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Disclosure of Complementary Health Approaches among Low Income and Racially Diverse Safety Net Patients with Diabetes
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Jun 25 2015
Source: Patient Educ Couns. 98(11):1360-1366. -
Alternative Title:Patient Educ Couns
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Personal Author:
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Description:Objective
Patient-provider communication about complementary health approaches can support diabetes self-management by minimizing risk and optimizing care. We sought to identify sociodemographic and communication factors associated with disclosure of complementary health approaches to providers by low-income patients with diabetes.
Methods
We used data from San Francisco Health Plan's SMARTSteps Program, a trial of diabetes self-management support for low-income patients (n=278) through multilingual automated telephone support. Interviews collected use and disclosure of complementary health approaches in the prior month, patient-physician language concordance, and quality of communication.
Results
Among racially, linguistically diverse participants, half (47.8%) reported using complementary health practices (n=133), of whom 55.3% disclosed use to providers. Age, sex, race/ethnicity, nativity, education, income, and health literacy were not associated with disclosure. In adjusted analyses, disclosure was associated with language concordance (AOR=2.21, 95% CI: 1.05, 4.67), physicians' interpersonal communication scores (AOR=1.50, 95% CI: 1.03, 2.19), shared decision making (AOR=1.74, 95% CI: 1.33, 2.29), and explanatory-type communication (AOR = 1.46, 95% CI: 1.03, 2.09).
Conclusion
Safety net patients with diabetes commonly use complementary health approaches and disclose to providers with higher patient-rated quality of communication.
Practice Implications
Patient-provider language concordance and patient-centered communication can facilitate disclosure of complementary health approaches.
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Pubmed ID:26146238
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Pubmed Central ID:PMC4609248
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