title: Satisfaction with pain treatment in older cancer patients: Identifying variants of discrimination, trust, communication, and self-efficacy.
abstract: How satisfied a patient is with their medical treatment may influence compliance and adherence to medical regimens. While a number of studies have examined patient satisfaction among younger populations, few have determined the impact social factors have on satisfaction with pain treatment among older adults. This study aimed to determine the influence discrimination, trust, communication, and other health characteristics have on satisfaction with pain treatment among older adults receiving outpatient services from a comprehensive cancer center. Participants were surveyed on questions assessing pain symptomatology, and identified social (discrimination, trust, and communication), physical (comorbidities, pain interference), behavioral (self-efficacy), and demographic characteristics. Analyses were calculated to determine the total and indirect effects of trust, communication, and self-efficacy as mediators on the perceived discrimination-patient satisfaction with pain treatment relationship. Data showed a significant relationship of communication and discrimination on patient satisfaction. However, none of the mediating effects were significant. It must be recognized that patient satisfaction is contingent upon a myriad of social factors that are not exclusive, but rather coexisting determinants of health. Particularly among the elderly, perceived discrimination and incidences of poor communication may be significant influences on health and the lived day-to-day experiences of this adult population.
authors.affiliation: University of South Florida, School of Aging Studies, Tampa, FL.
authors.forename: Tamara A
authors.initials: TA
authors.lastname: Baker
authors.affiliation: North Dakota State University, Department of Human Development and Family Science, Fargo, ND.
authors.forename: Melissa L
authors.initials: ML
authors.lastname: O'Connor
authors.affiliation: University of South Florida, School of Aging Studies, Tampa, FL.
authors.forename: Rosalyn
authors.initials: R
authors.lastname: Roker
authors.affiliation: The Ohio State University, Comprehensive Cancer Center, Columbus, OH.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Krok
keywords: communication; discrimination; older adults; pain; satisfaction with pain treatment; self-efficacy; trust