A patient self-assessment tool to measure communication behaviors during doctor visits about hypertension

Research output: Contribution to journalArticle

Carol M. Ashton, Cheryl L. Holt, Nelda Wray

Objective: To develop a preliminary version of a post-doctor visit self-assessment tool that patients with hypertension can use to evaluate their communication behaviors. High-quality communication between patient and doctor may have a positive effect on blood pressure control in hypertensive patients. Patients' communicative behaviors such as asking questions influence those of doctors, but most existing measurement tools assess doctors' behaviors rather than patients'. Methods: The tool is intended for use by African American or Caucasian American adults with hypertension, regardless of literacy level. The project included theory-based development of the item pool, usability testing (8 individuals), and cognitive response testing (13 additional individuals). Main results: After multiple iterations, the preliminary version includes 138 items in 7 theory-based domains. Conclusion and Practice Implications: The self-assessment tool is ready for testing of item and scale reliability and validity and consequent item reduction. This tool could prove useful in trials evaluating whether patients with hypertension who learn to be better communicators are more likely to achieve blood pressure control. In addition, because it asks patients to reflect on their use of specific behaviors that can be learned, the tool might also help patients in clinical practice to assume more active roles during their medical interactions.

Original languageEnglish (US)
Pages (from-to)275-314
Number of pages40
JournalPatient Education and Counseling
Volume81
Issue number2
DOIs
StatePublished - Nov 1 2010

PMID: 20435427

Altmetrics

Cite this

Standard

A patient self-assessment tool to measure communication behaviors during doctor visits about hypertension. / Ashton, Carol M.; Holt, Cheryl L.; Wray, Nelda.

In: Patient Education and Counseling, Vol. 81, No. 2, 01.11.2010, p. 275-314.

Research output: Contribution to journalArticle

Harvard

Ashton, CM, Holt, CL & Wray, N 2010, 'A patient self-assessment tool to measure communication behaviors during doctor visits about hypertension' Patient Education and Counseling, vol. 81, no. 2, pp. 275-314. https://doi.org/10.1016/j.pec.2010.01.019

APA

Ashton, C. M., Holt, C. L., & Wray, N. (2010). A patient self-assessment tool to measure communication behaviors during doctor visits about hypertension. Patient Education and Counseling, 81(2), 275-314. https://doi.org/10.1016/j.pec.2010.01.019

Vancouver

Ashton CM, Holt CL, Wray N. A patient self-assessment tool to measure communication behaviors during doctor visits about hypertension. Patient Education and Counseling. 2010 Nov 1;81(2):275-314. https://doi.org/10.1016/j.pec.2010.01.019

Author

Ashton, Carol M. ; Holt, Cheryl L. ; Wray, Nelda. / A patient self-assessment tool to measure communication behaviors during doctor visits about hypertension. In: Patient Education and Counseling. 2010 ; Vol. 81, No. 2. pp. 275-314.

BibTeX

@article{9cf59dbe2e9f49f8bc8f4b75a6a65d3d,
title = "A patient self-assessment tool to measure communication behaviors during doctor visits about hypertension",
abstract = "Objective: To develop a preliminary version of a post-doctor visit self-assessment tool that patients with hypertension can use to evaluate their communication behaviors. High-quality communication between patient and doctor may have a positive effect on blood pressure control in hypertensive patients. Patients' communicative behaviors such as asking questions influence those of doctors, but most existing measurement tools assess doctors' behaviors rather than patients'. Methods: The tool is intended for use by African American or Caucasian American adults with hypertension, regardless of literacy level. The project included theory-based development of the item pool, usability testing (8 individuals), and cognitive response testing (13 additional individuals). Main results: After multiple iterations, the preliminary version includes 138 items in 7 theory-based domains. Conclusion and Practice Implications: The self-assessment tool is ready for testing of item and scale reliability and validity and consequent item reduction. This tool could prove useful in trials evaluating whether patients with hypertension who learn to be better communicators are more likely to achieve blood pressure control. In addition, because it asks patients to reflect on their use of specific behaviors that can be learned, the tool might also help patients in clinical practice to assume more active roles during their medical interactions.",
keywords = "Doctor-patient communication, Hypertension, Patient activation, Self-assessment",
author = "Ashton, {Carol M.} and Holt, {Cheryl L.} and Nelda Wray",
year = "2010",
month = "11",
day = "1",
doi = "10.1016/j.pec.2010.01.019",
language = "English (US)",
volume = "81",
pages = "275--314",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "2",

}

RIS

TY - JOUR

T1 - A patient self-assessment tool to measure communication behaviors during doctor visits about hypertension

AU - Ashton, Carol M.

AU - Holt, Cheryl L.

AU - Wray, Nelda

PY - 2010/11/1

Y1 - 2010/11/1

N2 - Objective: To develop a preliminary version of a post-doctor visit self-assessment tool that patients with hypertension can use to evaluate their communication behaviors. High-quality communication between patient and doctor may have a positive effect on blood pressure control in hypertensive patients. Patients' communicative behaviors such as asking questions influence those of doctors, but most existing measurement tools assess doctors' behaviors rather than patients'. Methods: The tool is intended for use by African American or Caucasian American adults with hypertension, regardless of literacy level. The project included theory-based development of the item pool, usability testing (8 individuals), and cognitive response testing (13 additional individuals). Main results: After multiple iterations, the preliminary version includes 138 items in 7 theory-based domains. Conclusion and Practice Implications: The self-assessment tool is ready for testing of item and scale reliability and validity and consequent item reduction. This tool could prove useful in trials evaluating whether patients with hypertension who learn to be better communicators are more likely to achieve blood pressure control. In addition, because it asks patients to reflect on their use of specific behaviors that can be learned, the tool might also help patients in clinical practice to assume more active roles during their medical interactions.

AB - Objective: To develop a preliminary version of a post-doctor visit self-assessment tool that patients with hypertension can use to evaluate their communication behaviors. High-quality communication between patient and doctor may have a positive effect on blood pressure control in hypertensive patients. Patients' communicative behaviors such as asking questions influence those of doctors, but most existing measurement tools assess doctors' behaviors rather than patients'. Methods: The tool is intended for use by African American or Caucasian American adults with hypertension, regardless of literacy level. The project included theory-based development of the item pool, usability testing (8 individuals), and cognitive response testing (13 additional individuals). Main results: After multiple iterations, the preliminary version includes 138 items in 7 theory-based domains. Conclusion and Practice Implications: The self-assessment tool is ready for testing of item and scale reliability and validity and consequent item reduction. This tool could prove useful in trials evaluating whether patients with hypertension who learn to be better communicators are more likely to achieve blood pressure control. In addition, because it asks patients to reflect on their use of specific behaviors that can be learned, the tool might also help patients in clinical practice to assume more active roles during their medical interactions.

KW - Doctor-patient communication

KW - Hypertension

KW - Patient activation

KW - Self-assessment

UR - http://www.scopus.com/inward/record.url?scp=77957268956&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77957268956&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2010.01.019

DO - 10.1016/j.pec.2010.01.019

M3 - Article

VL - 81

SP - 275

EP - 314

JO - Patient Education and Counseling

T2 - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 2

ER -

Similar Research Outputs

  1. A stories-based interactive DVD intended to help people with hypertension achieve blood pressure control through improved communication with their doctors

    Ashton, C. M., Houston, T. K., Williams, J. H., Larkin, D., Trobaugh, J., Crenshaw, K. & Wray, N., May 1 2010, In : Patient Education and Counseling. 79, 2, p. 245-250 6 p.

    Research output: Contribution to journalArticle

ID: 3183166