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Med."],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Given that the widely acknowledged influence of the doctor-patient relationship on objective health parameters and treatment adherence in chronic illnesses, this study sought to explore how patients perceived the patient-doctor relationship across virtual and in-person contexts.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Parents\u2019 and patients\u2019 perceptions of doctor-patient relationship were evaluated in 610 children and adolescents (12.17\u2009\u00b1\u20094.19\u00a0years, 50.9% girls) with type 1 diabetes who visited via video-conferencing or in person during the COVID-19 pandemic.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>No differences were found between video consultations and in-person visits in terms of care satisfaction (<jats:italic>p<\/jats:italic>\u2009&gt;\u2009.05), doctor-patient relationship\u2014for the dimensions agreement on tasks (<jats:italic>p<\/jats:italic>\u2009=\u2009.506) and bond (<jats:italic>p<\/jats:italic>\u2009=\u2009.828)\u2014as perceived by parents and physician empathy as perceived by patients (<jats:italic>p<\/jats:italic>\u2009=\u2009.096). Parents rated patient-doctor agreement on explicit goals of treatment higher in video consultation than in person (<jats:italic>p<\/jats:italic>\u2009=\u2009.009, <jats:italic>d<\/jats:italic>\u2009=\u2009.211). Agreement on goals (\u03b2\u2009=\u2009\u2009\u2212\u2009.180, <jats:italic>p<\/jats:italic>\u2009=\u2009.016) and bond with doctor (\u03b2\u2009=\u2009\u2009\u2212\u2009.160, <jats:italic>p<\/jats:italic>\u2009=\u2009.034) were negatively and significantly associated with HbA1c values, but only in participants who visited in person.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Parents\u2019 care satisfaction and perceptions of doctor-patient relationship, along with patients\u2019 perceptions of physician empathy, did not substantially differ between visits carried out in person or via video consultations. Given the high risk of psychological problems described in young people with diabetes, video consultation can be considered a useful opportunity to maintain access to a healthcare provider in a challenging time, such as the COVID-19 pandemic.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s12529-021-10047-5","type":"journal-article","created":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T16:54:21Z","timestamp":1643129661000},"page":"638-647","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Doctor-Patient Relationship in Synchronous\/Real-time Video-Consultations and In-Person Visits: An Investigation of the Perceptions of Young People with Type 1 Diabetes and Their Parents During the COVID-19 Pandemic"],"prefix":"10.1007","volume":"29","author":[{"given":"Alda","family":"Troncone","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Crescenzo","family":"Cascella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonietta","family":"Chianese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Zanfardino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Casaburo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessia","family":"Piscopo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco Maria","family":"Rosanio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"di Candia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Franzese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dario","family":"Iafusco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enza","family":"Mozzillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,1,25]]},"reference":[{"key":"10047_CR1","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/j.jpeds.2020.05.004","volume":"223","author":"V Cherubini","year":"2020","unstructured":"Cherubini V, Gohil A, Addala A, et al. 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