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• W2891634212 abstract "<h3>Background:</h3> While increasing evidence supports the beneficial effects of shared decision making (SDM) on patient outcomes, the mechanisms underlying this relationship is unclear. This study evaluated length of the patient-provider relationship as one potential factor that may explain how SDM affects medication adherence in patients with hypertension. <h3>Methods:</h3> An observational study of 75 hypertensive patients and 27 providers in 3 primary care practices in New York City. A single-item measure assessed patients9 preferences for decision-making style at baseline; medication adherence was collected over the 3-month study with an electronic monitoring device. Length of the relationship was measured as the number of years with the provider, and dichotomized as less than or greater than 1 year with the provider. Two generalized linear mixed models were conducted to determine whether the SDM-adherence association was modified by length of the relationship. <h3>Results:</h3> Most patients were Black and women, and 64% were seeing the same provider >1 year. Providers were mostly White women and have been at the clinic for 6 years. In the main-effects model, patients were more likely to exhibit better adherence when they preferred shared and active decision-making styles as compared with those who preferred a passive style (<i>B</i> = 15.87 [Standard Error [SE]: 6.62], <i>P</i> = .02; and <i>B</i> = 22.58 [SE:7.62], <i>P</i> = .004, respectively). In Model 2, the relative importance of SDM on adherence decreased as years with the provider increased (t₍₄₈₎ = 2.13; <i>P</i> = .04). <h3>Conclusion:</h3> The benefits of SDM over passive decision making on medication adherence were reduced with increasing years of the patient-provider relationship. Having an established relationship with the provider may have a positive impact on medication adherence that is comparable to relationships high in SDM." @default.
• W2891634212 created "2018-09-27" @default.
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• W2891634212 date "2018-09-01" @default.
• W2891634212 modified "2023-10-12" @default.
• W2891634212 title "Medication Adherence Improvement Similar for Shared Decision-Making Preference or Longer Patient-Provider Relationship" @default.
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• W2891634212 doi "https://doi.org/10.3122/jabfm.2018.05.180009" @default.
• W2891634212 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30201671" @default.
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