title: The association of provider communication with trust among adults with sickle cell disease.
abstract: BACKGROUND
  Adults with sickle cell disease often report poor interpersonal healthcare experiences, including poor communication with providers. However, the effect of these experiences on patient trust is unknown.
  
  
  OBJECTIVE
  To determine the association between patient ratings of the previous quality of provider communication and current trust in the medical profession among adults with sickle cell disease.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  A total of 95 adults with sickle cell disease.
  
  
  METHODS
  The four-item Provider Communication Subscale from the Consumer Assessment of Healthcare Plans and Systems Survey; The five-item Wake Forest Trust in the Medical Profession Scale.
  
  
  RESULTS
  Better ratings of previous provider communication were significantly associated with higher levels of trust toward the medical profession. A 10% increase in provider communication rating was associated with a 3.76% increase in trust scores (p < 0.001, 95% CI [1.76%, 5.76%]), adjusting for patient-level demographic, clinical, and attitudinal characteristics.
  
  
  CONCLUSIONS
  Poorer patient ratings of provider communication are associated with lower trust toward the medical profession among adults with sickle cell disease. Future research should examine the impact of low trust in the medical profession on clinical outcomes in this population of patients.
authors.affiliation: Division of Hematology, The Johns Hopkins University School of Medicine, The Johns Hopkins Berman Institute of Bioethics, Baltimore, MD 21205, USA. chaywood@jhsph.edu
authors.forename: Carlton
authors.initials: C
authors.lastname: Haywood
authors.forename: Sophie
authors.initials: S
authors.lastname: Lanzkron
authors.forename: Neda
authors.initials: N
authors.lastname: Ratanawongsa
authors.forename: Shawn M
authors.initials: SM
authors.lastname: Bediako
authors.forename: Lakshmi
authors.initials: L
authors.lastname: Lattimer
authors.forename: Neil R
authors.initials: NR
authors.lastname: Powe
authors.forename: Mary Catherine
authors.initials: MC
authors.lastname: Beach
mesh_terms: D000328:Adult; D000755:Anemia, Sickle Cell / Q000523:psychology*; D001294:Attitude to Health; D003142:Communication; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011787:Quality of Health Care; D035502:Trust; D055815:Young Adult