Patient trust in physicians matters—Understanding the role of a mobile patient education system and patient-physician communication in improving patient adherence behavior: Field study

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dc.contributor.authorWu, Dezhien
dc.contributor.authorLowry, Paul Benjaminen
dc.contributor.authorZhang, Dongsongen
dc.contributor.authorTao, Youyouen
dc.date.accessioned2023-04-10T14:45:16Zen
dc.date.available2023-04-10T14:45:16Zen
dc.date.issued2022-12-31en
dc.date.updated2023-04-09T19:07:33Zen
dc.description.abstractBackground: The ultimate goal of any prescribed medical therapy is to achieve desired outcomes of patient care. However, patient nonadherence has long been a major problem detrimental to patient health, and thus is a concern for all health care providers. Moreover, nonadherence is extremely costly for global medical systems because of unnecessary complications and expenses. Traditional patient education programs often serve as an intervention tool to increase patients’ self-care awareness, disease knowledge, and motivation to change patient behaviors for better adherence. Patient trust in physicians, patient-physician relationships, and quality of communication have also been identified as critical factors influencing patient adherence. However, little is known about how mobile patient education technologies help foster patient adherence. Objective: This study aimed to empirically investigate whether and how a mobile patient education system (MPES) juxtaposed with patient trust can increase patient adherence to prescribed medical therapies. Methods: This study was conducted based on a field survey of 125 patients in multiple states in the United States who have used an innovative mobile health care system for their health care education and information seeking. Partial least squares techniques were used to analyze the collected data. Results: The results revealed that patient-physician communication and the use of an MPES significantly increase patients’ trust in their physicians. Furthermore, patient trust has a prominent effect on patient attitude toward treatment adherence, which in turn influences patients’ behavioral intention and actual adherence behavior. Based on the theory of planned behavior, the results also indicated that behavioral intention, response efficacy, and self-efficacy positively influenced patients’ actual treatment adherence behavior, whereas descriptive norms and subjective norms do not play a role in this process. Conclusions: Our study is one of the first that examines the relationship between patients who actively use an MPES and their trust in their physicians. This study contributes to this context by enriching the trust literature, addressing the call to identify key patient-centered technology determinants of trust, advancing the understanding of patient adherence mechanisms, adding a new explanation of the influence of education mechanisms delivered via mobile devices on patient adherence, and confirming that the theory of planned behavior holds in this patient adherence context.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.2196/42941en
dc.identifier.eissn1438-8871en
dc.identifier.issn1438-8871en
dc.identifier.issue14en
dc.identifier.orcidLowry, Paul [0000-0002-0187-5808]en
dc.identifier.otherv24i12e42941 (PII)en
dc.identifier.pmid36538351en
dc.identifier.urihttp://hdl.handle.net/10919/114450en
dc.identifier.volume24en
dc.language.isoenen
dc.publisherJMIR Publicationsen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/36538351en
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectMobile healthen
dc.subjectmHealthen
dc.subjectTrusten
dc.subjectPatient adherenceen
dc.subjectMobile patient education systemen
dc.subjectPatient-physician communicationen
dc.subjectMPESen
dc.subjectTPBen
dc.subjectmobile phoneen
dc.subjectpatient-centered careen
dc.subjecttheory of planned behavioren
dc.subject.meshHumansen
dc.subject.meshCommunicationen
dc.subject.meshPatient Complianceen
dc.subject.meshPhysician-Patient Relationsen
dc.subject.meshTrusten
dc.subject.meshPhysiciansen
dc.subject.meshUnited Statesen
dc.subject.meshPatient Education as Topicen
dc.titlePatient trust in physicians matters—Understanding the role of a mobile patient education system and patient-physician communication in improving patient adherence behavior: Field studyen
dc.title.serialJournal of Medical Internet Researchen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dcterms.dateAccepted2022-11-29en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Pamplin College of Businessen
pubs.organisational-group/Virginia Tech/Pamplin College of Business/Business Information Technologyen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Pamplin College of Business/PCOB T&R Facultyen

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