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Randomized Controlled Trial
. 2018;23(8):807-814.
doi: 10.1080/10810730.2018.1528319.

Communication Predictors of Patient and Companion Satisfaction with Alzheimer's Genetic Risk Disclosure

Yue Guan  1 , Debra L Roter  2 , Lori H Erby  3 , Jennifer L Wolff  4 , Laura N Gitlin  5 , J Scott Roberts  6 , Robert C Green  7   8   9   10 , Kurt D Christensen  7   8
Affiliations
Randomized Controlled Trial

Communication Predictors of Patient and Companion Satisfaction with Alzheimer's Genetic Risk Disclosure

Yue Guan et al. J Health Commun. 2018.

Abstract

The objective of this study was to identify how features of Alzheimer's disease (AD) genetic risk disclosure communication relate to patient and visit companion satisfaction. We conducted secondary analyses of 79 session recordings from the fourth REVEAL Study, a randomized-controlled trial of AD genetic risk disclosure among patients with mild cognitive impairment. Patient and companion satisfaction were ascertained from postdisclosure surveys. The Roter Interaction Analysis System (RIAS) was used to code triadic communication between the counselor, patient, and companion. High satisfaction was evident for 24% of patients (N = 19) and 48% of companions (N = 38). Multivariate logistic regressions showed that high patient satisfaction was associated with patients' expression of emotions (OR = 1.1, 95% CI: 1.0-1.1) and companions' questions about psychosocial and lifestyle topics (OR = 1.8, 95% CI: 1.1-2.8). High companion satisfaction was positively related to the RIAS overall patient-centeredness score for the session (OR = 4.0, 95% CI: 1.0-15.6) (all p-values <0.05). Communication predictors of patient and companion satisfaction reflect specific or summary indicators of patient-centeredness. Findings also suggest that visit companions positively influence patient satisfaction. The study results support the growing literature and policy attention directed toward delivering family-centered care.

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Conflict of interest statement

Conflict of Interest

Debra Roter is the author of the Roter Interaction Analysis System (RIAS) and holds the copyright for the system. Johns Hopkins University also has rights to some enhancements of the system. Neither Debra Roter nor Johns Hopkins collects royalties for use of the system in research as is the case for the current study. Debra Roter is an owner of RIASWorks LLC, a company that provides RIAS coding services for nonuniversity projects and it is possible that RIASWorks would benefit indirectly from dissemination of the current research. Robert Green reports personal fees from Illumina, Helix, GenePeeks, Veritas, and Ohana and is a cofounder with equity in Genome Medical. There are no other conflicts of interest.

References

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