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First report of factors associated with satisfaction in patients with neurofibromatosis
Patient satisfaction is an integral part of quality health care. We assessed whether health literacy and psychosocial factors are associated with patient satisfaction among adults with neurofibromatosis. Eighty adults (mean age = 44 years; 55% female, 87% white) with NF (50% NF1, 41% NF2, and 9% sch...
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Published in: | American journal of medical genetics. Part A 2017-03, Vol.173 (3), p.671-677 |
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container_title | American journal of medical genetics. Part A |
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creator | Riklin, Eric Talaei‐Khoei, Mojtaba Merker, Vanessa L. Sheridan, Monica R. Jordan, Justin T. Plotkin, Scott R. Vranceanu, Ana‐Maria |
description | Patient satisfaction is an integral part of quality health care. We assessed whether health literacy and psychosocial factors are associated with patient satisfaction among adults with neurofibromatosis. Eighty adults (mean age = 44 years; 55% female, 87% white) with NF (50% NF1, 41% NF2, and 9% schwannomatosis) completed an adapted Functional, Communicative, and Critical Health Literacy Questionnaire (FCCHL), the Health Literacy Assessment, a series of Patient Reported Outcome Measures Information System (PROMIS) psychosocial tests, and demographics before the medical visit. After, participants completed two measures of satisfaction: the Medical Interview Satisfaction Scale (MISS) to assess satisfaction with the medical visit, and an adapted version of the Consumer Assessment of Healthcare Providers and Systems Health Literacy Item Set (CAHPS‐HL) to assess satisfaction with communication with the provider. Although higher FCCHL health literacy (r = 0.319, P = 0.002), male gender (t = 2.045, P = 0.044) and better psychosocial functioning (r = −0.257 to 0.409, P |
doi_str_mv | 10.1002/ajmg.a.38079 |
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We assessed whether health literacy and psychosocial factors are associated with patient satisfaction among adults with neurofibromatosis. Eighty adults (mean age = 44 years; 55% female, 87% white) with NF (50% NF1, 41% NF2, and 9% schwannomatosis) completed an adapted Functional, Communicative, and Critical Health Literacy Questionnaire (FCCHL), the Health Literacy Assessment, a series of Patient Reported Outcome Measures Information System (PROMIS) psychosocial tests, and demographics before the medical visit. After, participants completed two measures of satisfaction: the Medical Interview Satisfaction Scale (MISS) to assess satisfaction with the medical visit, and an adapted version of the Consumer Assessment of Healthcare Providers and Systems Health Literacy Item Set (CAHPS‐HL) to assess satisfaction with communication with the provider. Although higher FCCHL health literacy (r = 0.319, P = 0.002), male gender (t = 2.045, P = 0.044) and better psychosocial functioning (r = −0.257 to 0.409, P < 0.05) were associated with higher satisfaction with the medical visit in bivariate correlations, only male gender and higher health literacy remained as significant predictors in multivariable analyses. Higher FCCHL health literacy, less pain interference, fewer pain behaviors, and higher satisfaction with social roles and social discretionary activities (r = −0.231 to 0.331, P < 0.05) were associated with higher satisfaction with the communication with the provider in bivariate analyses. Results support the use of psychosocial and health literacy measures in clinical practice. Referrals to psychosocial treatments in addition to brief interventions focused on increasing health literacy may also be beneficial. © 2017 Wiley Periodicals, Inc.</description><identifier>ISSN: 1552-4825</identifier><identifier>EISSN: 1552-4833</identifier><identifier>DOI: 10.1002/ajmg.a.38079</identifier><identifier>PMID: 28211981</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Communication ; Cross-Sectional Studies ; Demography ; Disease Management ; Factor Analysis, Statistical ; Female ; Genetic disorders ; Health education ; Health Literacy ; Humans ; Information systems ; Male ; medical visits ; Middle Aged ; Neurofibromatoses - diagnosis ; Neurofibromatoses - epidemiology ; Neurofibromatoses - therapy ; Neurofibromatosis ; Neurofibromin 2 ; Neurological disorders ; Outcome Assessment, Health Care ; Pain ; Patient Satisfaction ; Self Report ; Social interactions ; Surveys and Questionnaires ; Tumors</subject><ispartof>American journal of medical genetics. 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Part A</title><addtitle>Am J Med Genet A</addtitle><description>Patient satisfaction is an integral part of quality health care. We assessed whether health literacy and psychosocial factors are associated with patient satisfaction among adults with neurofibromatosis. Eighty adults (mean age = 44 years; 55% female, 87% white) with NF (50% NF1, 41% NF2, and 9% schwannomatosis) completed an adapted Functional, Communicative, and Critical Health Literacy Questionnaire (FCCHL), the Health Literacy Assessment, a series of Patient Reported Outcome Measures Information System (PROMIS) psychosocial tests, and demographics before the medical visit. After, participants completed two measures of satisfaction: the Medical Interview Satisfaction Scale (MISS) to assess satisfaction with the medical visit, and an adapted version of the Consumer Assessment of Healthcare Providers and Systems Health Literacy Item Set (CAHPS‐HL) to assess satisfaction with communication with the provider. Although higher FCCHL health literacy (r = 0.319, P = 0.002), male gender (t = 2.045, P = 0.044) and better psychosocial functioning (r = −0.257 to 0.409, P < 0.05) were associated with higher satisfaction with the medical visit in bivariate correlations, only male gender and higher health literacy remained as significant predictors in multivariable analyses. Higher FCCHL health literacy, less pain interference, fewer pain behaviors, and higher satisfaction with social roles and social discretionary activities (r = −0.231 to 0.331, P < 0.05) were associated with higher satisfaction with the communication with the provider in bivariate analyses. Results support the use of psychosocial and health literacy measures in clinical practice. Referrals to psychosocial treatments in addition to brief interventions focused on increasing health literacy may also be beneficial. © 2017 Wiley Periodicals, Inc.</description><subject>Adult</subject><subject>Communication</subject><subject>Cross-Sectional Studies</subject><subject>Demography</subject><subject>Disease Management</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Genetic disorders</subject><subject>Health education</subject><subject>Health Literacy</subject><subject>Humans</subject><subject>Information systems</subject><subject>Male</subject><subject>medical visits</subject><subject>Middle Aged</subject><subject>Neurofibromatoses - diagnosis</subject><subject>Neurofibromatoses - epidemiology</subject><subject>Neurofibromatoses - therapy</subject><subject>Neurofibromatosis</subject><subject>Neurofibromin 2</subject><subject>Neurological disorders</subject><subject>Outcome Assessment, Health Care</subject><subject>Pain</subject><subject>Patient Satisfaction</subject><subject>Self Report</subject><subject>Social interactions</subject><subject>Surveys and Questionnaires</subject><subject>Tumors</subject><issn>1552-4825</issn><issn>1552-4833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqNkctLxDAQh4Movm-epeDFg7vm2TbHRVwfKF4UjyFNE82ybdZMivjf29rVgwfxlAnz8c0MP4SOCJ4SjOm5XjQvUz1lJS7kBtolQtAJLxnb_Kmp2EF7AAuMGRZFvo12aEkJkSXZRc9zHyFl0a5CTFlwmdMmhQiZBgjG62Tr7N2n1wx08jA0fWgz32ar_m_bBGO3tV0MzlcxNDoF8HCAtpxegj1cv_voaX75eHE9uXu4urmY3U0Mp0JOiJNCW1cbQSssK-kKWhrc78Y4J6wSuZVcC8addSJ3OS1IbaoCE2kKWtW6YPvodPSuYnjrLCTVeDB2udStDR0oUvZGzplg_0BzKXPBRdmjJ7_QRehi2x-iaD-cE04w_4saXJgUnA4bno2UiQEgWqdW0Tc6fiiC1ZCgGhJUWn0l2OPHa2lXNbb-gb8j6wE-Au9-aT_-lKnZ7f3VbPR-AijUprc</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Riklin, Eric</creator><creator>Talaei‐Khoei, Mojtaba</creator><creator>Merker, Vanessa L.</creator><creator>Sheridan, Monica R.</creator><creator>Jordan, Justin T.</creator><creator>Plotkin, Scott R.</creator><creator>Vranceanu, Ana‐Maria</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201703</creationdate><title>First report of factors associated with satisfaction in patients with neurofibromatosis</title><author>Riklin, Eric ; 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Part A</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Riklin, Eric</au><au>Talaei‐Khoei, Mojtaba</au><au>Merker, Vanessa L.</au><au>Sheridan, Monica R.</au><au>Jordan, Justin T.</au><au>Plotkin, Scott R.</au><au>Vranceanu, Ana‐Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First report of factors associated with satisfaction in patients with neurofibromatosis</atitle><jtitle>American journal of medical genetics. Part A</jtitle><addtitle>Am J Med Genet A</addtitle><date>2017-03</date><risdate>2017</risdate><volume>173</volume><issue>3</issue><spage>671</spage><epage>677</epage><pages>671-677</pages><issn>1552-4825</issn><eissn>1552-4833</eissn><abstract>Patient satisfaction is an integral part of quality health care. We assessed whether health literacy and psychosocial factors are associated with patient satisfaction among adults with neurofibromatosis. Eighty adults (mean age = 44 years; 55% female, 87% white) with NF (50% NF1, 41% NF2, and 9% schwannomatosis) completed an adapted Functional, Communicative, and Critical Health Literacy Questionnaire (FCCHL), the Health Literacy Assessment, a series of Patient Reported Outcome Measures Information System (PROMIS) psychosocial tests, and demographics before the medical visit. After, participants completed two measures of satisfaction: the Medical Interview Satisfaction Scale (MISS) to assess satisfaction with the medical visit, and an adapted version of the Consumer Assessment of Healthcare Providers and Systems Health Literacy Item Set (CAHPS‐HL) to assess satisfaction with communication with the provider. Although higher FCCHL health literacy (r = 0.319, P = 0.002), male gender (t = 2.045, P = 0.044) and better psychosocial functioning (r = −0.257 to 0.409, P < 0.05) were associated with higher satisfaction with the medical visit in bivariate correlations, only male gender and higher health literacy remained as significant predictors in multivariable analyses. Higher FCCHL health literacy, less pain interference, fewer pain behaviors, and higher satisfaction with social roles and social discretionary activities (r = −0.231 to 0.331, P < 0.05) were associated with higher satisfaction with the communication with the provider in bivariate analyses. Results support the use of psychosocial and health literacy measures in clinical practice. Referrals to psychosocial treatments in addition to brief interventions focused on increasing health literacy may also be beneficial. © 2017 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28211981</pmid><doi>10.1002/ajmg.a.38079</doi><tpages>7</tpages></addata></record> |
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subjects | Adult Communication Cross-Sectional Studies Demography Disease Management Factor Analysis, Statistical Female Genetic disorders Health education Health Literacy Humans Information systems Male medical visits Middle Aged Neurofibromatoses - diagnosis Neurofibromatoses - epidemiology Neurofibromatoses - therapy Neurofibromatosis Neurofibromin 2 Neurological disorders Outcome Assessment, Health Care Pain Patient Satisfaction Self Report Social interactions Surveys and Questionnaires Tumors |
title | First report of factors associated with satisfaction in patients with neurofibromatosis |
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