OBJECTIVE: To present preliminary evidence for the reliability and validity of the Four Habits Coding Scheme (4HCS), an instrument based on a teaching model used widely throughout Kaiser Permanente to improve clinicians' communication skills. METHODS: One hundred videotaped primary care visits were coded using the 4HCS, and the data were assessed against a previously available data set for these visits, including the Roter Interaction Analysis System (RIAS), back channel responses, measures of nonverbal behavior, length of visit, and patients' post-visit assessments. RESULTS: Levels of inter-rater reliability were acceptable, and the distribution of ratings across items indicated that physicians' modal responses varied widely. Correlations between 4HCS ratings, RIAS, back channel responses, and non-verbal measures provided evidence of the instrument's construct validity. CONCLUSIONS: The Four Habits Coding Scheme, an instrument that combines both evaluative and descriptive elements of physician communication behavior and is derived from a conceptually based teaching model, has the potential to be of utility to researchers and evaluators as well as educators and clinicians. PRACTICE IMPLICATIONS: The Four Habits Coding Scheme provides a template for both guiding and measuring physician communication behaviors.
OBJECTIVE: To present preliminary evidence for the reliability and validity of the Four Habits Coding Scheme (4HCS), an instrument based on a teaching model used widely throughout Kaiser Permanente to improve clinicians' communication skills. METHODS: One hundred videotaped primary care visits were coded using the 4HCS, and the data were assessed against a previously available data set for these visits, including the Roter Interaction Analysis System (RIAS), back channel responses, measures of nonverbal behavior, length of visit, and patients' post-visit assessments. RESULTS: Levels of inter-rater reliability were acceptable, and the distribution of ratings across items indicated that physicians' modal responses varied widely. Correlations between 4HCS ratings, RIAS, back channel responses, and non-verbal measures provided evidence of the instrument's construct validity. CONCLUSIONS: The Four Habits Coding Scheme, an instrument that combines both evaluative and descriptive elements of physician communication behavior and is derived from a conceptually based teaching model, has the potential to be of utility to researchers and evaluators as well as educators and clinicians. PRACTICE IMPLICATIONS: The Four Habits Coding Scheme provides a template for both guiding and measuring physician communication behaviors.
Authors: Bethany D Nugent; Maura K McCall; Mary Connolly; Susan R Mazanec; Susan M Sereika; Catherine M Bender; Margaret Q Rosenzweig Journal: Nurs Res Date: 2020 Sep/Oct Impact factor: 2.381
Authors: Andrea Mechanick Braverman; Elisabeth J Kunkel; Leo Katz; Austin Katona; Teresa Heavens; Andrew Miller; Jennifer Jasmine Arfaa Journal: J Patient Exp Date: 2015-05-01
Authors: Enrique Gavilán Moral; Roger Ruiz Moral; Luis Angel Perula de Torres; Juan Manuel Parras Rejano Journal: Aten Primaria Date: 2009-09-25 Impact factor: 1.137