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Patient-centered communication, trust, uncertainty, and informational support: Testing the communication pathways
Grace M Hildenbrand1, Anya Hommadova-Lu2, Peggy Taylor3
1Leadership Studies, Louisiana State University Shreveport Shreveport, LA, USA.
Patient Education and Counseling
|April 14, 2026
Summary
Patient-centered communication (PCC) builds trust, enhancing informational support for pregnant patients. However, pregnancy-related uncertainty can alter these communication dynamics, impacting patient care.
Area of Science:
- Communication in Healthcare
- Patient-Provider Relationships
- Prenatal Care Outcomes
Background:
- Patient-centered communication (PCC) is linked to positive patient outcomes, including trust and social support.
- Uncertainty, particularly during pregnancy, may influence the effectiveness of PCC.
- Understanding these dynamics is crucial for optimizing prenatal care communication.
Purpose of the Study:
- To examine if trust mediates the link between PCC and informational support among pregnant patients.
- To investigate if uncertainty moderates the relationships between PCC, trust, and informational support.
- To apply the pathways from communication to outcomes model in the context of prenatal OB/GYN visits.
Main Methods:
- Cross-sectional, correlational study design.
- Online survey administered to 549 pregnant women in the U.S.
- Analysis using a moderated mediation model to assess communication pathways.
Main Results:
- Patient-centered communication positively correlated with patient trust.
- Trust significantly mediated the PCC-informational support relationship, especially at lower uncertainty levels.
- Pregnancy-related uncertainty moderated all examined relationships, influencing the strength of communication effects.
Conclusions:
- Trust acts as a mediator between patient-centered communication and informational support.
- Pregnancy-related uncertainty is a significant moderator, affecting the strength of communication-outcome associations.
- Healthcare providers should consider patient uncertainty when implementing PCC strategies in prenatal care.
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