communication, discrimination, older adults, pain, satisfaction with pain treatment, self-efficacy, trust



  1. Baker, Tamara A. PhD
  2. O'Connor, Melissa L. PhD
  3. Roker, Rosalyn MA
  4. Krok, Jessica L. PhD


How satisfied a patient is with his/her medical treatment may influence compliance and adherence to medical regimens. Although a number of studies have examined patient satisfaction among younger populations, few have determined the impact that social factors have on satisfaction with pain treatment among older adults. This study aimed to determine the influence that discrimination, trust, communication, and other health characteristics have on satisfaction with pain treatment among older adults receiving outpatient services from a comprehensive cancer center. Participants were surveyed on questions assessing pain symptomatology and identified social (discrimination, trust, and communication), physical (comorbidities, pain interference), behavioral (self-efficacy), and demographic characteristics. Analyses were calculated to determine the total and indirect effects of trust, communication, and self-efficacy as mediators on the perceived relationship between discrimination and patient satisfaction with pain treatment. Data showed a significant relationship of communication and discrimination with patient satisfaction. However, none of the mediating effects were significant. It must be recognized that patient satisfaction is contingent upon a myriad of social factors that are not exclusive but rather coexisting determinants of health. Particularly among the elderly population, perceived discrimination and incidences of poor communication may be significant influences on health and the lived day-to-day experiences of this adult population.