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How doctors’ communication style and race concordance influence African–Caribbean patients when disclosing depression
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Adams, Ann, Realpe, Alba, Vail, Laura, Buckingham, Christopher D., Erby, Lori H. and Roter, Debra (2015) How doctors’ communication style and race concordance influence African–Caribbean patients when disclosing depression. Patient Education and Counseling, 98 (10). pp. 1266-1273. doi:10.1016/j.pec.2015.08.019 ISSN 0738-3991.
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Official URL: http://dx.doi.org/10.1016/j.pec.2015.08.019
Abstract
Objective:
To determine the impact of doctors’ communication style and doctor–patient race concordance on UK African–Caribbeans’ comfort in disclosing depression.
Methods:
160 African–Caribbean and 160 white British subjects, stratified by gender and history of depression, participated in simulated depression consultations with video-recorded doctors. Doctors were stratified by black or white race, gender and a high (HPC) or low patient-centred (LPC) communication style, giving a full 2 × 2 × 2 factorial design. Afterwards, participants rated aspects of doctors’ communication style, their comfort in disclosing depression and treatment preferences
Results:
Race concordance had no impact on African–Caribbeans’ comfort in disclosing depression. However a HPC versus LPC communication style made them significantly more positive about their interactions with doctors (p = 0.000), their overall comfort (p = 0.003), their comfort in disclosing their emotional state (p = 0.001), and about considering talking therapy (p = 0.01); but less positive about considering antidepressant medication (p = 0.01).
Conclusion:
Doctors’ communication style was shown to be more important than patient race or race concordance in influencing African Caribbeans’ depression consultation experiences. Changing doctors’ communication style may help reduce disparities in depression care.
Practice Implications:
Practitioners should cultivate a HPC style to make African–Caribbeans more comfortable when disclosing depression, so that it is less likely to be missed.
| Item Type: | Journal Article | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Physician and patient, Depressed persons -- Care | ||||||||||
| Journal or Publication Title: | Patient Education and Counseling | ||||||||||
| Publisher: | Elsevier Ireland Ltd. | ||||||||||
| ISSN: | 0738-3991 | ||||||||||
| Official Date: | October 2015 | ||||||||||
| Dates: |
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| Volume: | 98 | ||||||||||
| Number: | 10 | ||||||||||
| Number of Pages: | 8 | ||||||||||
| Page Range: | pp. 1266-1273 | ||||||||||
| DOI: | 10.1016/j.pec.2015.08.019 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||||
| Date of first compliant deposit: | 31 December 2015 | ||||||||||
| Date of first compliant Open Access: | 31 December 2015 | ||||||||||
| Funder: | Economic and Social Research Council (Great Britain) (ESRC), National Institutes of Health (U.S.) (NIH) | ||||||||||
| Grant number: | RES-177-25-0014 (ESRC) |
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