Table 4.
Crude and Adjusted Scores of Interpersonal Processes of Care Across Disease Activity in African American Patients with SLE
| IPC Characteristic | Crude mean (95%CI) of IPC | Adjusted* mean (95%CI) of IPC | ||||||
|---|---|---|---|---|---|---|---|---|
| Mild DA n=219 | Moderate DA n=246 | Severe DA n=233 | P value | Mild DA n=219 | Moderate DA n=246 | Severe DA n=233 | P value | |
| 1.Communication | ||||||||
| Hurried communication (−) | 1.49 (1.39–1.59) | 1.71 (1.62–1.80) | 1.96 (1.87–2.06) | <0.0001 | 1.49 (1.34–1.64) | 1.63 (1.49–1.78) | 1.78 (1.61–1.94) | 0.0008 |
| Lack of clarity (−) | 1.66 (1.54–1.78) | 1.91 (1.80–2.02) | 2.07 (1.96–2.19) | <0.0001 | 1.69 (1.51–1.87) | 1.84 (1.66–2.01) | 1.88 (1.69–2.08) | 0.064 |
| Hurried, distracted (−) | 1.38 (1.27–1.48) | 1.57 (1.48–1.67) | 1.89 (1.79–1.99) | <0.0001 | 1.36 (1.20–1.51) | 1.50 (1.34–1.65) | 1.70 (1.53–1.88) | 0.0001 |
| Elicited concerns, responded (+) | 4.37 (4.25–4.49) | 4.18 (4.07–4.29) | 3.92 (3.81–4.04) | <0.0001 | 4.36 (4.18–4.54) | 4.22 (4.04–4.40) | 4.06 (3.86–4.26) | 0.0043 |
| Explained results, meds (+) | 4.03 (3.89–4.17) | 3.89 (3.76–4.03) | 3.65 (3.52–3.79) | 0.0002 | 4.04 (3.82–4.25) | 3.95 (3.73–4.16) | 3.77 (3.53–4.01) | 0.032 |
| Explained results (+) | 4.30 (4.16–4.44) | 4.25 (4.12–4.38) | 3.89 (3.75–4.02) | <0.0001 | 4.24 (4.02–4.45) | 4.24 (4.02–4.45) | 3.95 (3.72–4.19) | 0.022 |
| Explained medications (+) | 3.77 (3.60–3.94) | 3.54 (3.38–3.70) | 3.43 (3.26–3.59) | 0.0047 | 3.84 (3.59–4.10) | 3.66 (3.41–3.91) | 3.59 (3.31–3.88) | 0.095 |
| 2. Decision Making | ||||||||
| PC decision making (+) | 3.30 (3.13–3.47) | 3.17 (3.01–3.33) | 3.05 (2.89–3.22) | 0.044 | 3.34 (3.08–3.60) | 3.26 (3.00–3.52) | 3.18 (2.90–3.47) | 0.30 |
| Asked patient (+) | 3.28 (3.09–3.47) | 3.20 (3.03–3.38) | 3.01 (2.83–3.19) | 0.048 | 3.39 (3.10–3.68) | 3.36 (3.08–3.65) | 3.22 (2.90–3.54) | 0.31 |
| Decided together (+) | 3.32 (3.14–3.51) | 3.15 (2.98–3.33) | 3.10 (2.92–3.28) | 0.090 | 3.28 (2.99–3.56) | 3.17 (2.89–3.45) | 3.15 (2.84–3.46) | 0.43 |
| 3. Interpersonal Style | ||||||||
| Compassionate, respectful (+) | 4.41 (4.29–4.53) | 4.15 (4.04–4.27) | 3.91 (3.80–4.03) | <0.0001 | 4.41 (4.23–4.59) | 4.20 (4.03–4.38) | 4.06 (3.86–4.25) | 0.0007 |
| Emotional support, com (+) | 4.35 (4.22–4.48) | 4.09 (3.97–4.21) | 3.81 (3.68–3.93) | <0.0001 | 4.30 (4.10–4.50) | 4.10 (3.90–4.29) | 3.92 (3.70–4.14) | 0.0008 |
| Respectful (+) | 4.49 (4.37–4.61) | 4.25 (4.14–4.37) | 4.07 (3.95–4.19) | <0.0001 | 4.56 (4.38–4.75) | 4.37 (4.18–4.55) | 4.25 (4.04–4.45) | 0.0036 |
| Discriminated (−) | 1.27 (1.17–1.36) | 1.41 (1.32–1.50) | 1.57 (1.48–1.66) | <0.0001 | 1.28 (1.14–1.43) | 1.40 (1.26–1.55) | 1.51 (1.35–1.67) | 0.0078 |
| Assumed SES (−) | 1.40 (1.27–1.52) | 1.47 (1.35–1.59) | 1.69 (1.57–1.82) | 0.0008 | 1.42 (1.23–1.61) | 1.50 (1.31–1.69) | 1.68 (1.47–1.89) | 0.017 |
| Discriminated due to race (−) | 1.15 (1.06–1.24) | 1.35 (1.26–1.43) | 1.46 (1.37–1.55) | <0.0001 | 1.16 (1.02–1.30) | 1.30 (1.16–1.44) | 1.34 (1.19–1.50) | 0.023 |
| Disrespectful office staff (−) | 1.22 (1.12–1.31) | 1.42 (1.33–1.51) | 1.52 (1.42–1.61) | <0.0001 | 1.26 (1.12–1.41) | 1.40 (1.26–1.55) | 1.39 (1.23–1.55) | 0.13 |
Domains are underlined, scales are in italic font, subdomains are indented. A higher score indicates higher frequency of the labeled construct.
*
Adjusted by age, disease duration, gender, education, insurance status, organ damage, and depression. DA: disease activity; P values are calculated with linear trend test.