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Explicating patient appraisals of chronic pain self-management advice in patient–provider consultations

Year: 2022
Type: dissertation
Abstract: Chronic pain affects over 50 million American adults and has substantial negative impacts on their health and well-being (Dahlhamer et al., 2018).Patients often rely on advice from health care providers to successfully self-manage their chronic pain (Institute of Medicine, 2011).However, patient-provider communication and relationships are often challenging in the context of chronic pain management (Thompson & Pulido, 2022), and how providers' communication impacts patients' evaluation and implementation of self-management advice has not been theoretically explicated and empirically tested.This dissertation synthesizes advice response theory (MacGeorge, Guntzviller, et al., 2016) and the integrated model of medical advising (Feng et al., 2011) with appraisal theories of emotions and coping (Lazarus, 1991; Tracy & Robins, 2007b) and psychological research on advice-taking (de Hooge et al., 2014;Gino & Schweitzer, 2008) to understand how patients' trait affect, cognitive appraisals, and emotional responses to advice relate to satisfaction with health care and intentions to implement selfmanagement advice.Results from a cross-sectional survey of 208 American adults with chronic pain indicate (a) patients' trust in their health care providers is associated with positive evaluations of advice, (b) patients' emotional responses to advice are associated with more or less satisfaction with health care, and (c) patients' receptiveness to advice and beliefs that they are capable of performing the advised self-management strategy are associated with intentions to adhere to the advice.Implications for advancing theories of advice message processing and improving chronic pain management practices are discussed.
Language: English
Open Access status: green
OpenAlex ID: W7220805930
Cites: 120
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Related to: 10