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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

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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
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:
DateEvent
October 2015Published
17 August 2015Available
13 August 2015Accepted
26 January 2015Submitted
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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