“It Made Me Not Want to See him…”
The Role of Patient-Provider Communication in Influencing Rural-Dwelling Women Veterans’ Motivation to Seek Health Care for Managing Chronic Pain
Bibliographic Data
Despite being high health care utilizers, many women Veterans perceive their pain condition to be poorly understood by their providers, which can be a strong demotivator for seeking care. We set out to understand the priorities rural-dwelling women Veterans have for using health care for their chronic pain, and interviewed participants about their experiences with (and priorities for seeking) health care for their chronic pain. Self-Determination Theory identifies three sources of motivation (autonomy, competence, relatedness), all of which were represented through two themes that reflect rural women Veterans' rationale for decision-making to obtain health care for chronic pain: role of trust and competing priorities. Women described their priorities for chronic pain management in terms of their competing priorities for work, education, and supporting their family, but most expressed a desire to function in their daily life and relationships. Second, women discussed the role of trust in their provider as a source of motivation, and the role of patient-provider communication skills and gender played in establishing trust. Rural women Veterans often discussed core values that stemmed from facets of their identity (e.g. gender, military training, ethnicity) that also influenced their decision-making. Our findings provide insight for how providers may use Motivational Interviewing and discuss chronic pain treatment options so that rural-dwelling women Veterans feel autonomous, competent, and understood in their decision-making about their chronic pain. We also discuss importance of acknowledging the effects of disenfranchising talk and perpetuating gendered stereotypes related to chronic pain and theoretical implications of this work
Autonomy · Biopsychosocial model · Chronic pain · Ethnic group · Grounded theory · Health care · Motivational interviewing · Psychiatry · Psychological intervention · Qualitative research · Rural area · Sociology · Behavioral Health and Interventions · Medicine · Motivation and Self-Concept in Sports · Musculoskeletal pain and rehabilitation · Nursing · Psychology · Social Psychology
Chronic pain as a symptom or a disease
Toward a theory of motivational interviewing.
A meta-analysis of self-determination theory-informed intervention studies in the health domain
On psychological growth and vulnerability
A Meta-analysis of the Effectiveness of Intervention Programs Designed to Support Autonomy
Motivational Interviewing and Self–Determination Theory
A meta-analysis of techniques to promote motivation for health behaviour change from a self-determination theory perspective
Self-Determination Theory Applied to Health Contexts
A classification of motivation and behavior change techniques used in self-determination theory-based interventions in health contexts.
Intrinsic and extrinsic motivation from a self-determination theory perspective
“It’s All in Your Head”
Self-determination theory applied to physical education
Health and Health Care Access of Rural Women Veterans
Rurality impacts pain care for female veterans similarly to male veterans
Influences of perceived autonomy support on physical activity within the theory of planned behavior
Intrinsic and Extrinsic Motivations
Sample Size in Qualitative Interview Studies
| Unique citing works | 1 |
|---|---|
| Citations per year | 0.5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |