Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study
<p>Abstract</p> <p>Background</p> <p>There is increasing focus on patient-centred communicative approaches in medical consultations, but few studies have shown the extent to which patients' positive coping strategies and psychological assets are addressed by genera...
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| Format: | Article |
| Language: | English |
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BMC
2009-07-01
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| Series: | BMC Family Practice |
| Online Access: | http://www.biomedcentral.com/1471-2296/10/49 |
| _version_ | 1811228952524488704 |
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| author | Finset Arnstein Mjaaland Trond A |
| author_facet | Finset Arnstein Mjaaland Trond A |
| author_sort | Finset Arnstein |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>There is increasing focus on patient-centred communicative approaches in medical consultations, but few studies have shown the extent to which patients' positive coping strategies and psychological assets are addressed by general practitioners (GPs) on a regular day at the office. This study measures the frequency of GPs' use of questions and comments addressing their patients' coping strategies or resources.</p> <p>Methods</p> <p>Twenty-four GPs were video-recorded in 145 consultations. The consultations were coded using a modified version of the Roter Interaction Analysis System. In this study, we also developed four additional coding categories based on cognitive therapy and solution-focused therapy: attribution, resources, coping, and solution-focused techniques.</p> <p>The reliability between coders was established, a factor analysis was applied to test the relationship between the communication categories, and a tentative validating exercise was performed by reversed coding.</p> <p>Results</p> <p>Cohen's kappa was 0.52 between coders. Only 2% of the utterances could be categorized as resource or coping oriented. Six GPs contributed 59% of these utterances. The factor analysis identified two factors, one task oriented and one patient oriented.</p> <p>Conclusion</p> <p>The frequency of communication about coping and resources was very low. Communication skills training for GPs in this field is required. Further validating studies of this kind of measurement tool are warranted.</p> |
| first_indexed | 2024-04-12T10:06:12Z |
| format | Article |
| id | doaj.art-115f5ac6723e417ebd233346d6bf03e7 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-04-12T10:06:12Z |
| publishDate | 2009-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-115f5ac6723e417ebd233346d6bf03e72022-12-22T03:37:25ZengBMCBMC Family Practice1471-22962009-07-011014910.1186/1471-2296-10-49Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational studyFinset ArnsteinMjaaland Trond A<p>Abstract</p> <p>Background</p> <p>There is increasing focus on patient-centred communicative approaches in medical consultations, but few studies have shown the extent to which patients' positive coping strategies and psychological assets are addressed by general practitioners (GPs) on a regular day at the office. This study measures the frequency of GPs' use of questions and comments addressing their patients' coping strategies or resources.</p> <p>Methods</p> <p>Twenty-four GPs were video-recorded in 145 consultations. The consultations were coded using a modified version of the Roter Interaction Analysis System. In this study, we also developed four additional coding categories based on cognitive therapy and solution-focused therapy: attribution, resources, coping, and solution-focused techniques.</p> <p>The reliability between coders was established, a factor analysis was applied to test the relationship between the communication categories, and a tentative validating exercise was performed by reversed coding.</p> <p>Results</p> <p>Cohen's kappa was 0.52 between coders. Only 2% of the utterances could be categorized as resource or coping oriented. Six GPs contributed 59% of these utterances. The factor analysis identified two factors, one task oriented and one patient oriented.</p> <p>Conclusion</p> <p>The frequency of communication about coping and resources was very low. Communication skills training for GPs in this field is required. Further validating studies of this kind of measurement tool are warranted.</p>http://www.biomedcentral.com/1471-2296/10/49 |
| spellingShingle | Finset Arnstein Mjaaland Trond A Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study BMC Family Practice |
| title | Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study |
| title_full | Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study |
| title_fullStr | Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study |
| title_full_unstemmed | Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study |
| title_short | Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study |
| title_sort | frequency of gp communication addressing the patient s resources and coping strategies in medical interviews a video based observational study |
| url | http://www.biomedcentral.com/1471-2296/10/49 |
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