%0 Journal Article
%T Patient-Centered Communication Interventions in Healthcare: Evidence on Trust, Shared Decision-Making, and Therapeutic Relationships
%A Elena Petrova
%A Ivan Georgiev
%A Nikolay Stoyanov
%A Petar Kolev
%J International Journal of Social and Psychological Aspects of Healthcare
%@ 3108-4818
%D 2026
%V 6
%N 2
%R 10.51847/0YFbCXsp8u
%P 206-219
%X To examine how patient-centered communication interventions influence communication behavior, patient participation, shared decision-making (SDM), trust, therapeutic relationships, satisfaction, and downstream psychosocial, behavioral, and clinical outcomes while preserving distinctions among these endpoints. Peer-reviewed literature published from 2017 through 2026 was organized according to intervention target, relational level, communication mechanism, measurement approach, contextual modifier, and inferential strength. Clinician-focused, patient-focused, and dyadic interventions were synthesized separately before examining cross-cutting outcomes. Because the retained public search interfaces did not permit recovery of complete export-level retrieval and deduplication histories, numerical PRISMA counts were not reconstructed. Communication interventions can modify clinician skills, observable interaction, question-asking, agenda setting, preference elicitation, and perceived SDM. Effects on trust, therapeutic relationship, satisfaction, self-management, quality of life, and healthcare utilization are less uniform. Patient preferences, baseline mistrust, health literacy, communication accessibility, disease context, care-partner involvement, digital mediation, and organizational opportunity can alter intervention uptake and interpretation. Patient-centered communication interventions should be evaluated as multilevel relational interventions rather than as a homogeneous intervention class with a single outcome. Communication behavior, participation, SDM, trust, therapeutic relationship, experience, and distal outcomes require separate measurement and appropriately bounded interpretation.
%U https://smerpub.com/article/patient-centered-communication-interventions-in-healthcare-evidence-on-trust-shared-decision-makin-dw6w6ftrgohzqx0