title: Perceived control over health, communication and patient-physician trust.
abstract: OBJECTIVE
  Patient-physician trust is linked to higher medication adherence. To date, the relationship between trust and perceived control over health, a strong driver of patient health behavior, has not been tested. This study tested the contribution of patient perceived control over health to the explained variance in patient-physician trust, beyond the contribution of known antecedent. This study also tested the moderation effect of perceived control over health on the relationship between participative communication and patient-physician trust.
  
  
  METHODS
  This cross sectional study is based on a representative sample of 820 Israeli respondents with identical healthcare plans. Measures were used in previous studies and hold good psychometric properties.
  
  
  RESULTS
  Structural equation modeling supported study hypotheses. Patient perceived control over health uniquely contributed eight percent to the explained variance of trust. When perceived control over health was high and perceived communication was participative, trust was higher.
  
  
  CONCLUSIONS
  Communication with patients is to focus on the enhancement of patient perceived control over health.
  
  
  CONCLUSIONS
  Training programs should aim at creating awareness among physicians to the importance of perceived control over health and to their ability to enhance it. Training programs should also facilitate the adoption and implementation of participative communication skills.
authors.affiliation: School of Behavioral Studies, College of Management Academic Studies, 7 Rabin Boulevard, Rishon LeZion 91750, Israel. Electronic address: gillie.gabay@gmail.com.
authors.forename: Gillie
authors.initials: G
authors.lastname: Gabay
keywords: Adherence; Health promotion; Internal locus of control; Participative communication; Perception of control over health; Physicians; Trust