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Linking patient-centered communication with cancer information avoidance: The mediating roles of patient trust and literacy

Title
Linking patient-centered communication with cancer information avoidance: The mediating roles of patient trust and literacy
Authors
Lu, QianfengLink, ElenaBaumann, EvaSchulz, Peter J.
Ewha Authors
Peter J. Schulz
SCOPUS Author ID
Peter J. Schulzscopus
Issue Date
2024
Journal Title
PATIENT EDUCATION AND COUNSELING
ISSN
0738-3991JCR Link

1873-5134JCR Link
Citation
PATIENT EDUCATION AND COUNSELING vol. 123
Keywords
Patient -provider communicationPatient -centered communicationHealth information behaviorInformation avoidanceCancerLiteracyTrust
Publisher
ELSEVIER IRELAND LTD
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Document Type
Article
Abstract
Objectives: This study, drawing on the pathway mediation model developed by Street and his colleagues (2009) that links communication to health outcomes, explores how patient -centered communication affects cancer information avoidance. Methods: Data was gathered through online access panel surveys, utilizing stratified sampling across Germany, Switzerland, the Netherlands, and Austria. The final sample included 4910 non -cancer and 414 cancer patients, all receiving healthcare from clinicians within the past year. Results: The results demonstrated that patient -centered communication is directly associated with reduced cancer information avoidance, especially among cancer patients. Additionally, this association is indirectly mediated through patient trust and healthcare literacy. Conclusion: The findings provide empirical evidence that reveals the underlying mechanism linking clinicianpatient communication to patient health information behavior. Practice implications: The potential of clinician -patient communication in addressing health information avoidance is highlighted by these findings. Future interventions in healthcare settings should consider adopting patient -centered communication strategies. Additionally, improving patient trust and literacy levels could be effective in reducing cancer information avoidance.
DOI
10.1016/j.pec.2024.108230
Appears in Collections:
사회과학대학 > 커뮤니케이션·미디어학전공 > Journal papers
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