title: Health literacy and interpersonal interactions as predictors of maternal perception of ambulatory care for low-income, Latino children.
abstract: OBJECTIVE
  This study explores whether maternal HL (MHL) and maternal perception of health care provider (HCP) interpersonal interactions predict maternal perception of quality of pediatric ambulatory care received.
  
  
  METHODS
  This cross-sectional study included 124 low-income Latina mothers of children 3 months to 4 years. Maternal HL, perception of maternal-HCP interpersonal interactions, and perception of pediatric ambulatory care were measured using well-validated surveys.
  
  
  RESULTS
  In adjusted hierarchical regression models, HCP fail to speak clearly (β=-.225, 95% CI -13.998, -1.960, p=.01) and explain results (β=.344, 95% CI 3.480, 13.010, p=.001) predicted perception of quality of developmental guidance received. Explaining results (β=.422, 95% CI 5.700, 14.089, p=<.001), working out treatment together (β=.441, 95% CI 6.657, 13.624, p<.001) and MHL (β=-.301, 95% CI -7.161, -2.263, p<.001) predicted perception of family centeredness of care.
  
  
  CONCLUSIONS
  Speaking with clarity, explaining results fully and working with the mother to determine a child's plan of care is most predictive of whether she feels her child is receiving high quality pediatric ambulatory care services.
  
  
  CONCLUSIONS
  Interventions that target mother and provider interaction may improve perception of care.
authors: School of Nursing, Loma Linda University, Loma Linda 92350, USA. ekbowers@llu.edu
authors: Eileen K
authors: EK
authors: Fry-Bowers
authors: Sally
authors: S
authors: Maliski
authors: Mary Ann
authors: MA
authors: Lewis
authors: Aurelia
authors: A
authors: Macabasco-O'Connell
authors: Robin
authors: R
authors: Dimatteo
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000523:psychology / Q000592:standards; D002675:Child, Preschool; D003142:Communication; D003430:Cross-Sectional Studies; D005260:Female; D057220:Health Literacy; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007223:Infant; D007398:Interpersonal Relations; D008297:Male; D009035:Mothers / Q000523:psychology*; D010342:Patient Acceptance of Health Care; D010372:Pediatrics / Q000592:standards; D010817:Physician-Patient Relations