TY  - JOUR
T1  - Patient-Centered Communication Interventions in Healthcare: Evidence on Trust, Shared Decision-Making, and Therapeutic Relationships
A1  - Elena Petrova
A1  - Ivan Georgiev
A1  - Nikolay Stoyanov
A1  - Petar Kolev
JF  - International Journal of Social and Psychological Aspects of Healthcare
JO  - Int J Soc Psychol Asp Healthc
SN  - 3108-4818
Y1  - 2026
VL  - 6
IS  - 2
DO  - 10.51847/0YFbCXsp8u
SP  - 206
EP  - 219
N2  - 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.
UR  - https://smerpub.com/article/patient-centered-communication-interventions-in-healthcare-evidence-on-trust-shared-decision-makin-dw6w6ftrgohzqx0
ER  -