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All responses should be a minimum of 300 words, scholarly written, APA formatted. A minimum of 2 references are required.
Provider-Patient Communication and Treatment Adherence
Evidence-based practice surrounding therapeutic patient-provider communication has been suggested to strengthen the patient-provider relationship and improve patient adherence to treatment resulting in better health outcomes (Drossman et al., 2021). However, even with this knowledge many researchers have suggested healthcare providers who lack therapeutic communication skills fail to create therapeutic alliance with their clients (Judson, 2020). In turn many provider- patient relationships continue to experience poor patient nonadherence to treatment leading to increased hospitalizations and further deterioration of health (Young et al., 2017). In mental health, particularly adolescent mental health Major depressive disorder is the most commonly diagnosed mental health problem globally (Wilson & Dumornay, 2022).
Furthermore, the rate of adolescent depression has increased from 8.1% in 2009 to 15.8% in 2019 (Wilson & Dumornay, 2017). According to Leung et al. (2020) provider initiated therapeutic communication promoted healthy engagement between the provider and the adolescent being treated. In addition, adolescents appeared to be more forthcoming with concerns of treatment, practiced honesty, and were more open to adhere to treatment (Leung et al., 2020). Interestingly, the authors discussed reports of providers stating they were not comfortable talking to adolescents, reporting less experience with developing rapport with younger populations (Leung et al., 2020). Applying the Population, Intervention, Comparison, Outcome, Time (PICOT) format my project’s questions is how provider therapeutic communication skills impact the compliance of treatment in adolescents diagnosed with Major depressive disorder.
The population in the project are adolescents diagnosed with Major depressive disorder. Secondly, intervention would be provider therapeutic communication strategies. Third, comparison is provider communication strategy with outcome as adherence to treatment and improvement of health outcome. Lastly, the time frame would be within 6 weeks. The four variables identified within the question are provider communication skills, therapeutic communication, patient adherence to treatment, adolescents diagnosed with depression. Providers who applied therapeutic communication strategies when interacting with adolescents diagnosed with mental health disorders noticed adherence to treatment, honestly regarding concerns surrounding treatment and overall improvement in patient health via assessment tools and patient interviews (Leung et al., 2020).
References:
Drossman, D. A., Chang, L., Deutsch, J. K., Ford, A. C., Halpert, A., Kroenke, K., Nurko, S., Ruddy, J., Snyder, J., Sperber, A. (2021). A review of the evidence and recommendations on communication skills and the patient-provider relationship: A rome foundation working team report. Gastroenterology 161(5) p. 1670-1688. https://doi.org/10.1053/j.gastro.2021.07.037
Judson, M. A. (2020). Causes of poor medication adherence in sarcoidosis: Poor patient-doctor communication and suboptimal drug regimens. Chest 158(1) p. 17-18. https://doi.org/10.1016/j.chest.2020.03.001
Leung, S., Walgrave, M., Barroso, J., & Mennito, S. (2020). A communication model to bridge adolescent patients, caregivers, and physicians in transitions of care. Qualitative Health Research 31(1) p. 113-121. https://doi.org/10.1177/1049732320957269
Wilson, S., & Dumornay, N. M. (2022). Rising rates of adolescent depression in the United States: Challenges and opportunities in the 2020s. Journal of Adolescent Health 70(3) p. 354-355. https://doi.org/10.1016/j.jadohealth.2021.12.003
Young, H. N., Len-Rios, M. E., Brown, R., Moreno, M. M., & Cox, E. (2017). How does patient-provider communication influence adherence to asthma medications? Patient Education and Counseling 100(4) p. 696-702. https://doi.org/10.1016/j.pec.2016.11.022

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