Article Figures & Data
Figures
- Figure 1.
Flow of Participants through Each Phase of the Randomized Trial.
- Figure 2.
Examples of Exchanges Relevant to Each Component of the MPCC.
Tables
Variable Unaccompanied (n = 13) Accompanied (n = 17) Mean (SD) Mean (SD) Age 66.1 (15.5) 68.5 (11.7) Years of education 13.6 (3.4) 14.1 (2.2) Number of children living 3.0 (1.9) 2.4 (1.1) Mini Mental Status 27.6 (1.9) 28.0 (1.9) Household income† $35.7 ($34.2) $35.7 ($29.4) General health (SF-36) 61.3 (8.2) 62.5 (9.2) Geriatric depression scale 8.7 (6.0) 9.1 (8.6) n (%) n (%) Female 12 (75) 8 (66) Living with spouse 8 (53) 6 (54) Driving a car 7 (44) 7 (47) Race‡ Caucasian 12 (75) 12 (92) African American 2 (13) 0 (0) Other 2 (13) 1 (8) * There were no significant demographic differences between groups (t tests not shown).
† Income is in thousands, $35.7 = $35,700.
‡ Due to rounding, percentage may not add up to 100%.
Variable Unaccompanied (n = 17) Accompanied (n = 13) Mean Difference P Value Mean (SD) Mean (SD) Mean (95% C.I.) Length (number of words) Companion 313.6 (256.6) Physician 1890.1 (853.4) 1940.1 (627.7) −38.1 (−594.0, 517.8) .85 Patient 1770.2 (988.9) 1478.0 (986.7) 270.3 (−441.2, 981.7) .44 Number of speech turns Companion 34.8 (27.9) Physician 158.5 (55.2) 143.4 (55.9) 15.9 (−25.18, 56.8) .45 Patient 158.1 (55.0) 141.7 (59.1) 17.2 (−24.9, 59.2) .43 Maximum length of speeches (number of words) Companion 31.5 (25.4) Physician 39.9 (31.5) 78.6 (53.1) −38.6 (−70.1, −7.2) .03* Patient 60.8 (74.7) 100.1 (75.2) −39.3 (−94.6, 16.0) .57 Mean length of speeches (number of words) Companion 7.8 (3.4) Physician 7.8 (3.4) 11.3 (4.4) −3.8 (−6.6, −0.9) .02* Patient 8.5 (5.1) 9.6 (5.0) −1.1 (−4.8, 2.7) .57 - Table 3.
Number of Issues Raised by Patients and Companions during the Visit, by MPCC* Component
Variable Unaccompanied (n = 16) Accompanied (n = 15) Mean Difference P Value Mean (SD) Mean (SD) Mean (95% C.I.) Companions Component 1 exploring disease and illness 2.7 (1.6) Component 2 whole person 0.2 (0.4†) Component 3 diagnosis and treatment 1.5 (1.0†) Patients Component 1 exploring disease and illness 6.6 (2.8) 6.2 (2.9) 0.3 (−1.8, 2.5) .75 Component 2 whole person 0.9 (1.0) 0.5 (0.8) 0.4 (−0.3, 1.1) .26 Component 3 diagnosis and treatment 3.9 (1.3) 3.2 (1.5) 0.7 (−0.3, 1.8) .16 * MPCC, Measure of Patient-Centered Communication.
† MPCC 1 > MPCC 2 (t = 5.34, P < .000) and MPCC 1 > MPCC 3 (t = 2.19, P = .055).
- Table 4.
Patient-Centeredness of Responses to the Patient in Accompanied and Unaccompanied Encounters
Accompanied Unaccompanied Adjusted Mean P Value Mean (SD) Mean (SD) Difference (95% C.I.) MPCC* Component 1 exploring disease and illness 0.59 (0.02) 0.60 (0.04) −0.01 (−0.03, 0.02) 0.43 Component 2 whole person 0.31 (0.32) 0.31 (0.32) 0.02 (−0.22, 0.27) 0.83 Component 3 diagnosis and treatment 0.66 (0.13) 0.65 (0.15) -0.01 (−0.10, 0.11) 0.91 RPAD total 6.06 (1.59) 5.92 (1.08) 0.15 (−0.97, 1.27) 0.78 Satisfaction 34.45 (5.22) 32.52 (3.72) −1.54 (−5.17, 2.08) 0.38 * MPCC, Measure of Patient-Centered Communication; RPAD, Rochester Participatory Decision-Making Scale.
Patient Companion Difference P Value Mean (SD) Mean (SD) Mean (95% CI) MPCC* Component 1 exploring disease and illness 0.59 (0.02) 0.41 (0.25) −0.21 (−0.37, −0.05) .03 Component 2 whole person 0.31 (0.32) 0.10 (0.23) −0.15 (−0.30, 0.01) .06 Component 3 diagnosis and treatment 0.66 (0.13) 0.43 (0.21) −0.28 (−0.44, −0.13) <.0001 RPAD total 6.06 (1.59) 4.70 (0.67) −1.30 (−1.98, −0.62) <.0001 * MPCC, Measure of Patient-Centered Communication; RPAD, Rochester Participatory Decision Making Scale.
