline Chessex  2 , Judy Murray  3 , Sherry L Grace  4
Affiliations
Observational Study

Elements of patient-health-care provider communication related to cardiovascular rehabilitation referral

Sanam Pourhabib et al. J Health Psychol. 2016 Apr.

Abstract

Cardiovascular rehabilitation has been designed to decrease the burden of cardiovascular disease. This study described (1) patient-health-care provider interactions regarding cardiovascular rehabilitation and (2) which discussion elements were related to patient referral. This was a prospective study of cardiovascular patients and their health-care providers. Discussion utterances were coded using the Roter Interaction Analysis System. Discussion between 26 health-care providers and 50 patients were recorded. Cardiovascular rehabilitation referral was related to greater health-care provider interactivity (odds ratio = 2.82, 95% confidence interval = 1.01-7.86) and less patient concern and worry (odds ratio = 0.64, 95% confidence interval = 0.45-0.89). Taking time for reciprocal discussion and allaying patient anxiety may promote greater referral.

Keywords: communication; community health promotion; coronary artery disease; exercise; health behavior; health care; health promotion; non-verbal communication; verbal communication.

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Conflict of interest statement

There are no conflicting interests.

Figures

Figure 1
Figure 1
Study Flow Diagram
See this image and copyright information in PMC

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