Effect of patient-provider communication on patient risk awareness: The moderating role of trust based on scenario experiment
Huiling Hu
School of Nursing, Peking University, Beijing, China
Search for more papers by this authorHaiyan Gong
Department of Nursing, China-Japan Friendship Hospital, Beijing, China
Search for more papers by this authorXuanna Wu
Department of Psychology, Capital Normal University, Beijing, China
Search for more papers by this authorCorresponding Author
Xue Wu
School of Nursing, Peking University, Beijing, China
Peking University Health Science Centre for Evidence-Based Nursing: A Joanna Briggs Institute Centre of Excellence, Peking University, Beijing, China
Correspondence
Xue Wu, School of Nursing, Peking University, 38 Xueyuan Road, Haidian District, Beijing, China.
Email: [email protected]
Search for more papers by this authorHuiling Hu
School of Nursing, Peking University, Beijing, China
Search for more papers by this authorHaiyan Gong
Department of Nursing, China-Japan Friendship Hospital, Beijing, China
Search for more papers by this authorXuanna Wu
Department of Psychology, Capital Normal University, Beijing, China
Search for more papers by this authorCorresponding Author
Xue Wu
School of Nursing, Peking University, Beijing, China
Peking University Health Science Centre for Evidence-Based Nursing: A Joanna Briggs Institute Centre of Excellence, Peking University, Beijing, China
Correspondence
Xue Wu, School of Nursing, Peking University, 38 Xueyuan Road, Haidian District, Beijing, China.
Email: [email protected]
Search for more papers by this authorFunding information: National Natural Science Foundation of China, Grant/Award Numbers: 72071004, 71601004, 71401113; National Key R&D Program of China, Grant/Award Numbers: 2020YFC2008800, 2020YFC2008805; Beijing Municipal Social Science Foundation, Grant/Award Number: 17GLC067; Support Project of High-level Teachers in Beijing Municipal Universities in the Period of 13th Five-year Plan, Grant/Award Number: CIT&TCD201704085
Abstract
Good patient–provider communication and high level of trust can decrease patients' risk perception and promote their acceptability of medical risks.The extent to which communication can be effective may be distinguished by different levels of trust. The present study examined the effect of patient–provider communication and treatment outcome on patients' risk awareness, and explored the moderating effect of trust. This research adopted a paper-based scenario experiment with a 2 (communication: good vs. poor) × 2 (treatment outcome: good vs. poor) between-subjects design. Three hundred sixteen college students were enrolled. They were randomly assigned to four groups and instructed to read more information about the two independent variables. Finally, all participants finished the manipulation check (eight items), affect- and cognition-based trust scales (10 items), and risk awareness scales (eight items) by questionnaire. The results showed the positive interaction effects between communication and treatment outcome on patients' acceptance of uncertainties. Affect- and cognition-based trust had similar moderating mechanisms on the interaction effect of communication and treatment outcome on uncertainty acceptability, and different moderating mechanisms on patient risk perception. In clinical work, we should develop the strategy to improve patien–provider communication and trust to improve patients' acceptability of uncertainty.
CONFLICT OF INTEREST
There is no conflict of interest in this study.
Open Research
DATA AVAILABILITY STATEMENT
The data involved in this study can be obtained by contacting the corresponding author, if there is reasonable reason.
Supporting Information
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