title: Improving Self-Management Skills Through Patient-Centered Communication.
abstract: OBJECTIVE
  We tested relationships between patient-centered communication (PCC), relatedness to health care providers, and autonomy around health care management among youth with and without mobility limitations (MLs) and examined whether the relationship between PCC and autonomy was mediated by how connected youth feel to their health care providers.
  
  
  METHODS
  Stratified multiple regression models were used to examine predicted associations for youth with and without MLs.
  
  
  RESULTS
  PCC was significantly associated with relatedness to health care providers and autonomy for managing health care among youth with and without MLs. After controlling for covariates, evidence of mediation was observed among youth without MLs but not for youth with MLs.
  
  
  CONCLUSIONS
  For youth without MLs, mediation suggests that youth's connection to their health care provider contributes to higher levels of health-related autonomy. For youth with MLs, independent of feeling connected to health care providers, more frequent PCC resulted in higher levels of health-related autonomy.
authors.affiliation: Department of Pediatrics, Quillen College of Medicine, East Tennessee State University, Johnson City, TN. Electronic address: johnsonkr3@etsu.edu.
authors.forename: Kiana R
authors.initials: KR
authors.lastname: Johnson
authors.affiliation: School of Nursing, University of Minnesota, Minneapolis, Minnesota.
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: McMorris
authors.affiliation: Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, Minnesota.
authors.forename: Sarah
authors.initials: S
authors.lastname: MapelLentz
authors.affiliation: Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, Minnesota.
authors.forename: Peter
authors.initials: P
authors.lastname: Scal
mesh_terms: D000293:Adolescent; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D018802:Patient-Centered Care; D010817:Physician-Patient Relations; D058996:Quality Improvement; D012044:Regression Analysis; D012648:Self Care / Q000592:standards*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Autonomy; Connectedness; Mobility limitation; Patient-centered communication; Self-management; Transition