Control perceptions in patients with rheumatoid arthritis: the impact of the medical consultation
Abstract
OBJECTIVE: To identify factors that patients perceive as influencing control in living with the symptoms of rheumatoid arthritis (RA). METHOD: A sample of 40 patients with RA were recruited randomly from an out-patient population. The participants of the sample were interviewed in depth by one researcher to identify perceptions of control. They also completed two self-administered questionnaires, the Health Assessment Questionnaire and the Rheumatology Attitude Index. RESULTS: Four major categories were identified that positively influenced perceptions of control in patients living with the consequences of RA. These included: (i) the reduction of physical symptoms; (ii) social support matching perceived need; (iii) the provision of information; and (iv) the medical consultation. Components of the consultation included patient involvement, provision of information, feedback and reassurance, empathy and access to an expert. CONCLUSION: The categories identified can be influenced by health-care professionals in the management of the patient, and if the medical consultation is utilized to its full potential it can play a major role in enabling patients with RA to manage the daily symptoms of their condition.
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Many studies have documented the positive effect of provider empathy on patients, which include increased patient satisfaction, adherence, self-efficacy, perceptions of control, less emotional distress, and better outcomes.
“Many studies have documented the positive effect of provider empathy on patients, which include increased patient satisfaction, adherence, self-efficacy, perceptions of control, less emotional distress, and better outcomes.87–90”
From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [88]
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Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology
Burgess, D., van Ryn, M., Dovidio, J., & Saha, S. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0160-1 · Cited by 495 · see citing works
- Authors
- Ryan, S.
- Corresponding author
- Ryan, S.
- ORCID
- Ryan, S.
- Venue
- Rheumatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-01-01
- Volume
- 42
- Issue
- 1
- Pages
- 135-140
- ISSN
- 0263-7103 (ISSN-L)
- 1460-2172
- OpenAlex
- W2123571146
- Cited by
- 44
- References
- 26
- Citations by year
- 2021: 1 · 2020: 1 · 2019: 1 · 2016: 1 · 2013: 5 · 2012: 2
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British journal of rheumatology (publishedVersion)
- PubMed (publishedVersion)
- University of Hertfordshire Research Archive (University of Hertfordshire) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- rheumatoid arthritis, perceived control, medical consultation, patient involvement, social support, patient information, empathy, reassurance, symptom management, patient perspectives
- MeSH terms
- Adult, Aged, Arthritis, Rheumatoid, Female, Humans, Interviews as Topic, Male, Middle Aged, Patient Education as Topic, Physician-Patient Relations, Quality of Life, Rheumatology, Social Support, Patient Satisfaction
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