Empathy, Enablement and Health Outcome

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Empathy, Enablement and Health Outcome

• a prospective study sarah price

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Measuring effect of empathy

• On enablement
• On health outcome
• On symptoms and well-being

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Empathy

• Consultation and Relational Empathy (CARE)
  measure
• Patients perception of relational empathy
• Process measure of clinical encounter
• Validated and used already in CAM

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Empathy
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Enablement

• Patient enablement Instrument (PEI)
• Outcome measure for quality of care
• Distinct from patient satisfaction
• Themes patient centeredness and empowerment
• Widely used in general practice

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Enablement
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Health Outcome

• MYMOP
• Validated for use in general practice and
  acupuncture therapy
• Symptom 1 and 2
• Well-being
• Activity status
• within last week

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Health Outcome
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Pilot Study - Methods

• 15 acupuncturists (BAcC)
• Consecutive new patients
• Questionnaire self-complete
• Follow up questionnaire at 8 weeks
• Practitioner log

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Statistical Analysis

• SPSS
• T-tests to compare mean differences
• Chi-squared tests for proportions
• multiple regression models, using baseline values
  as covariates

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Results

• Response rate 58 (n89)
• Follow-up 79 (n41)
• 69 women (n36)
• Non-responders no difference in age and sex
  from responders

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Distribution of Age by Symptom 1
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Empathy and Enablement

• Empathy predicts enablement
• - Confirms findings of other studies
• Empathy predicts change in health outcome
• - first prospective study
• Enablement associated with change in health
  outcome

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Empathy and Activity Status

• Strong association
• with change in activity
• status (item of MYMOP)
• - 95 CI 0.05 to 0.21 (SE0.039)
• not with symptom 1 or well-being

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Discussion

• Representative ness of data
• - age and gender similar to other studies
• - 42 of potential participants did not
  respond
• - 15 practitioners 9 had gt 10 years
  experience, 6 had lt 5 years

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Discussion

• Reasons for consulting
• - similar amongst responders and non-responders
• - similar to other studies

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Discussion

• Empathy scores higher in cross sectional study of
  ongoing acupuncture patients
• Empathy scores higher in homeopathic prospective
  study
• - but enablement was not

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Discussion

• Enablement significantly improves over 8 weeks
• - suggests knowing practitioner well increases
  enablement
• Enablement scores higher in cross-sectional study
  of ongoing acupuncture patients

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Discussion symptom 1
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Discussion well-being
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Conclusion

• Results support other studies that find
  association with empathy and enablement
• Empathy predicts enablement
• Empathy predicts changes in health outcome