title: Factors associated with healthcare-related frustrations among adults with chronic conditions.
abstract: Healthcare-related frustrations (HRFs) are common occurrences in patient-provider interactions. Little is known about HRFs experienced by individuals with chronic conditions. The purposes of this study were to: 1) identify the frequency of six HRFs among adults with chronic conditions; 2) assess factors associated with these HRFs; and 3) examine factors associated with multiple HRFs.
  
  
  
  Data were analyzed from 589 middle-aged and older adults with 1+ chronic conditions. A series of logistic regression models were fitted to identify factors associated with each frustration, and an ordinal regression model was fitted to identify factors associated with increasing frustrations.
  
  
  
  Participants reported at least two of the six HRFs. The most commonly reported HRFs included feeling tired of describing the same condition (46%) and wishing their doctor had more time to speak with them during visits (44%). Having functional limitations (Beta=0.58, P=0.004), reporting more self-care barriers (Beta=0.41, P<0.001), visiting a physician more frequently (P<0.05), and having less support (Beta=-0.64, P=0.013) were associated with increasing HRFs.
  
  
  
  Reducing HRFs may improve patient-provider interactions, chronic disease management, and patients' overall quality of life.
  
  
  
  Care coordination, communication and cultural competency training, and a review of materials may help address these frustrations.
authors.affiliation: College of Public Health, The University of Georgia, #101 Hudson Hall, Health Sciences Campus, Athens, GA 30602, USA; School of Public Health, Texas A&M University, College Station, TX, USA. Electronic address: health@uga.edu.
authors.forename: Matthew Lee
authors.initials: ML
authors.lastname: Smith
authors.affiliation: Bexar County Community Health Collaborative, San Antonio, TX, USA.
authors.forename: Caroline D
authors.initials: CD
authors.lastname: Bergeron
authors.affiliation: Rollins School of Public Health, Emory University, Atlanta, GA, USA.
authors.forename: Colin H
authors.initials: CH
authors.lastname: Adler
authors.affiliation: College of Public Health, The University of Georgia, #101 Hudson Hall, Health Sciences Campus, Athens, GA 30602, USA.
authors.forename: Aakash
authors.initials: A
authors.lastname: Patel
authors.affiliation: School of Public Health, The University of Memphis, Memphis, TN, USA; School of Public Health, Texas A&M University, College Station, TX, USA.
authors.forename: SangNam
authors.initials: S
authors.lastname: Ahn
authors.affiliation: School of Public Health, Texas A&M University, College Station, TX, USA.
authors.forename: Samuel D
authors.initials: SD
authors.lastname: Towne
authors.affiliation: College of Public Health, The University of Georgia, #101 Hudson Hall, Health Sciences Campus, Athens, GA 30602, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Bien
authors.affiliation: School of Public Health, Texas A&M University, College Station, TX, USA.
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Ory
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy*; D003142:Communication; D005260:Female; D005639:Frustration; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012648:Self Care; D014186:Transportation
keywords: Chronic disease; Frustration; Healthcare