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March/April 2011 Annals of Family Medicine tip sheet
Date:3/14/2011

espectively. The authors assert that the lack of progress for physical activity counseling and arthritis education is discouraging because self-management skills, including regular physical activity, are essential to reducing arthritis pain and disability and improving quality of life. They call for additional research to fully understand the obstacles and barriers faced by primary care physicians in meeting these two objectives.

Healthy People 2010 Arthritis Management Objectives: Monitoring Education and Clinician Counseling for Weight Loss and Exercise
By Barbara T. Do, M.S.P.H., et al
Centers for Disease Control and Prevention, Atlanta, Ga.


First Measure of Physician Trust in the Patient

Although several measures of patient trust in the physician have been previously published, this study details the development and validation of the first measure of physician trust in the patient. Developed as part of a community-based study of prescription opioid use for chronic pain in HIV-infected patients, the final 12-item scale demonstrated high internal consistency, a distinct 2-factor pattern, and both convergent and discriminant validity. The final measure, which is consistent with the limited published qualitative work on physician trust of patients, includes items asking about expectations that patients will behave in ways that fulfill their roles in providing accurate and complete histories, asking questions, following a treatment plan, and following up. It also includes respecting the physician's boundaries, and not manipulating the relationship for personal gain. The authors assert that the new measure will provide a better understanding of the relationship between mutual trust and processes and outcomes of care leading to improvements in quality care and both patient and physician satisfaction.

Physician Trust in the Patient: Development and Validation of a New Measure
By David H. Thom, M.D., Ph.D., et al <
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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