The Mediating Role of Positive and Negative Emotional Attractors Between Psychosocial Correlates of Doctor-patient Relationship and Treatment Adherence in Type 2 Diabetes
Year: 2011
Type: article
Study design: Observational Study
Abstract: Uncontrolled diabetes leads to blindness, amputation, kidney failure, and death.Despite such severe complications, treatment adherence rate for diabetes is low.This dissertation explores a mediational model of treatment adherence in type 2 diabetics.Mediation analysis goes beyond assessing whether a predictor causes change in an outcome; it examines how that change occurs.Specifically, this research hypothesizes that a patient's positive/negative emotional states, represented by the Lorenz attractors of Positive and Negative Emotional Attractors (PNEA), mediate the relationship between psychosocial correlates of doctor-patient relationship and treatment adherence.The study was conducted in Karachi, Pakistan.Survey respondents were 375 type 2 diabetic patients and their companions who attended follow-up clinics; and 25 physicians who examined them.Mediation analysis was performed using hierarchical linear modeling techniques to account for nested data.Bootstrapping procedure tested the significance of mediated effects.Findings confirmed the hypotheses that empathy, trust, information exchange, rapport, physicians' PNEA and diabetes knowledge were associated with treatment Lehane & McCarthy ('06) Jin, Sklar, Oh & Li ('08) Julius, Novitsky, & Dubin ('09) Features of the Disease Diagnosis Yes Yes
Author: Masud Khawaja
Institution: Case Western Reserve University
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2285460620