The weight of words: Indian physicians' perspectives on patient communication to promote diabetes adherence

Selvan, C. and Lathia, T. and Chawak, S. and Katdare, P. and Nayak, R. and Chittem, Mahati (2021) The weight of words: Indian physicians' perspectives on patient communication to promote diabetes adherence. Indian Journal of Endocrinology and Metabolism, 25 (5). pp. 395-401. ISSN 2230-8210

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Background: Effective communication by physicians can lead to improved patient adherence, resulting in better patient outcomes and increased patient satisfaction. This study: (i) examined communication with patients when they were non-Adherent, (ii) examined attitudes toward common communication cues, and (iii) explored communication approaches to encourage diabetes adherence used by Indian physicians. Methods: Using a concurrent mixed methods approach, Indian physicians, specialized in diabetes and/or endocrinology were recruited, to complete a survey containing quantitative (n = 834) and qualitative (n = 648) questions. The questions included (i) whether physicians expressed disappointment and used scare tactics for non-Adherent patients, (ii) to rate the importance of common communication cues when promoting adherence, and (iii) nested, qualitative questions to understand their communication approach to promote adherence. The data were analyzed using descriptive statistics and qualitative content analysis, respectively. Results: The quantitative study reported that the majority of the physicians sometimes showed their disappointment in their patient's progress (44.4%), sometimes used scare tactics to convey disease severity due to non-Adherence (34.3%), and rated all communication cues as most important. The qualitative findings revealed that physicians used paternalistic (authoritative, educational, authoritarian) or collaborative (multistakeholder, patient-centered) approaches and the language cues of fear, blame, and threats to promote patient adherence. Conclusion: These findings highlight the need for communication skill training programs for Indian physicians focused on empathic, non-verbal, supportive, and inclusive techniques so as to promote patient adherence. Further, these trainings need to use role-playing, video recording, and peer feedback methods to show physicians how to implement these skills during patient interactions. © 2021 Wolters Kluwer Medknow Publications. All rights reserved.

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IITH Creators:
IITH CreatorsORCiD
Chittem, Mahati
Item Type: Article
Uncontrolled Keywords: Communication skills, mixed methods, non-verbal communication, physicians
Subjects: Arts > Liberal arts
Divisions: Department of Liberal Arts
Depositing User: . LibTrainee 2021
Date Deposited: 04 Oct 2022 12:50
Last Modified: 04 Oct 2022 12:50
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