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Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study
BACKGROUND: 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. T...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2720936/ https://www.ncbi.nlm.nih.gov/pubmed/19570200 http://dx.doi.org/10.1186/1471-2296-10-49 |
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author | Mjaaland, Trond A Finset, Arnstein |
author_facet | Mjaaland, Trond A Finset, Arnstein |
author_sort | Mjaaland, Trond A |
collection | PubMed |
description | BACKGROUND: 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. METHODS: 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. 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. RESULTS: 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. CONCLUSION: 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. |
format | Text |
id | pubmed-2720936 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-27209362009-08-05 Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study Mjaaland, Trond A Finset, Arnstein BMC Fam Pract Technical Advance BACKGROUND: 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. METHODS: 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. 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. RESULTS: 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. CONCLUSION: 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. BioMed Central 2009-07-01 /pmc/articles/PMC2720936/ /pubmed/19570200 http://dx.doi.org/10.1186/1471-2296-10-49 Text en Copyright © 2009 Mjaaland and Finset; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Technical Advance Mjaaland, Trond A Finset, Arnstein Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study |
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 |
topic | Technical Advance |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2720936/ https://www.ncbi.nlm.nih.gov/pubmed/19570200 http://dx.doi.org/10.1186/1471-2296-10-49 |
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