Communication Quality Analysis: A user-friendly observational measure of patient-clinician communication.

IF 6.3 1区文学 Q1 COMMUNICATION

Communication Methods and Measures Pub Date : 2022-01-01 DOI:10.1080/19312458.2022.2099819

Lauren Jodi Van Scoy, Allison M Scott, Michael J Green, Pamela D Witt, Emily Wasserman, Vernon M Chinchilli, Benjamin H Levi

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Abstract

Communication Quality Analysis (CQA) is a rigorous transcript-based coding method for assessing clinical communication quality. We compared the resource-intensive transcript-based version with a streamlined real-time version of the method with respect to feasibility, validity, reliability, and association with traditional measures of communication quality. Simulated conversations between 108 trainees and 12 standardized patients were assessed by 7 coders using the two versions of CQA (transcript and real-time). Participants also completed two traditional communication quality assessment measures. Real-time CQA was feasible and yielded fair to excellent reliability, with some caveats that can be addressed in future work. CQA ratings were moderately correlated with traditional measures of communication quality, suggesting that CQA captures different aspects of communication quality than do traditional measures. Finally, CQA did not exhibit the ceiling effects observed in the traditional measures of communication quality. We conclude that real-time CQA is a user-friendly method for assessing communication quality that has the potential for broad application in training, research, and intervention contexts and may offer improvements to traditional, self-rated communication measures.

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沟通质量分析:一种便于使用的观察医患沟通的方法。

通信质量分析(CQA)是一种严格的基于转录的编码方法，用于评估临床通信质量。我们比较了资源密集型的基于转录的版本和简化的实时版本的方法的可行性、有效性、可靠性以及与传统通信质量度量的关联。7名编码员使用两种版本的CQA(转录和实时)对108名学员和12名标准化患者之间的模拟对话进行评估。参与者还完成了两项传统的通信质量评估措施。实时CQA是可行的，并且产生了相当出色的可靠性，但有一些注意事项可以在未来的工作中解决。CQA评级与传统的通信质量度量有一定的相关性，这表明CQA捕获了通信质量与传统度量不同的方面。最后，CQA没有表现出在传统的通信质量度量中观察到的天花板效应。我们得出结论，实时CQA是一种用户友好的沟通质量评估方法，在培训、研究和干预环境中具有广泛应用的潜力，并可能对传统的自评沟通措施进行改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Communication Methods and Measures COMMUNICATION-

CiteScore

21.10

自引率

1.80%

发文量

期刊介绍： Communication Methods and Measures aims to achieve several goals in the field of communication research. Firstly, it aims to bring attention to and showcase developments in both qualitative and quantitative research methodologies to communication scholars. This journal serves as a platform for researchers across the field to discuss and disseminate methodological tools and approaches. Additionally, Communication Methods and Measures seeks to improve research design and analysis practices by offering suggestions for improvement. It aims to introduce new methods of measurement that are valuable to communication scientists or enhance existing methods. The journal encourages submissions that focus on methods for enhancing research design and theory testing, employing both quantitative and qualitative approaches. Furthermore, the journal is open to articles devoted to exploring the epistemological aspects relevant to communication research methodologies. It welcomes well-written manuscripts that demonstrate the use of methods and articles that highlight the advantages of lesser-known or newer methods over those traditionally used in communication. In summary, Communication Methods and Measures strives to advance the field of communication research by showcasing and discussing innovative methodologies, improving research practices, and introducing new measurement methods.