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Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits

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  • Clayman, Marla L.
  • Roter, Debra
  • Wissow, Lawrence S.
  • Bandeen-Roche, Karen

Abstract

The objective of this study, undertaken in the USA, was to investigate the consequences of autonomy-related companion behaviors on patient decision-making activity during geriatric primary care visits. Videotapes were analyzed to characterize patient and companion decision-making activity and related companion behaviors. These behaviors were coded throughout the visit using an autonomy-based framework that included both autonomy enhancing (i.e. facilitating patient understanding, patient involvement, and doctor understanding) and detracting behaviors, (i.e. controlling the patient and building alliances with the physician). Patients (N=93) in this cross-sectional sample range in age from 65 to 95 years and are mostly white (n=73, 79%) and female (n=67, 72%). Companions are spouses (n=42, 46%), adult children (n=33, 36%), or other relatives and friends (n=15, 16%) of patients. Companions are active participants in medical visits and engage in more autonomy enhancing than detracting behaviors. Companions of sicker (compared with less sick) patients were more likely to facilitate patient understanding, p

Suggested Citation

  • Clayman, Marla L. & Roter, Debra & Wissow, Lawrence S. & Bandeen-Roche, Karen, 2005. "Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits," Social Science & Medicine, Elsevier, vol. 60(7), pages 1583-1591, April.
    • Handle: RePEc:eee:socmed:v:60:y:2005:i:7:p:1583-1591
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    References listed on IDEAS

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    1. Labrecque, Mark S. & Blanchard, Christina G. & Ruckdeschel, John C. & Blanchard, Edward B., 1991. "The impact of family presence on the physician-cancer patient interaction," Social Science & Medicine, Elsevier, vol. 33(11), pages 1253-1261, January.
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    Cited by:

    1. Wolff, Jennifer L. & Roter, Debra L., 2011. "Family presence in routine medical visits: A meta-analytical review," Social Science & Medicine, Elsevier, vol. 72(6), pages 823-831, March.
    2. Marla L. Clayman & Carma L. Bylund & Betty Chewning & Gregory Makoul, 2016. "The Impact of Patient Participation in Health Decisions Within Medical Encounters," Medical Decision Making, , vol. 36(4), pages 427-452, May.
    3. Chih-Yen Chang & Shou-Jen Lan & Chiao-Lee Chu & Ching-Sung Ho, 2021. "The Relationship between Clinic Visit Accompanied by Family and Dementia Severity in Taiwan," IJERPH, MDPI, vol. 18(4), pages 1-9, February.
    4. Rooks, Ronica N. & Wiltshire, Jacqueline C. & Elder, Keith & BeLue, Rhonda & Gary, Lisa C., 2012. "Health information seeking and use outside of the medical encounter: Is it associated with race and ethnicity?," Social Science & Medicine, Elsevier, vol. 74(2), pages 176-184.
    5. Eggly, Susan & Penner, Louis A. & Greene, Meredith & Harper, Felicity W.K. & Ruckdeschel, John C. & Albrecht, Terrance L., 2006. "Information seeking during "bad news" oncology interactions: Question asking by patients and their companions," Social Science & Medicine, Elsevier, vol. 63(11), pages 2974-2985, December.
    6. Zhang, Shuai & Cheng, Meili & Ma, Wen & Liu, Huashui & Zhao, Chunjuan, 2023. "Companion responses to diagnosis in Chinese outpatient clinical interaction," Social Science & Medicine, Elsevier, vol. 338(C).

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