Mary Catherine Beach
Biographic Data
| ID | 217364 |
|---|---|
| NAME | Mary Catherine Beach |
| GIVEN NAMES | Mary Catherine |
| FAMILY NAME | Beach |
| SIGNATURE | BEACH M C |
| AFFILIATIONS | Johns Hopkins University |
| ORCID | 0000-0002-1112-6309 |
| VERIFIED | Yes |
| TOTAL WORKS | 33 |
| TOTAL CITATIONS | 66 |
| AUTHOR COUNT | 33 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
Effects of Implicit Racial Bias and Standardized Patient Race on Genetic Counseling Students’ Patient-Centered Communication
Clinician racial bias has been associated with less patient-centered communication, but little is known about how it affects trainees’ communication. We investigated genetic counseling students’ communication during sessions with Black or White standardized patients (SPs) and the extent to which communication was associated with SP race or student scores on the Race Implicit Association Test (IAT). Sixty students conducted a baseline SP session a…
Race- and ethnicity-specific patient-provider relationship characteristics associated with antiretroviral therapy adherence and viral suppression among minority women with HIV, Miami-Dade County, Flor…
We conducted a cross-sectional study to examine the associations between items of the patient-provider relationship measures and antiretroviral therapy (ART) adherence and viral suppression within each of three ethnic groups of women with HIV (WHIV) - Hispanic, Haitian, and African American - using data from 542 WHIV enrolled in the Miami-Dade County Ryan White Program. Univariate and multivariable logistic regression models were applied for each…
Impact of disease- and race-based discrimination in health care on pain outcomes among adults living with sickle cell disease in the United States
Studies have shown that disease- and race-based discrimination in healthcare exacerbate pain, yet little is known about the role of psychological processes and symptoms, such as internalized stigma and depressive symptoms, in the relationship between discrimination (i.e., enacted stigma) and pain. In a sample of 284 Black adults living with sickle cell disease (SCD) (54% women, M age = 35.37), we examined internalized stigma and depressive sympto…
Using Causal Bayesian Networks to Assess the Role of Patient-Centered Care and Psychosocial Factors on Durable HIV Viral Suppression
The last word
Sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression in the Miami-Dade County Ryan White Program, 2017
This exploratory study examined sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression (SVS). The study population included 6,489 Miami-Dade Ryan White Program (RWP) clients receiving services during 2017; administrative data was analyzed. SVS was defined as having all viral load tests during 2017 below 200 copies/ml. Multilevel logistic regression models accounted for clustering by medical case ma…
Does the Quality of Behavior Change Counseling in Routine HIV Care Vary According to Topic and Demand
The association of a scholarly concentrations program with medical students’ matched residencies
Baseline certainty of specialty interest and research productivity were associated with specialty congruence. However, as completing an SC project in a given specialty was not associated with increased odds of matching into that specialty nor into a higher Doximity-ranked program, SC program directors should advise students to pursue SC projects in any topic of personal interest
Clients’ Perspectives on Patient-Centeredness
The Patient Reported Outcomes as a Clinical Tool (PROACT) Pilot Study
Psychosocial and Clinical Risk Factors Associated with Substance Use in Observational Cohort of Patients with Sickle Cell Disease
Background Patients with sickle cell disease (SCD) experience high rates of chronic pain, and have a high burden of mental health comorbidities shown to negatively influence health. There is limited research on substance use among individuals with SCD. Objective: The aim of this study is to measure the prevalence of substance use in patients with SCD and determine whether psychosocial or clinical risk factors are associated with substance use. Me…
Pain in low-income older women with disabilities
The purpose of this qualitative study was to identify how low-income older women with disabilities perceive pain, pain management, and communication with healthcare providers. We interviewed 26 low-income women (average age 75 years; SD 7.0), eliciting the following overarching themes: "Invisibility of Pain: Unnoticed or Undetected," "Escalating Pain Leads to Help Seeking," "Communication with Healthcare Providers and Outcomes," "Pain Management …
A medical student scholarly concentrations program
Our findings suggest that a Scholarly Concentrations program is associated with an increased self-efficacy for research, and these changes in self-efficacy are associated with higher satisfaction in the scholarly experience and increased likelihood of pursuing scholarly work. Other medical schools could use such a tool of self-efficacy to both investigate the overall Scholarly Concentrations experience and understand factors that may increase int…
Emotional Communication in HIV Care
Effects of Minimal Versus Intensive Intervention to Enhance Motivational Interviewing in HIV Care
Social Support in a Virtual Community
Patient-Provider Engagement and Chronic Pain in Drug-Using, Primarily African American Persons Living with HIV/Aids
The Measure of Sickle Cell Stigma
Research about the influence of stigma on health outcomes in sickle cell disease is limited. We administered the recently developed Measure of Sickle Cell Stigma to 262 patients in the United States. The Measure of Sickle Cell Stigma yielded very good internal consistency and four interpretable factors. Significant associations among stigma, pain-related healthcare utilization, and perceived disease severity were observed for three of the four st…
Which Clinician Questions Elicit Accurate Disclosure of Antiretroviral Non-adherence When Talking to Patients
Provider–Patient Communication About Adherence to Anti-retroviral Regimens Differs by Patient Race and Ethnicity
The impact of depressive symptoms on patient–provider communication in HIV care
Persons with HIV who develop depression have worse medical adherence and outcomes. Poor patient-provider communication may play a role in these outcomes. This cross-sectional study evaluated the influence of patient depression on the quality of patient-provider communication. Patient-provider visits (n=406) at four HIV care sites were audio-recorded and coded with the Roter Interaction Analysis System (RIAS). Negative binomial and linear regressi…
Race, Relationships, and Trust in Providers among Black Patients with HIV/Aids
A trustful patient-provider relationship is a strong predictor of positive outcomes, including treatment adherence and viral suppression, among patients with HIV/AIDS. Understanding factors that inform this relationship is especially relevant for Black patients, who bear a disproportionate burden of HIV morbidity and mortality, and may face challenges associated with seeing providers of a racial/ethnic background that is different from their own.…
Physician Communication Behaviors and Trust Among Black and White Patients With Hypertension
BACKGROUND: Racial differences in patient trust have been observed, but it is unclear which physician communication behaviors are related to trust, and whether the relationship of communication and trust differs among black and white patients. OBJECTIVE: We sought to determine whether there were associations between physician communication behaviors, visit process measures, and patient trust, particularly within racial groups. METHODS: Study part…
Provider-patient Adherence Dialogue in HIV Care
The Associations of Clinicians’ Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care
Objectives. We examined the associations of clinicians’ implicit attitudes about race with visit communication and patient ratings of care. Methods. In a cross-sectional study of 40 primary care clinicians and 269 patients in urban community-based practices, we measured clinicians’ implicit general race bias and race and compliance stereotyping with 2 implicit association tests and related them to audiotape measures of visit communication and pat…
The Associations of Clinicians’ Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care
Objectives. We examined the associations of clinicians’ implicit attitudes about race with visit communication and patient ratings of care. Methods. In a cross-sectional study of 40 primary care clinicians and 269 patients in urban community-based practices, we measured clinicians’ implicit general race bias and race and compliance stereotyping with 2 implicit association tests and related them to audiotape measures of visit communication and pat…
Respect, trust, and the management of sickle cell disease pain in hospital
An agenda for international, interdisciplinary research to improve the treatment of SCD pain in hospital should include: comparative analyses between countries and treatment settings of factors that could influence respect and trust; research to test hypotheses derived from models about the roles of respect and trust in the treatment of pain; studies of the impact of healthcare structures and policy on patients' experiences of care; research focu…
Race, Relationships, and Trust in Providers among Black Patients with HIV/Aids
A trustful patient-provider relationship is a strong predictor of positive outcomes, including treatment adherence and viral suppression, among patients with HIV/AIDS. Understanding factors that inform this relationship is especially relevant for Black patients, who bear a disproportionate burden of HIV morbidity and mortality, and may face challenges associated with seeing providers of a racial/ethnic background that is different from their own.…
The Measure of Sickle Cell Stigma
Research about the influence of stigma on health outcomes in sickle cell disease is limited. We administered the recently developed Measure of Sickle Cell Stigma to 262 patients in the United States. The Measure of Sickle Cell Stigma yielded very good internal consistency and four interpretable factors. Significant associations among stigma, pain-related healthcare utilization, and perceived disease severity were observed for three of the four st…
The last word
Cultural Competence
OBJECTIVE: We sought to synthesize the findings of studies evaluating interventions to improve the cultural competence of health professionals. DESIGN: This was a systematic literature review and analysis. METHODS: We performed electronic and hand searches from 1980 through June 2003 to identify studies that evaluated interventions designed to improve the cultural competence of health professionals. We abstracted and synthesized data from studies…
Is the quality of the patient-provider relationship associated with better adherence and health outcomes for patients with HIV?
Relationship-centered Care. A Constructive Reframing
Racial and Ethnic Differences in Receipt and Use of Health Information in Encounters Between Patients and Physicians
Beach, Mary Catherine MD, MPH; Hill-Briggs, Felicia PhD; Cooper, Lisa A. MD, MPH Author Information
Patient–Provider Communication Differs for Black Compared to White HIV-Infected Patients
Substance Use and the Quality of Patient-Provider Communication in HIV Clinics
Discussion of Sexual Risk Behavior in HIV Care is Infrequent and Appears Ineffectual
Respect, trust, and the management of sickle cell disease pain in hospital
An agenda for international, interdisciplinary research to improve the treatment of SCD pain in hospital should include: comparative analyses between countries and treatment settings of factors that could influence respect and trust; research to test hypotheses derived from models about the roles of respect and trust in the treatment of pain; studies of the impact of healthcare structures and policy on patients' experiences of care; research focu…
Provider-patient Adherence Dialogue in HIV Care
The Associations of Clinicians’ Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care
Objectives. We examined the associations of clinicians’ implicit attitudes about race with visit communication and patient ratings of care. Methods. In a cross-sectional study of 40 primary care clinicians and 269 patients in urban community-based practices, we measured clinicians’ implicit general race bias and race and compliance stereotyping with 2 implicit association tests and related them to audiotape measures of visit communication and pat…
The impact of depressive symptoms on patient–provider communication in HIV care
Persons with HIV who develop depression have worse medical adherence and outcomes. Poor patient-provider communication may play a role in these outcomes. This cross-sectional study evaluated the influence of patient depression on the quality of patient-provider communication. Patient-provider visits (n=406) at four HIV care sites were audio-recorded and coded with the Roter Interaction Analysis System (RIAS). Negative binomial and linear regressi…
Race, Relationships, and Trust in Providers among Black Patients with HIV/Aids
A trustful patient-provider relationship is a strong predictor of positive outcomes, including treatment adherence and viral suppression, among patients with HIV/AIDS. Understanding factors that inform this relationship is especially relevant for Black patients, who bear a disproportionate burden of HIV morbidity and mortality, and may face challenges associated with seeing providers of a racial/ethnic background that is different from their own.…
Physician Communication Behaviors and Trust Among Black and White Patients With Hypertension
BACKGROUND: Racial differences in patient trust have been observed, but it is unclear which physician communication behaviors are related to trust, and whether the relationship of communication and trust differs among black and white patients. OBJECTIVE: We sought to determine whether there were associations between physician communication behaviors, visit process measures, and patient trust, particularly within racial groups. METHODS: Study part…
Provider–Patient Communication About Adherence to Anti-retroviral Regimens Differs by Patient Race and Ethnicity
Which Clinician Questions Elicit Accurate Disclosure of Antiretroviral Non-adherence When Talking to Patients
Social Support in a Virtual Community
Patient-Provider Engagement and Chronic Pain in Drug-Using, Primarily African American Persons Living with HIV/Aids
The Measure of Sickle Cell Stigma
Research about the influence of stigma on health outcomes in sickle cell disease is limited. We administered the recently developed Measure of Sickle Cell Stigma to 262 patients in the United States. The Measure of Sickle Cell Stigma yielded very good internal consistency and four interpretable factors. Significant associations among stigma, pain-related healthcare utilization, and perceived disease severity were observed for three of the four st…
Effects of Minimal Versus Intensive Intervention to Enhance Motivational Interviewing in HIV Care
Emotional Communication in HIV Care
Psychosocial and Clinical Risk Factors Associated with Substance Use in Observational Cohort of Patients with Sickle Cell Disease
Background Patients with sickle cell disease (SCD) experience high rates of chronic pain, and have a high burden of mental health comorbidities shown to negatively influence health. There is limited research on substance use among individuals with SCD. Objective: The aim of this study is to measure the prevalence of substance use in patients with SCD and determine whether psychosocial or clinical risk factors are associated with substance use. Me…
Pain in low-income older women with disabilities
The purpose of this qualitative study was to identify how low-income older women with disabilities perceive pain, pain management, and communication with healthcare providers. We interviewed 26 low-income women (average age 75 years; SD 7.0), eliciting the following overarching themes: "Invisibility of Pain: Unnoticed or Undetected," "Escalating Pain Leads to Help Seeking," "Communication with Healthcare Providers and Outcomes," "Pain Management …
A medical student scholarly concentrations program
Our findings suggest that a Scholarly Concentrations program is associated with an increased self-efficacy for research, and these changes in self-efficacy are associated with higher satisfaction in the scholarly experience and increased likelihood of pursuing scholarly work. Other medical schools could use such a tool of self-efficacy to both investigate the overall Scholarly Concentrations experience and understand factors that may increase int…
The Patient Reported Outcomes as a Clinical Tool (PROACT) Pilot Study
Clients’ Perspectives on Patient-Centeredness
Medicine (33 works) · Psychology (26 works) · Family medicine (20 works) · Nursing (19 works) · HIV/AIDS Research and Interventions (18 works) · Clinical Psychology (15 works) · Internal Medicine (14 works) · Psychiatry (14 works) · Health care (13 works) · Health psychology (13 works)