Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/33141
Title: A conceptual model of patient-professional communication asaself-management skill: A latent growth change modeling
Authors: Chan, SCC
Chan, CCH 
Siu, AMH 
Poon, PKK
Keywords: ASE model
Chronic disease
Health communication
Self-management
Transtheoretical model
Issue Date: 2015
Publisher: Elsevier Inc.
Source: Disability and health journal, 2015 How to cite?
Journal: Disability and Health Journal 
Abstract: Background: Patient Communication with healthcare professionals is an integral self-management skill. Yet the underlying mechanisms explaining how such communication might be enhanced across time have not been well studied. Objectives: Based on the transtheoretical model, the study aimed to develop an across-time Attitude-Social Influence-Efficacy model in order to explain changes in participants' patient-professional communication behaviors in the Chronic Disease Self-management Program (CDSMP). Readiness-to-change construct was hypothesized to be the overall predictors of psychological and behavioral parameters. It was hypothesized that social norm and attitude toward behaviors would be the indirect predictors of communication behavior. Methods: One hundred and thirty-six Chinese participants with chronic diseases underwent a 6-week CDSMP. Their attitude toward behavior, self-efficacy, social norm, readiness to change and communication behavior were obtained at 1st, 4th and 6th week of the structured program. Results: A modified latent growth change curve model yielded satisfactory model fit (χ 2/df=1.32; RMSEA=0.063 (90% CI=0.018-0.96)). The results showed that readiness to change had a positive influence on attitude and self-efficacy. Both attitude and social norm positively affected self-efficacy. Attitude and self-efficacy in turn positively influenced communication behavior at the beginning of the program. Across 6 weeks, self-efficacy imposed a negative influence on communication behavior while social norm exerted a positive influence on the behavior. Conclusion: This study revealed possible underlying mechanisms influencing CDSMP participants' communication with professionals. The results could shed light on further improvement of the structured program.
URI: http://hdl.handle.net/10397/33141
ISSN: 1936-6574
DOI: 10.1016/j.dhjo.2015.05.008
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