Janneke Noordman1, Sandra van Dulmen. 1. NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands. j.noordman@nivel.nl
Abstract
OBJECTIVE: To examine informational and emotional patient-provider and patient-patient communication sequences (i.e. cues and subsequent responses) during Shared Medical Appointments (SMAs) for children and adolescents with type 1 Diabetes Mellitus (T1DM) and their parents. METHODS: 57 children/adolescents with T1DM and 36 healthcare providers participated in ten SMAs in seven Dutch hospitals. Parents were present in six SMAs. Video-recordings were made. Communication sequences, including informational and emotional cues and responses were rated using an adaptation of the Medical Interview Aural Rating Scale. RESULTS: 143 patient-initiated cues were identified, followed by 140 provider responses and 30 patient responses. Patients gave more informational than emotional cues. Informational cues were mostly medical-related. Subsequent responses provided by providers and patients contained mostly appropriate information. We identified 17 patient and four parent cues with multiple responses. CONCLUSIONS: Almost all cues were identified by healthcare providers and responded to in an appropriate manner. Cues not followed by a provider's response were picked up by other patients. Providers acted as mediator between a patient cue and another patient's response, thereby stimulating the interaction during SMAs. PRACTICE IMPLICATIONS: Professionals could more explicitly invite all participants to interact with each other, and enable them to have their share in the communication process.
OBJECTIVE: To examine informational and emotional patient-provider and patient-patient communication sequences (i.e. cues and subsequent responses) during Shared Medical Appointments (SMAs) for children and adolescents with type 1 Diabetes Mellitus (T1DM) and their parents. METHODS: 57 children/adolescents with T1DM and 36 healthcare providers participated in ten SMAs in seven Dutch hospitals. Parents were present in six SMAs. Video-recordings were made. Communication sequences, including informational and emotional cues and responses were rated using an adaptation of the Medical Interview Aural Rating Scale. RESULTS: 143 patient-initiated cues were identified, followed by 140 provider responses and 30 patient responses. Patients gave more informational than emotional cues. Informational cues were mostly medical-related. Subsequent responses provided by providers and patients contained mostly appropriate information. We identified 17 patient and four parent cues with multiple responses. CONCLUSIONS: Almost all cues were identified by healthcare providers and responded to in an appropriate manner. Cues not followed by a provider's response were picked up by other patients. Providers acted as mediator between a patient cue and another patient's response, thereby stimulating the interaction during SMAs. PRACTICE IMPLICATIONS: Professionals could more explicitly invite all participants to interact with each other, and enable them to have their share in the communication process.
Authors: Susan R Kirsh; David C Aron; Kimberly D Johnson; Laura E Santurri; Lauren D Stevenson; Katherine R Jones; Justin Jagosh Journal: BMC Health Serv Res Date: 2017-02-04 Impact factor: 2.655
Authors: Megan Rose McClain; Georgeanna J Klingensmith; Barbara Anderson; Cari Berget; Cindy Cain; Jacqueline Shea; Kristen Campbell; Laura Pyle; Jennifer K Raymond Journal: Diabetes Spectr Date: 2018-08