Communication Predictors of Patient and Companion Satisfaction with Alzheimer's Genetic Risk Disclosure.

J Health Commun
Authors
Keywords
Abstract

The objective of this study was to identify how features of Alzheimer's disease (AD) genetic risk disclosure communication relate to patient and visit companion satisfaction. We conducted secondary analyses of 79 session recordings from the fourth REVEAL Study, a randomized-controlled trial of AD genetic risk disclosure among patients with mild cognitive impairment. Patient and companion satisfaction were ascertained from postdisclosure surveys. The Roter Interaction Analysis System (RIAS) was used to code triadic communication between the counselor, patient, and companion. High satisfaction was evident for 24% of patients (N = 19) and 48% of companions (N = 38). Multivariate logistic regressions showed that high patient satisfaction was associated with patients' expression of emotions (OR = 1.1, 95% CI: 1.0-1.1) and companions' questions about psychosocial and lifestyle topics (OR = 1.8, 95% CI: 1.1-2.8). High companion satisfaction was positively related to the RIAS overall patient-centeredness score for the session (OR = 4.0, 95% CI: 1.0-15.6) (all p-values

Year of Publication
2018
Journal
J Health Commun
Volume
23
Issue
8
Pages
807-814
Date Published
2018
ISSN
1087-0415
DOI
10.1080/10810730.2018.1528319
PubMed ID
30325721
PubMed Central ID
PMC6452435
Links
Grant list
P30 AG053760 / AG / NIA NIH HHS / United States
M01 RR000533 / RR / NCRR NIH HHS / United States
P30 AG013846 / AG / NIA NIH HHS / United States
U19 HD077671 / HD / NICHD NIH HHS / United States
K01 HG009173 / HG / NHGRI NIH HHS / United States
U01 HG006500 / HG / NHGRI NIH HHS / United States
R01 HG002213 / HG / NHGRI NIH HHS / United States
M01 RR010284 / RR / NCRR NIH HHS / United States
UL1 TR001102 / TR / NCATS NIH HHS / United States