Hispanic Older Adults’ Osteoarthritis Pain Communication

Jorge, Jennifer; McDonald, Deborah Dillon

doi:10.1016/j.pmn.2010.12.005

Cited by 8 publications

(8 citation statements)

References 24 publications

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“…The results of the current study indicate that Blacks did not frequently use medical terminology in their pain discussions, however. Results were similar to those found for English speaking Hispanic older adults (Jorge & McDonald, 2011). In another study White older adults report significantly less difficulty in obtaining prescription medication for osteoarthritis than Black older adults, despite having similar insurance coverage for prescription medication (Albert, Musa, Kwoh, Hanlon, & Silverman, 2008).…”

Section: Discussionsupporting

confidence: 87%

“…As reported in the larger study, inter-rater reliability of the osteoarthritis pain information for the full sample of 312 was .73 and percent agreement was 86.5% (McDonald et al, 2009). Pain information resulting from the content analysis was previously reported for the full sample (McDonald, 2009), and a subsample of Hispanic older adults (Jorge & McDonald, 2011), but not for the subsample of older Black Americans.…”

Section: Methodsmentioning

confidence: 99%

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Older Black Adult Osteoarthritis Pain Communication

Puia¹,

McDonald²

2014

Pain Management Nursing

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A quantitative descriptive secondary data analysis design was used to describe older Black adult communication of osteoarthritis pain and the communication strategies used to convey the pain information. Pain content from 74 older Black adults with persistent osteoarthritis pain was analyzed with criteria from the American Pain Society arthritis pain management guidelines that included type of pain (nociceptive/neuropathic), quality of pain, source, location, intensity, duration/time course, pain affect, effect on personal lifestyle, functional status, current pain treatments, use of recommended glucosamine sulfate, effectiveness of prescribed treatments, prescription analgesic side effects, weight management to ideal body weight, exercise regimen or physical therapy and/or occupational therapy, and indications for surgery. Communication strategies were analyzed with criteria derived from Communication Accommodation Theory that included being clear, using medical syntax, using ethnic specific syntax, being explicit, and staying on topic when discussing pain. The majority of communicated pain content included pain location, intensity, and timing. Regarding communication strategies, most of the older Black adults used specific descriptions of pain and remained on topic. Fewer used explicit descriptions of pain that produced a vivid mental image, and few used medical terminology. Use of medical syntax and more explicit descriptions might improve communication about pain between healthcare practitioners and patients. Practitioners might assist older Black adults with persistent osteoarthritis pain to communicate important clinical pain information by helping them to use relevant medical terminology and more explicit pain descriptions when discussing pain management.

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Section: Discussionsupporting

confidence: 87%

Section: Methodsmentioning

confidence: 99%

Older Black Adult Osteoarthritis Pain Communication

Puia¹,

McDonald²

2014

Pain Management Nursing

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“…Pain content communicated by the older adults was similar to the content described by English‐speaking Hispanic older adults [21] and non‐Hispanic older adults [13] in that pain location was most frequently described. Unlike the previous studies, pain intensity and timing were infrequently described in the current study.…”

Section: Discussionmentioning

confidence: 68%

“…Mexican Americans indicated a preference for computer‐displayed images of real people rather than cartoons [24]. English‐speaking Hispanic older adults instructed to respond to a videotaped English‐speaking practitioner who asked them to describe their pain responded with a mean of five items of important osteoarthritis pain information [21]. Findings from both studies suggest that the more human‐appearing the virtual coach, the more responsive the Hispanic older adults.…”

Section: Discussionmentioning

confidence: 97%

The Effect of a Spanish Virtual Pain Coach for Older Adults: A Pilot Study

et al. 2012

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Preliminary data indicate that the Spanish virtual pain coach might assist Spanish-speaking older adults to talk with their practitioner about their osteoarthritis pain and obtain opioid treatment changes, but that pain and depressive symptoms continue unchanged 1 month later. Additional refinement and testing is required for the Spanish-speaking virtual pain coach to determine acceptability and outcomes for assisting Spanish-speaking older adults to communicate about their pain with their primary care practitioner.

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“…These preconceived perceptions set the tone and direct the way in which they engage in the conversation. CAT has been applied to various research conducted in social science, [216][217][218][219][220] business, 221-223 law 224 225,226 as well as to study communication that takes place between healthcare providers and patients 175,[227][228][229][230][231][232][233][234][235][236][237] and between healthcare professional groups. 175,209,237 CAT proposes that speakers in an exchange make adjustments (consciously and unconsciously) to the way they communicate with each other based on each speaker's individual goals for that communication interaction as well as their desire to develop and maintain their personal, social or professional identity.…”

Section: Communication Accommodation Theorymentioning

confidence: 99%

Investigating the effectiveness of communication taking place between hospital pharmacists and patients during medication counselling

Chevalier¹

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However, before these relationships could be explored, it was essential to first investigate what was taking place in these pharmacist-patient interactions.The overall aim of this thesis was to investigate the effectiveness of communication between hospital pharmacists and patients during medication counselling.This theory-driven research employed qualitative, quantitative and mixed methods.Communication accommodation theory (CAT) was the theoretical framework invoked to study, analyse and interpret the pharmacist-patient communication exchanges. There are five CAT strategies which measure whether effective communication has occurred: approximation (speech tone, volume, rate, accent), interpretability (using easy-to-understand language, avoiding jargon), discourse management (asking open-ended questions or repairing conversations), emotional expression (appropriate reassurance to patients' concerns) and interpersonal control (strategies to promote equality between speakers and encourage patients to take active roles in managing their healthcare). In this thesis, effective pharmacist-patient communication refers to the extent pharmacists accommodate, or not, to patients' conversational needs based on accommodative behaviour described within CAT strategies.There were two phases to this thesis. The first involved six focus groups (24 pharmacists) from two large metropolitan hospitals. Pharmacists shared their perceptions of their roles and goals in patient medication counselling, and barriers and facilitators in meeting their goals.Audio recorded transcripts were thematically analysed and goals identified by pharmacists were successfully mapped onto the five CAT strategies. Results of phase one helped inform the contents of the semi-structured interview guides utilised in phase two.iii Phase two represented the major portion of this PhD, and took place at a large hospital with multiple specialities. Twelve pharmacists engaged four patients for a total of 48 medication counselling sessions. Each individual session took place first, followed by separate semistructured interviews with pharmacists and patients. Counselling sessions and interviews were audio recorded and observational field notes were taken. Transcribed recordings were selectively coded for the five CAT strategies in pattern-based discourse analysis. Discursis software, as an adjunct to qualitative analysis, was used to visualise pharmacist-patient speech patterns, episodes of engagement and to detect CAT strategies employed by Analysis of the pharmacist-patient counselling sessions revealed that most pharmacists effectively used all five CAT communication strategies during medication counselling sessions as they adapted to patients' conversational needs. Non-accommodation occurred when pharmacists spoke too quickly, used terms not understood by patients, and did not include patients in the initial, agenda-setting phase. Discursis software identified pharmacistpatient engagement episodes, often revealing effectively applied CAT strategies.Semi-structure...

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Hispanic Older Adults’ Osteoarthritis Pain Communication

Cited by 8 publications

References 24 publications

Older Black Adult Osteoarthritis Pain Communication

Older Black Adult Osteoarthritis Pain Communication

The Effect of a Spanish Virtual Pain Coach for Older Adults: A Pilot Study

Investigating the effectiveness of communication taking place between hospital pharmacists and patients during medication counselling

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