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THE PATIENT PERSPECTIVE: EXPLORING THE INFLUENCE OF SOCIAL INTERACTIONS ON CHRONIC DISEASE OUTCOMES

Freeman-Hildreth, Yolonda
http://rave.ohiolink.edu/etdc/view?acc_num=case1554315427596961

Abstract Details

2019, Doctor of Philosophy, Case Western Reserve University, Management.
Healthcare systems worldwide are challenged with caring for patients with chronic conditions. As of 2014, at least 60% of Americans have at least one chronic condition, with diabetes being among the top five chronic conditions. Although medical management is utilized for glucose control, the majority of diabetes management involves self-care, imposing physical and psychological demands. As a result, there is an underappreciation of the patients’ actual workload and burden by providers. Although patients emphasize the importance of interpersonal relationships as a critical component of quality care, there is often incongruence between the goals of providers and the patients. This study aims to identify factors related to interpersonal interactions that influence behavioral change and chronic disease outcomes by exploring the dynamics of the patient-provider relationship. This is a three-part exploratory mixed methods study. In Study 1, thirty Type 2 Diabetic (T2DM) participants were interviewed to explore the social interactions that facilitate behavioral change. Findings showed that positive interpersonal interactions, social relationships, and the ability to cope during disease setbacks or situational events influenced sustained behavioral change. These findings informed measures for Study 2. In Study 2, a quantitative study surveying 423 T2DM participants examined the attributes that influence chronic disease outcomes. Findings revealed coping ability to positively fully mediate the effect of compassion on self-management and treatment satisfaction. Further, coping ability fully mediated the effect of optimism on self-management and treatment satisfaction. Providers enhanced self-management adherence and treatment satisfaction by helping their patients cope with the burdens of diabetes by communicating with compassion and optimism. In Study 3, 422 T2DM participants were surveyed to explore how the patients’ perceptions of relationship quality influence chronic disease outcomes. This study demonstrated that patients’ perceptions of relationship quality with their provider influenced T2DM treatment satisfaction and self-management outcomes. This research has implications for improving patient-provider relationships, understanding the patients’ perspective of treatment burden, and identifying interpersonal interactions that improve chronic disease outcomes.
Yunmei Wang, Ph.D. (Committee Chair)
David Aron, M.D. (Committee Member)
Richard Boland, Ph.D (Committee Member)
Philip Cola, Ph.D (Committee Member)
172 p.
Health Care; Health Care Management
type 2 diabetes; self-management; coping ability; relationship quality; treatment satisfaction; interpersonal interactions; treatment burden; social relationships; provider support; trust in provider; optimism; compassion

Recommended Citations

Citations

  • Freeman-Hildreth, Y. (2019). THE PATIENT PERSPECTIVE: EXPLORING THE INFLUENCE OF SOCIAL INTERACTIONS ON CHRONIC DISEASE OUTCOMES [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1554315427596961

    APA Style (7th edition)

  • Freeman-Hildreth, Yolonda. THE PATIENT PERSPECTIVE: EXPLORING THE INFLUENCE OF SOCIAL INTERACTIONS ON CHRONIC DISEASE OUTCOMES . 2019. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1554315427596961.

    MLA Style (8th edition)

  • Freeman-Hildreth, Yolonda. "THE PATIENT PERSPECTIVE: EXPLORING THE INFLUENCE OF SOCIAL INTERACTIONS ON CHRONIC DISEASE OUTCOMES ." Doctoral dissertation, Case Western Reserve University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1554315427596961

    Chicago Manual of Style (17th edition)

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This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.