Adherence
Training primary care practitioners in patient-centred care improves patient communication, treatment satisfaction, and psychological wellbeing, but is associated with higher body mass index and triglyceride levels compared to routine care.
If you are a clinician, training in patient-centred communication will likely make your patients happier and feel better understood, but be aware that this approach alone may not improve—and might even worsen—weight and triglyceride levels if it replaces active behavioral negotiation. You must explicitly balance listening with directing to prevent adverse metabolic outcomes.
Compared with patients in the C group, those in the intervention group reported better communication with the doctors... and greater treatment satisfaction... and wellbeing... However, their body mass index was significantly higher... as were triglyceride concentrations... whereas knowledge scores were lower
Why this rating
Randomized controlled trial with pragmatic design, adequate sample size for process outcomes, but potentially underpowered for small metabolic differences.
Source
Randomised controlled trial of patient centred care of diabetes in general practice: impact on current wellbeing and future disease risk
Ann Louise Kinmonth et al. · BMJ · 1998
DOI 10.1136/bmj.317.7167.1202
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →