Providing prenatal care to pregnant women with overweight or obesity: Differences in provider communication and ratings of the patient-provider relationship by patient body weight.
Patient Educ Couns
; 100(6): 1103-1110, 2017 06.
Article
em En
| MEDLINE
| ID: mdl-28062155
ABSTRACT
OBJECTIVE:
To examine the association of women's body weight with provider communication during prenatal care.METHODS:
We coded audio recordings of prenatal visits between 22 providers and 117 of their patients using the Roter Interaction Analysis System. Multivariate, multilevel Poisson models were used to examine the relationship between patient pre-pregnancy body mass index and provider communication.RESULTS:
Compared to women with normal weight, providers asked fewer lifestyle questions (IRR 0.66, 95% CI 0.44-0.99, p=0.04) and gave less lifestyle information (IRR 0.51, 95% CI 0.32-0.82, p=0.01) to women with overweight and obesity, respectively. Providers used fewer approval (IRR 0.68, 95% CI 0.51-0.91, p=0.01) and concern statements (IRR 0.68, 95% CI 0.53-0.86, p=0.002) when caring for women with overweight and fewer self-disclosure statements caring for women with obesity (IRR 0.40, 95% CI 0.19-0.84 p=0.02).CONCLUSION:
Less lifestyle and rapport building communication for women with obesity may weaken patient-provider relationship during routine prenatal care. PRACTICE IMPLICATIONS Interventions to increase use of patient-centered communication - especially for women with overweight and obesity - may improve prenatal care quality.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
/
Médicos
/
Cuidado Pré-Natal
/
Atitude do Pessoal de Saúde
/
Comunicação
/
Obesidade
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Pregnancy
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article