The Effect of Patient-provider Communication on Medication Adherence in Hypertensive Black Patients: Does Race Concordance Matter?

Overview

Journal Ann Behav Med

Publisher Oxford University Press

Specialty Social Sciences

Date 2012 Jan 25

PMID 22270266

Citations 45

Authors

Antoinette Schoenthaler

John P Allegrante

William Chaplin

Gbenga Ogedegbe

Affiliations

Soon will be listed here.

Abstract

Background: Despite evidence of a positive effect of collaborative patient-provider communication on patient outcomes, our understanding of this relationship is unclear.

Purpose: The purpose of this paper is to determine whether racial composition of the relationship modified the association between ratings of provider communication and medication adherence.

Methods: Effect modification of the communication-adherence association, by racial composition of the relationship, was evaluated using general linear mixed models while adjusting for selected covariates.

Results: Three hundred ninety patients were in race-concordant (black patient, black provider) relationships, while 207 were in race-discordant (black patient, white provider) relationships. The communication-adherence association was significantly modified in race-discordant relationships (p = 0.04). Communication rated as more collaborative in race-discordant relationships was associated with better adherence, while communication rated as less collaborative was associated with poor adherence. There was no significant association between adherence and communication in race-concordant relationships (p = 0.24).

Conclusions: Collaborative patient-provider communication may play an influential role in black patients' adherence behaviors when receiving care from white providers.

Citing Articles

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