Marla L. Clayman|Anjali U. Pandit|Ashley R. Bergeron|Kenzie A. Cameron|Emily L. Ross|Michael S. Wolf
Ask, Understand, Remember: A Brief Measure of Patient Communication Self-Efficacy Within Clinical Encounters
Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
patients ability effectively communicate health care providers essential aspect proper selfcare especially chronic conditions wanted develop validate brief reliable measure patient communication selfefficacy within clinical encounters consecutively recruited patients n 330 diagnosed hypertension seven primary care clinics chicago illinois grand rapids michigan shreveport louisiana completed inperson interview including chronic disease selfefficacy hypertension knowledge health literacy assessments items modified communication attitudinal selfefficacy case cancer scale six items case candidates new scale due focus patientprovider relationship using principal components analysis varimax rotation four items strongly loaded onto one factor eigenvalue 233 proportion variance explained 58 cronbachs coefficient 075 measure referred ask understand remember assesment aura moderately correlated total score existing chronic disease management selfefficacy scale r 031 disease knowledge beta coefficient 02 95 confidence interval 004 03 p 03 patients low health literacy lower scores aura marginal adequate health literacy p 05 aura demonstrated high internal consistency correlated hypertension knowledge chronic disease selfefficacy scale aura brief valid low reading demands appropriate tool use among patients chronic illness may also useful identifying assisting patients risk errors nonadherence selfcare behaviors