Aspects of Culturally Competent Care are Associated With Less Emotional Burden Among Patients With Diabetes

Bibliographic Data

ID9099669
AuthorsGeraldine R Slean (0000-0003-2859-5723, University of California, San Francisco, corresponding author), Elizabeth A Jacobs (0000-0002-5549-7718, University of Wisconsin–Madison), Maureen Lahiff (0000-0001-7522-4314, University of California, Berkeley), Lawrence Fisher (0000-0001-9481-9727), Alicia Fernandez (0000-0002-7975-6614, San Francisco General Hospital)
Year2012
Volume50
Issue9 Suppl 2
PagesS69-S73
Publication date2012-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e3182641127
PMID22895234
OpenAlexW2326862375
LanguageEN
Citations received4
References cited25

BACKGROUND: Diabetes distress is associated with poor diabetes self-management and worse clinical outcomes. Whether there is an association between patient experience of health care and degree of emotional burden (EB) of diabetes distress is not known. OBJECTIVE: To investigate whether aspects of culturally competent care are associated with the EB of diabetes distress. DESIGN: Cross-sectional survey consisting of face-to-face interviews. SUBJECTS: A total of 502 ethnically diverse patients with diabetes receiving care in safety-net clinics in 2 cities. MEASURES: The main outcome measure was high EB on the Diabetes Distress Scale (mean score ≥ 3). The predictors were 3 domains (Doctor Communication--Positive Behaviors, Trust, and Doctor Communication-Health Promotion) of the Consumer Assessment of Healthcare Providers and Systems--Cultural Competence (Consumer Assessments of Healthcare Providers and Systems' Cultural Competence Item Set) instrument. RESULTS: Of 502 patients, 263 (52%) reported high EB. In adjusted logistic regressions controlling for sociodemographic and clinical factors, patient report of optimal Doctor Communication-Positive Behaviors (adjusted odds ratio, 0.46; 95% confidence interval, 0.39-0.54), and optimal Trust (adjusted odds ratio, 0.65; 95% confidence interval, 0.54-0.78) were associated with lower EB. Doctor Communication-Health Promotion Communication was not associated with EB. DISCUSSION: Patient report of better doctor communication behavior and higher trust in physician are inversely associated with high EB among patients with diabetes. Further research should determine whether interventions improving patient physician communication and trust can lower the EB of diabetes

Competence (human resources) · Confidence interval · Diabetes mellitus · Distress · Family medicine · Health care · Odds ratio · Psychological intervention · Type 2 diabetes · Clinical Psychology · Cultural Competency in Health Care · Diabetes Management and Education · Internal Medicine · Medicine · Nursing · Patient-Provider Communication in Healthcare · Psychology · Social Psychology · Gerontology

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