Explicating patient appraisals of chronic pain self-management advice in patient–provider consultations

Chronic pain affects over 50 million American adults and has substantial negative impacts on their health and well-being (Dahlhamer et al., 2018). Patients often rely on advice from health care providers to successfully self-manage their chronic pain (Institute of Medicine, 2011). However, patient–provider communication and relationships are often challenging in the context of chronic pain management (Thompson & Pulido, 2022), and how providers’ communication impacts patients’ evaluation and implementation of self-management advice has not been theoretically explicated and empirically tested. This dissertation synthesizes advice response theory (MacGeorge, Guntzviller, et al., 2016) and the integrated model of medical advising (Feng et al., 2011) with appraisal theories of emotions and coping (Lazarus, 1991; Tracy & Robins, 2007b) and psychological research on advice-taking (de Hooge et al., 2014; Gino & Schweitzer, 2008) to understand how patients’ trait affect, cognitive appraisals, and emotional responses to advice relate to satisfaction with health care and intentions to implement self-management advice. Results from a cross-sectional survey of 208 American adults with chronic pain indicate (a) patients’ trust in their health care providers is associated with positive evaluations of advice, (b) patients’ emotional responses to advice are associated with more or less satisfaction with health care, and (c) patients’ receptiveness to advice and beliefs that they are capable of performing the advised self-management strategy are associated with intentions to adhere to the advice. Implications for advancing theories of advice message processing and improving chronic pain management practices are discussed.

Name thesis:degree_name

Ph.D.

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Communication

Grantor

University of Illinois at Urbana-Champaign

Year dc:date

2022

Author dc:creator

• Pulido, Manny D

Contributors dc:contributor

• Guntzviller, Lisa
• Knobloch, Leanne
• Thompson, Charee
• Quick, Brian

• chronic pain
• patient–provider communication
• advice
• cognitive appraisal
• emotion

Statement dc:rights

• Copyright 2022 Manny Pulido

Language dc:language

en, eng

Handle dc:identifier

https://hdl.handle.net/2142/116190

OAI record oai:identifier

https://www.ideals.illinois.edu/oai-pmh?verb=GetRecord&metadataPrefix=etdms&identifier=oai%3Awww.ideals.illinois.edu%3A2142%2F116190