The impact of physicians' communication styles on evaluation of physicians and information processing: A randomized study with simulated video consultations on contraception with an intrauterine device

Bientzle, Martina; Fissler, Tim; Creß, Ulrike; Kimmerle, Joachim

doi:10.1111/hex.12521

Cited by 27 publications

(31 citation statements)

References 42 publications

(59 reference statements)

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“…At the same time, however, this is a pity, because social settings are of course also very important for medical training [121]. This applies, for example, to the field of doctor-patient communication [122,123] or to inter-professional cooperation [124]. Computers & Education is additionally interested in field studies with interventions in designs with pre-and post-tests of individual learners or control groups to compare digital vs. non-digital learning environments.…”

Section: Limitationsmentioning

confidence: 99%

Digital Learning Environments in Higher Education: A Literature Review of the Role of Individual vs. Social Settings for Measuring Learning Outcomes

et al. 2020

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Research on digital learning environments has traditionally applied either an individual perspective or a social perspective to learning. Based on a literature review, we examined to what extent individual or social perspectives determined the learning outcome variables that researchers have used as measurements in existing studies. We analyzed prototypical approaches to operationalize learning settings (individual vs. social) published in peer-reviewed journals and identified their relation to several measures of learning outcomes. We rated n = 356 articles and included n = 246 articles in the final analysis. A total of 159 studies (64.6%) used an individual learning setting, while 87 studies (35.4%) used a social learning setting. As learning outcome measures, we observed self-reports, observable behavior, learning skills, elaboration, personal initiatives, digital activity, and social interactions. The two types of learning settings differed regarding the measurement of elaboration and social interactions. We discuss of the implications of our findings for future research and conclude that researchers should investigate further measures of learning outcomes in digital learning settings.communication and collaboration as well as for learning and knowledge exchange in an appropriate way to become competent and proficient members of a knowledge society. Second, digital learning environments promise to make learning and teaching more effective, for example, by increasing learners' motivation [14,21], adapting to students' prior knowledge [16], or providing the possibility for mobile and ubiquitous learning [22,23].However, the findings of existing studies on the impact of digital media on learning are ambiguous [24][25][26][27]. In general, influencing factors, such as teachers [28,29], prior knowledge [30,31], or the novelty of the particular digital setting [32] seem to have greater effects on learning outcomes than the use of digital media per se. One reason for marginal findings on the effects of digital media in these studies might be that they are highly heterogeneous with regard to measurements and the learning settings that they applied. Therefore, the study presented here summarizes common measurements of variables that capture learning outcomes in existing empirical studies. This contributes to finding a common language of researchers to describe effects by having a shared understanding of distinctive learning outcomes. We also argue that the particular theoretical perspective that researchers and practitioners take toward learning with digital media may have an impact on how they design learning environments, how they operationalize relevant variables, and how they measure learning outcomes [26]. Research on digital learning environments has traditionally applied two perspectives of examining and understanding how people learn [33]: A cognitive, individual-oriented perspective that focuses on individual cognition, and a social, community-oriented perspective that focuses on distributed cognition and col...

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Section: Limitationsmentioning

confidence: 99%

Digital Learning Environments in Higher Education: A Literature Review of the Role of Individual vs. Social Settings for Measuring Learning Outcomes

et al. 2020

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“…In general, patients and their relatives prefer a patient-centered approach (20,21). For the subject discussed here, this implies that doctors should not only provide information but should also take the patients' perspectives and assumptions into account (22,23). Patientcentered communication would then yield several advantages, such as higher satisfaction, more frequent completion of treatments, and better outcomes (21,24).…”

Section: Perceived Etiology and Type Of Treatmentmentioning

confidence: 99%

The Impact of Perceived Etiology, Treatment Type, and Wording of Treatment Information on the Assessment of Gastritis Treatments

Kimmerle

Anikin

Bientzle

2020

Front. Public Health

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How patients assess the suitability of a certain therapy for treating a disease depends on a variety of influencing factors. Three key factors are people's subjective perceptions of a disease, the type of treatment, and the kind of communication used to convey information. The study presented here was a randomized controlled experiment in which we examined these three factors. We used a mixed design where we manipulated perceived etiology of gastritis (biopsychosocial vs. biomedical) as a between-group factor, and treatment type (behavioral vs. pharmacological) and wording of treatment information (holistic vs. scientific) as within-group factors. We found that gastritis treatments that matched the perceived etiology of the illness were assessed to be more effective. Moreover, treatments that matched the perceived etiology enhanced participants' intention to undergo the treatment themselves and their willingness to recommend it to a person close to them. Finally, participants' intention to undergo the treatment was also enhanced when the wording of the treatment information matched the perceived etiology. We discuss the implications of our findings in terms of health communication and patient education.

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“…Research on health communication often focuses on 2 essential communication styles used by doctors (ie, doctor-centered vs patient-centered communication) and their impact on patients’ evaluation of doctors’ and patients’ behavioral changes [ 42 , 43 ]. Although doctor-centered communication is characterized by rational-cognitive proceedings without paying much attention to a patient’s needs and feelings, patient-centered communication is more open, non-directive, and aims to actively engage patients by focusing on their psychological and social situation [ 43 ]. In patient-centered communication, doctors would tend to avoid using medical terms, as this takes patients’ needs for understanding information and satisfaction with doctor-patient communication into account [ 44 , 45 ].…”

Section: Introductionmentioning

confidence: 99%

“…According to previous research on the effectiveness of communication styles, information providers that used a more doctor-centered communication style were perceived by participants to be less competent, less empathetic, and less trustworthy, and they led participants to report fewer changes in attitude compared with when information providers used a more patient-centered communication approach [ 43 , 47 , 48 ]. However, this does not mean that all patients equally prefer a patient-centered communication.…”

Section: Introductionmentioning

confidence: 99%

“…Research on health communication suggests that professionals should consider information seekers’ needs to promote information seekers’ understanding and health [ 42 , 43 , 47 - 49 ]. Accordingly, professionals’ communication styles can match the information seekers’ communication styles and, therefore, reflect these needs [ 50 - 53 ].…”

Section: Introductionmentioning

confidence: 99%

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How Experts’ Use of Medical Technical Jargon in Different Types of Online Health Forums Affects Perceived Information Credibility: Randomized Experiment With Laypersons

Zimmermann¹,

Jucks²

2018

J Med Internet Res

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BackgroundOnline health forums are widely used, but the quality of advice differs as much as the knowledge backgrounds of the audience members who receive the advice. It is important to understand how people judge the information given online. In line with the communication accommodation theory (CAT), online forums represent specific social contexts of communication which can present either accommodative or nonaccommodative language to an audience. Accordingly, use of accommodative or nonaccommodative language might affect people’s perceived trust in the communicator.ObjectiveThe objective of this study was to investigate how experts who use accommodative (vs nonaccommodative) language are evaluated by passive users of an online forum.MethodsParticipants (n=98) took part in an online experiment and read experts’ posts about 10 nutrition myths. Following a 2 x 2 mixed design, experts’ posts were written using either low or high amounts of medical technical jargon (MTJ) (within factor) and were directed at different audiences (mainly other medical experts [in a professional forum] vs a user group mainly comprising laypersons [in an advisory forum]) (between factor). Accommodation occurred where experts used high amounts of MTJ to address other medical experts in the professional forum; it also occurred when experts used low amounts of MTJ to address laypersons in the advisory forum. Conversely, nonaccommodation occurred when experts used high amounts of MTJ in the advisory forum and low amounts of MTJ in the professional forum. In each condition, participants evaluated the credibility of the information, the trustworthiness of the experts, and the accommodation by the experts.ResultsOverall, participants judged the credibility of information to be higher when experts used MTJ that was accommodative to the designated audience, F1,95=3.10, P=.04, ηp2=.031. In addition, participants judged the experts in professional forums to be more trustworthy than experts in advisory forums (all F1,96≥3.54, P ≤.03, ηp2≥.036). Moreover, participants rated experts who used high amounts of MTJ to have higher competence (F1,96=37.54, P<.001, ηp2=.28], lower integrity (F1,96=10.77, P=.001, ηp2=.101), and lower benevolence (F1,96=9.75, P=.002, ηp2=.092), as well as to have lower perceived accommodation to the audience (all F1,96≥72.17, P<.001, ηp2≥.43) compared with experts who used low MTJ.ConclusionsTo provide health information online that is perceived as credible, experts should consider using similar language as the language used by the addressed audience. As it is often impossible to determine the exact makeup of an online audience, further research might investigate whether having experts explicitly declare which audience they intend to address can help people to more reliably assess an expert’s trustworthiness. Furthermore, as people assess information differently depending on the context of online communication, it would be valuable for research to consider other aspects of the context beyond those of the audience.

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The impact of physicians' communication styles on evaluation of physicians and information processing: A randomized study with simulated video consultations on contraception with an intrauterine device

Cited by 27 publications

References 42 publications

Digital Learning Environments in Higher Education: A Literature Review of the Role of Individual vs. Social Settings for Measuring Learning Outcomes

Digital Learning Environments in Higher Education: A Literature Review of the Role of Individual vs. Social Settings for Measuring Learning Outcomes

The Impact of Perceived Etiology, Treatment Type, and Wording of Treatment Information on the Assessment of Gastritis Treatments

How Experts’ Use of Medical Technical Jargon in Different Types of Online Health Forums Affects Perceived Information Credibility: Randomized Experiment With Laypersons

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