A Comprehensive Observational Coding Scheme for Analyzing Instrumental, Affective, and Relational Communication in Health Care Contexts

Siminoff, Laura A.; Step, Mary M.

doi:10.1080/10810730.2010.535109

Cited by 34 publications

(40 citation statements)

References 62 publications

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“…Proper communication skills have often been neglected in medical education in the EU as well as in the USA (12). An important feature of communication processes is the fact that they can convey messages through multiple layers of verbal and nonverbal communication, and may indirectly facilitate the analysis of healthcare (13). Our study showed far lower rate in the subscale communication compared with Jagadeesan's study who reported the mean score in ophthalmological patients in this subscale 4.46 (14).…”

Section: The Quality Of Communication Betweencontrasting

confidence: 55%

The Satisfaction Level of Patients Seeking Dental Care in the Slovak Republic: A Cross-sectional Questionnaire Study (Original paper)

Samohýl¹,

Nadaždyová²,

Hirjak³

et al. 2017

CSWHI

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Section: The Quality Of Communication Betweencontrasting

confidence: 55%

The Satisfaction Level of Patients Seeking Dental Care in the Slovak Republic: A Cross-sectional Questionnaire Study (Original paper)

Samohýl¹,

Nadaždyová²,

Hirjak³

et al. 2017

CSWHI

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“…Approaches include examination of linguistic structures that are primarily descriptive of verbal content during a communication interaction and process models to examine interactional behaviors. Communication provides two streams of meaning: one that regards the denotative content of a message and another that reflects the affective tone, and therefore the relational quality of the interactants (40). In the example study, interactions between the USPs and the physicians are audiotaped, transcribed and coded by trained research assistants.…”

Section: Resultsmentioning

confidence: 99%

The advantages and challenges of unannounced standardized patient methodology to assess healthcare communication

Siminoff

Rogers

Waller

et al. 2011

Patient Education and Counseling

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Objective-This paper provides an overview of the implementation of using Unannounced Standardized Patients (USPs) to conduct health communication research in clinical settings.Methods-Certain types of health communication situations are difficult to capture because of their rarity or unpredictable nature. In primary care the real reasons for a visit are frequently unknown until the consultation is well under way. Therefore, it is logistically difficult for communication studies to capture many real-time communications between patients and their physicians. Although the USP methodology is ideal for capturing these communication behaviors, challenges to using this method include developing collaborative relationships with clinical practices, logistical issues such as safeguarding the identity of the USP, training USPs and creating their identities, maintaining fidelity to the role, and analyzing the resultant data.Results-This paper discusses the challenges and solutions to USP implementation. We provide an example of how to implement a USP study using an on-going study being conducted in primary care practices.Conclusion-This paper explores the advantages and challenges as well as strategies to overcome obstacles to implementing a USP study. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Practice Implications-Despite the challenges, USP methodology can contribute much to our understanding of health communication and practice. NIH Public Access

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“…A structured coding form was developed to measure patient-physician CRC screeningrelated discussion content and conversational techniques. Embedded in the coding form was an observational measurement system for identifying and analyzing various communication techniques, including the seven persuasive techniques of argument, refutation, altruism, esteem, guilt, foot in the door, and threat (see Table 1) [29]. In addition to this measurement system, qualitative content analyses resulted in the coding of one additional variable used in the current analyses: whether or not the patient was adherent to a previous physician recommendation for CRC screening [16].…”

Section: Data Sources and Measuresmentioning

confidence: 99%

“…The first consists of the communication (informational) content of the conversation and the second reflects the affective tone, which includes the social influence tactics employed in healthcare settings that impact decision-making [28]. The latter can include partnership-building, empathy, and persuasion, among other things [29]. Persuasion is a form of social influence whose use is widely acknowledged in healthcare decision-making.…”

mentioning

confidence: 99%

Physician use of persuasion and colorectal cancer screening

Lafata

Wunderlich

Flocke

et al. 2014

Behav. Med. Pract. Policy Res.

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The impact of patient-physician communication on subsequent patient behavior has rarely been evaluated in the context of colorectal cancer (CRC) screening discussions. We describe physicians' use of persuasive techniques when recommending CRC screening and evaluate its association with patients' subsequent adherence to screening. Audio recordings of N =414 periodic health examinations were joined with screening use data from electronic medical records and pre-/post-visit patient surveys. The association between persuasion and screening was assessed using generalized estimating equations. According to observer ratings, primary care physicians frequently use persuasive techniques (63 %) when recommending CRC screening, most commonly argument or refutation. However, physician persuasion was not associated with subsequent screening adherence. Physician use of persuasion may be a common vehicle for information provision during CRC screening discussions; however, our results do not support the sole reliance on persuasive techniques if the goal is to improve adherence to recommended screening. KeywordsColorectal cancer, Screening, Patient-physician communication, Persuasion Colorectal cancer (CRC) screening remains relatively underutilized compared to other evidencebased recommended preventive screening services [1]. Of the barriers and facilitators of CRC screening that have been studied, receipt of a physician recommendation has consistently been found to be associated with screening use [2]. Yet, at the same time, overall adherence to physician-recommended CRC screening remains low [3][4][5] and a 2010 National Institutes of Health (NIH) consensus statement on CRC screening specifically highlighted the need for research on the role of physician recommendation and CRC screening adherence [2].There have now been over a dozen reports describing patient-physician communication and decisionmaking in the context of CRC screening [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Approximately half of these studies relied on patient reports to understand these processes, while the remainder utilized direct observation methods. Among the latter, only four studies have evaluated the association of patient-physician communication content with patients' subsequent use of CRC screening [11,18,24,25]. Collectively, those studies have highlighted opportunities to improve patient-physician CRC screening decision-making processes relative to that which is recommended by experts [26]. Yet, ambiguities remain regarding key patient-physician conversational content and techniques that may enhance the decision-making processes from the patients' perspective or improve adherence to physicianrecommended CRC screening. For example, Lafata and colleagues found that a physician recommendation that included not only advice to be screened but also a reason for screening, along with verbal assistance obtaining screening, resulted in a greater likelihood of screening use [25]. Ling, on the other hand, found that pa...

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A Comprehensive Observational Coding Scheme for Analyzing Instrumental, Affective, and Relational Communication in Health Care Contexts

Cited by 34 publications

References 62 publications

The Satisfaction Level of Patients Seeking Dental Care in the Slovak Republic: A Cross-sectional Questionnaire Study (Original paper)

The Satisfaction Level of Patients Seeking Dental Care in the Slovak Republic: A Cross-sectional Questionnaire Study (Original paper)

The advantages and challenges of unannounced standardized patient methodology to assess healthcare communication

Physician use of persuasion and colorectal cancer screening

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