Journal article
"It Made Me Not Want to See him...": The Role of Patient-Provider Communication in Influencing Rural-Dwelling Women Veterans' Motivation to Seek Health Care for Managing Chronic Pain
Health communication, Vol.39(6), pp.1161-1174
05/11/2024
DOI: 10.1080/10410236.2023.2207280
PMID: 37161286
Abstract
Despite being high health care utilizers, many women Veterans perceive their pain condition to be poorly understood by their providers, which can be a strong demotivator for seeking care. We set out to understand the priorities rural-dwelling women Veterans have for using health care for their chronic pain, and interviewed participants about their experiences with (and priorities for seeking) health care for their chronic pain. Self-Determination Theory identifies three sources of motivation (autonomy, competence, relatedness), all of which were represented through two themes that reflect rural women Veterans' rationale for decision-making to obtain health care for chronic pain: role of trust and competing priorities. Women described their priorities for chronic pain management in terms of their competing priorities for work, education, and supporting their family, but most expressed a desire to function in their daily life and relationships. Second, women discussed the role of trust in their provider as a source of motivation, and the role of patient-provider communication skills and gender played in establishing trust. Rural women Veterans often discussed core values that stemmed from facets of their identity (e.g. gender, military training, ethnicity) that also influenced their decision-making. Our findings provide insight for how providers may use Motivational Interviewing and discuss chronic pain treatment options so that rural-dwelling women Veterans feel autonomous, competent, and understood in their decision-making about their chronic pain. We also discuss importance of acknowledging the effects of disenfranchising talk and perpetuating gendered stereotypes related to chronic pain and theoretical implications of this work.
Details
- Title: Subtitle
- "It Made Me Not Want to See him...": The Role of Patient-Provider Communication in Influencing Rural-Dwelling Women Veterans' Motivation to Seek Health Care for Managing Chronic Pain
- Creators
- Nicole L. Johnson - Iowa City VA Health Care SystemKenda Stewart Steffensmeier - Iowa City VA Health Care SystemLauren A. Garvin - University of IowaJenna L. Adamowicz - University of IowaAshlie A. Obrecht - Veteran Affairs Central Iowa Health Care SystemShamira J. Rothmiller - Iowa City VA Health Care SystemZita Sibenaller - University of IowaLori Stout - University of IowaMary A. Driscoll - VA Connecticut Healthcare SystemKatherine Hadlandsmyth - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Health communication, Vol.39(6), pp.1161-1174
- Publisher
- Routledge
- DOI
- 10.1080/10410236.2023.2207280
- PMID
- 37161286
- ISSN
- 1041-0236
- eISSN
- 1532-7027
- Grant note
- name: US Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health, Veterans Rural Health Resource Center- Iowa City, award: 03609; name: US Department of Veterans Affairs Health Services Research and Development (HSR&D) Service through the Center for Access and Delivery Research and Evaluation (CADRE) Center, award: CIN 13-412
- Language
- English
- Electronic publication date
- 05/10/2023
- Date published
- 05/11/2024
- Academic Unit
- Psychiatry; Psychological and Brain Sciences; Anesthesia; Internal Medicine
- Record Identifier
- 9984406149502771
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