Communication Quality Analysis: A User-friendly Observational Measure of Patient–Clinician Communication

Scoy, Lauren Jodi Van; Scott, Allison M.; Green, Michael J.; Witt, Pamela; Wasserman, Emily; Chinchilli, Vernon M.; Levi, Benjamin H.

doi:10.1080/19312458.2022.2099819

Cited by 4 publications

(5 citation statements)

References 72 publications

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“…The third part of this project helped establish that CQA can be feasibly and reliably applied to ICU family meetings, as evidenced by the high interrater reliability for each communication quality domain. Previous work shows that CQA is feasible, reliable, and valid in other settings when distinguishing between high-quality and low-quality conversations based on communication goals, 11,12,16,20 but this was the first study to use CQA in a clinical context. The present CQA data provide a descriptive account of how specific communication goals are achieved by family members and clinicians.…”

Section: Discussionmentioning

confidence: 97%

“…CQA, which has been validated across multiple contexts. 11,16,20 involves having 3 coders independently review audio recordings and verbatim transcripts. For each 5-minute interval of the recorded conversation, coders rate how well each participant attended to task, relational, and identity goals on 7-point Likert scales (1 = lowest qu ality and 7 = highest quality ).…”

Section: Methodsmentioning

confidence: 99%

“…[13][14][15] Each of these goals are pursued during clinical conversations, and when clinicians are able to meaningfully "juggle" task, relational, and identity goals by attending to them within a conversation, high-quality communication is achieved; when 1 or more goals are ignored or inadequately addressed, lower quality communication occurs. 12 The objective of this study was to use MGT to develop a family-centered communication tool (Let's Talk workbook) to help prepare families for ICU family meetings and to assess the feasibility of using a method called "Communication Quality Analysis" (CQA) 11,16 to measure communication quality in ICU family meetings. Specifically, the Let's Talk workbook was created by generating content to address task, relational, and identity goals, and CQA was developed as a rigorous assessment in which raters score individuals' communication based on their attention to task, relational, and identity goals.…”

mentioning

confidence: 99%

“…The objective of this study was to use MGT to develop a family-centered communication tool ( Let’s Talk workbook) to help prepare families for ICU family meetings and to assess the feasibility of using a method called “Communication Quality Analysis” (CQA) 11,16 to measure communication quality in ICU family meetings. Specifically, the Let’s Talk workbook was created by generating content to address task, relational, and identity goals, and CQA was developed as a rigorous assessment in which raters score individuals’ communication based on their attention to task, relational, and identity goals.…”

mentioning

confidence: 99%

“…Specifically, the Let’s Talk workbook was created by generating content to address task, relational, and identity goals, and CQA was developed as a rigorous assessment in which raters score individuals’ communication based on their attention to task, relational, and identity goals. 16…”

mentioning

confidence: 99%

See 4 more Smart Citations

Feasibility and Acceptability of a Novel Intensive Care Unit Communication Intervention (“Let’s Talk”) and Initial Assessment Using the Multiple Goals Theory of Communication

Scoy

Scott

Higgins

et al. 2023

Am J Hosp Palliat Care

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Background: Family members of intensive care unit (ICU) patients often report poor communication, feeling unprepared for ICU family meetings, and poor psychological outcomes after decision-making. The objective of this study was to create a tool to prepare families for ICU family meetings and assess feasibility of using Communication Quality Analysis (CQA) to measure communication quality of family meetings. Methods: This observational study was conducted at an academic tertiary care center in Hershey, PA from March 2019 to 2020. Phase 1a involved conceptual design. Phase 1b entailed acceptability testing of 2 versions of the tool (text-only, comic) with 9 family members of non-capacitated ICU patients; thematic analysis of semi-strucutred interviews was conducted. Phase 1c assessed feasibility of applying CQA to audio-recorded ICU family meetings (n = 17); 3 analysts used CQA to assess 6 domains of communication quality. Wilcoxon Signed Rank tests were used to interpret CQA scores. Results: Four themes emerged from Phase 1b interviews: participants 1) found the tool useful for meeting preparation and organizing thoughts, 2) appreciated emotional content, 3) preferred the comic form (67%), and 4) had indifferent or negative perceptions about specific elements. In Phase 1c, clinicians scored higher on the CQA content and engagement domains; family members scored higher on the emotion domain. CQA scores in the relationship and face domains had the lowest quality ratings. Conclusions: Let’s Talk may help families become better prepared for ICU family meetings. CQA provides a feasible approach to assessing communication quality that identifies specific areas of strengths and weaknesses in communication.

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Section: Discussionmentioning

confidence: 97%