Evaluating challenges for improving medically unexplained symptoms in US military veterans via provider communication

dc.contributor.author Phillips, L. Alison
dc.contributor.author McAndrew, Lisa
dc.contributor.author Phillips, L. Alison
dc.contributor.author Laman-Maharg, Benjamin
dc.contributor.author Bloeser, Katharine
dc.contributor.department Psychology
dc.date 2021-04-23T18:55:52.000
dc.date.accessioned 2021-04-30T09:48:29Z
dc.date.available 2021-04-30T09:48:29Z
dc.date.issued 2017-08-01
dc.description.abstract <p>Objectives: Medically unexplained symptoms (MUS) are common, with particularly high rates observed in military veterans. Effective patient-provider-communication is thought to be a key aspect of care; however there have been few empirical studies on the association between communication and outcomes for patients with MUS. We evaluate whether discussing veterans’ MUS-illness representations and good interpersonal skills have the potential to promote MUS-treatment adherence and improvement.</p> <p>Methods: Veterans experiencing MUS (n = 204) reported on their primary care providers’ communication about illness representations and interpersonal skills; correlation, regression, and bootstrap-mediation analyses were conducted to test hypotheses regarding veteran-reported outcomes. Main outcomes included satisfaction with the provider, MUS-treatment adherence, intentions to adhere, and expectations for MUS improvement.</p> <p>Results: Veterans reported infrequent discussion of MUS illness representations but high degrees of provider interpersonal skills. Communication regarding patients’ illness representations and treatment expectations was significantly related to treatment adherence and adherence intentions; provider interpersonal skills were not. Both were related to veteran satisfaction.</p> <p>Conclusions and practice implications: Providers’ interpersonal skills may be important in chronic illness contexts, such as MUS, by contributing to satisfaction with the provider. The current study suggests that providers may better promote MUS-treatment adherence through discussing MUS illness representations and treatment expectations.</p>
dc.description.comments <p>This article is published as Phillips, L. Alison, Lisa McAndrew, Benjamin Laman-Maharg, and Katharine Bloeser. "Evaluating challenges for improving medically unexplained symptoms in US military veterans via provider communication." <em>Patient Education and Counseling</em> 100, no. 8 (2017): 1580-1587. DOI: <a href="https://doi.org/10.1016/j.pec.2017.03.011" target="_blank">10.1016/j.pec.2017.03.011</a>. </p>
dc.format.mimetype application/pdf
dc.identifier archive/lib.dr.iastate.edu/psychology_pubs/127/
dc.identifier.articleid 1131
dc.identifier.contextkey 22616229
dc.identifier.s3bucket isulib-bepress-aws-west
dc.identifier.submissionpath psychology_pubs/127
dc.identifier.uri https://dr.lib.iastate.edu/handle/20.500.12876/105161
dc.language.iso en
dc.source.bitstream archive/lib.dr.iastate.edu/psychology_pubs/127/2017_PhillipsAlison_EvaluatingChallenges.pdf|||Fri Jan 14 19:28:09 UTC 2022
dc.source.uri 10.1016/j.pec.2017.03.011
dc.subject.disciplines Counseling Psychology
dc.subject.disciplines Health Psychology
dc.subject.disciplines Psychology
dc.subject.keywords Medically unexplained symptoms
dc.subject.keywords Veterans
dc.subject.keywords Primary care
dc.subject.keywords Treatment adherence
dc.subject.keywords Doctor-patient communication
dc.subject.keywords Illness and treatment representations
dc.title Evaluating challenges for improving medically unexplained symptoms in US military veterans via provider communication
dc.type article
dc.type.genre article
dspace.entity.type Publication
relation.isAuthorOfPublication 4e40d37e-5cf8-49a1-aaa3-405c207e6492
relation.isOrgUnitOfPublication 796236b3-85a0-4cde-b154-31da9e94ed42
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