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Updated: Jan 13, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
The association between perceived improved coping ability and the doctor-patient relationship among patients
Renjie Lu1,2, Jing Zhou3, Jiaying Ge3
1The Affiliated Changzhou Hospital of Xuzhou Medical University, Changzhou Third People's Hospital, Changzhou, Jiangsu, China.
Objective:
Considering an increasing number of patients bring online health knowledge, as a key form of digital health, to discuss with their doctors, this study aims to construct a model to examine the relationship among perceived improved coping ability (PICA, reflecting patients' self-efficacy) and physician-patient concordance (PPC), negative and positive doctor-patient trust, as well as doctor-patient relationship (DPR) in the context of diverse online information sources.
Methods:
This cross-sectional survey was conducted online. Participants were recruited through convenience sampling among netizens across China. Through a convenience sampling method, an online survey was conducted among netizens in China. A total of 286 and 1041 valid questionnaires were distributed from May 6, 2022, to May 8, 2022 and February 27 to March 6, 2025, respectively. SPSS 26.0 was used for data analysis, while Smart PLS 4.0 was employed for both model building and testing.
Results:
Compared with individuals utilizing content-sharing and short video platforms, all hypotheses were only supported in individuals utilizing social interaction platforms. PICA was positively correlated with PPC (β = .330; P < .001) and positive doctor-patient trust (PDPT) (β=.204; P = .030). Additionally, PPC was correlated with doctor-patient trust. PDPT significantly enhanced the DPR (β = .497, P < .001), while NDPT significantly undermined it (β = -.373, P < .001). PPC played a partial mediating role between PICA and doctor-patient trust. Doctor-patient trust played a mediating role between PICA and DPR. PPC and doctor-patient trust have a serial mediation effect between PICA and DPR.
Conclusion:
All proposed hypotheses were confirmed only among individuals who primarily used social interaction platforms (such as WeChat, QQ, and Weibo) for health knowledge. The strict review mechanisms of these social media platforms may be crucial in ensuring the quality of health information.
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