title: Patients' need for information provision and perceived participation in decision making in doctor-patient consultation: Micro-cultural differences between French- and Italian-speaking Switzerland.
abstract: OBJECTIVE
  To explore micro-cultural differences in patients' need for information provision, perceived participation in decision making, and related concepts during the doctor-patient consultation between French- and Italian-speaking patients in Switzerland.
  
  
  METHODS
  In 2012, 153 French- and 120 Italian-speaking patients with chronic low back pain (cLBP) were surveyed on their need for information provision, perceived participation in decision making, cLBP knowledge, psychological empowerment, and trust in their doctor. T-tests and regression analyses with interaction terms were performed.
  
  
  RESULTS
  Results show that French- and Italian-speaking patients significantly differed in their participation in decision making, with French-speaking patients reporting higher involvement. Need for information provision was related to empowerment among French- and to trust among Italian-speaking patients. For participation in decision making, trust was the only related concept among French-, and cLBP knowledge among Italian-speaking patients. Significant interaction terms indicate a moderation of micro-cultural background.
  
  
  CONCLUSIONS
  Findings point towards differences in the relationships between individual patient characteristics (i.e. knowledge, empowerment) and relational doctor-patient characteristics (i.e. trust) and patients' need for information provision and participation in decision making between French- and Italian-speaking patients in Switzerland.
  
  
  CONCLUSIONS
  Doctors should be aware of these differences when dealing with patients of different micro-cultural backgrounds.
authors.affiliation: Department of Communication Sciences, Università della Svizzera italiana, Lugano, Switzerland. Electronic address: anne.linda.camerini@usi.ch.
authors.forename: Anne-Linda
authors.initials: AL
authors.lastname: Camerini
authors.affiliation: Department of Communication Sciences, Università della Svizzera italiana, Lugano, Switzerland.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Schulz
mesh_terms: D003469:Culture; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007802:Language; D017116:Low Back Pain; D008297:Male; D010358:Patient Participation / Q000523:psychology*; D010465:Perception; D010817:Physician-Patient Relations; D011209:Power, Psychological; D011795:Surveys and Questionnaires; D013557:Switzerland; D035502:Trust
keywords: Chronic low back pain; Doctor-patient consultation; Empowerment; French; Italian; Knowledge; Micro-culture; Participation in decision making; Patient information provision; Switzerland; Trust