Communication and Medicine最新文献_第6页

Are schizophrenia patients' response latencies in semi-structured diagnostic interviews merely a sign of pathology or are they context sensitive? 精神分裂症患者在半结构化诊断访谈中的反应延迟仅仅是一种病理迹象，还是他们对环境敏感？

Communication and Medicine Pub Date : 2023-04-12 DOI: 10.1558/cam.21790

Pertti Hella, Stefan Werner, Heli Koivumaa-Honkanen, Jukka Hintikka, Hannu Koponen

{"title":"Are schizophrenia patients' response latencies in semi-structured diagnostic interviews merely a sign of pathology or are they context sensitive?","authors":"Pertti Hella, Stefan Werner, Heli Koivumaa-Honkanen, Jukka Hintikka, Hannu Koponen","doi":"10.1558/cam.21790","DOIUrl":"10.1558/cam.21790","url":null,"abstract":"Prolonged pause duration in speech is a typical phenomenon of schizophrenia. Despite this, however, studies have not previously focused on prolonged pause in clinical diagnostic interviews, nor has there been any consideration of whether silences occur within turns or in turn-transitions. The present study is based on videotaped semi-structured clinical diagnostic interviews with three persons with schizophrenia. We measured duration of silence or overlap in every turn-transition using Praat software. The participants differed considerably from each other. All of them seemed to display more delays in responding to manual-based questions taken from the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) and to questions concerning supra-categories and proverbs. Qualitative analysis of the interview with the most dysfluent participant showed that topic-shifting and new-sequence-beginning questions caused more prolonged latencies than sequence-continuing questions. Moreover, questions that required more detailed description or reflection of psychotic experiences seemed to be problematic. We observed that the doctor adapted his tempo to the participant's fluency. In addition, the doctor often produced expansions or tag questions when he noticed that the participant had difficulties in responding without a latency. Based on the measures and findings of the qualitative analyses, we presume that both individual psychopathology and contextual factors affect turn-transitional response patterns.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"18 1","pages":"153-167"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81329170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Securing patient understanding in nurse-patient discharge discussions. 在护患出院讨论中确保患者理解。

Communication and Medicine Pub Date : 2023-04-12 DOI: 10.1558/cam.21939

Inkeri Lehtimaja

{"title":"Securing patient understanding in nurse-patient discharge discussions.","authors":"Inkeri Lehtimaja","doi":"10.1558/cam.21939","DOIUrl":"10.1558/cam.21939","url":null,"abstract":"The aim of this study is to describe the communicative strategies nurses and patients use on a micro level to ensure patient understanding during discharge discussions. The data of the study consist of 16 videotaped discharge encounters (total duration 1 h 40 mins) between nurses and patients in Finland, which were analyzed using conversation analysis. The findings reveal that patients express understanding or troubles in understanding by subtle means, such as response particles. Nurses monitor patients' reactions and adapt their subsequent actions to them, for instance by moving on to the next topic or by giving additional explanations. They also pursue expressions of understanding when needed, e.g., by prolonging the topic. This gives the patient time to react and more material to get a grip on the topic, thus facilitating displays of understanding. As a result, even if the discharge discussions consist mostly of information delivery that resembles a monological practice, the interaction is collaboratively constructed to secure patient understanding. A raised awareness of good practices already in use to secure understanding can contribute to further developing the guidelines for discharge education.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"49 1","pages":"185-198"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81751800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Generic characteristics of patients' e-consultations with general practitioners. 全科医生患者电子会诊的一般特征。

Communication and Medicine Pub Date : 2023-04-12 DOI: 10.1558/cam.22885

Ditte Laursen, Matilde Nisbeth Brøgger, Antoinette Fage-Butler, Jane Ege Møller, Anette Grønning

{"title":"Generic characteristics of patients' e-consultations with general practitioners.","authors":"Ditte Laursen, Matilde Nisbeth Brøgger, Antoinette Fage-Butler, Jane Ege Møller, Anette Grønning","doi":"10.1558/cam.22885","DOIUrl":"10.1558/cam.22885","url":null,"abstract":"Electronic communication between patients and general practitioners (GPs), known as e-consultations, was introduced in Denmark as a cost-effective and convenient means for patients to access their GP and receive test results as well as answers to quick questions. Research on e-consultations internationally has found that patients are generally very positive, while doctors are more hesitant. Most studies of e-consultations have involved survey or interview methodologies, while studies of their content, form or language are limited. In this study, we address this gap by proposing that genre may be a productive concept for comprehending textual aspects of e-consultations. We explore the following two questions: (1) what are the generic characteristics of the e-consultation?; and (2) do e-consultations belong to the email genre? Based on an analysis of two Danish corpora of patients' first turns in e-consultations with their GPs, we identify an underlying move structure: subject, opening, update, problem presentation, request, argumentation, closing. We argue that the e-consultation is an example of an email genre with identifiable conventions, which are both specific to the communicative function of e-consultations and aligned with generic features of emails.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"11 1","pages":"168-184"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75008118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Communication prior to antiretroviral initiation. 开始抗逆转录病毒治疗前的沟通。

Communication and Medicine Pub Date : 2023-01-31 DOI: 10.1558/cam.19081

Wynne Callon, Somnath Saha, Ira B Wilson, Michael Barton Laws, Michele Massa, P Todd Korthuis, Richard D Moore, Mary Catherine Beach

{"title":"Communication prior to antiretroviral initiation.","authors":"Wynne Callon, Somnath Saha, Ira B Wilson, Michael Barton Laws, Michele Massa, P Todd Korthuis, Richard D Moore, Mary Catherine Beach","doi":"10.1558/cam.19081","DOIUrl":"10.1558/cam.19081","url":null,"abstract":"Thoughtful, high-quality clinician-patient communication about starting antiretroviral therapy (ART) is a cornerstone of HIV care, and specific guidelines regarding exactly what ought to be discussed with patients considering ART have been in place since 2006. The extent to which the recommended topics are discussed and how these topics are addressed in observed dialogue in HIV care has not been studied. We conducted a content analysis to describe how these dialogues occur and, secondarily, assessed the frequency with which the recommended topics are discussed. Our study analyzed patient-clinician dialogue regarding ART initiation, comparing the content of 24 audio-recorded dialogues with the recommended guidelines, and describing how communication about the recommended topics takes place. While patient readiness to initiate therapy was discussed in the majority of visits (n = 18), the remaining topics (e.g. patient understanding of HIV and its treatment, motivation to adhere, barriers to and facilitators of adherence, social support, daily schedules, tolerance of pills) were discussed less often. Based on the findings, we suggest that systems be put in place (e.g. checklists) to guide providers in these discussions, and that providers utilize the teach-back method to ensure patient understanding.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"95 1","pages":"126-135"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78204083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The new Face(book) of medicine. 医学的新面貌。

Communication and Medicine Pub Date : 2022-12-31 DOI: 10.1558/cam.20979

Staci Defibaugh, Suzanne M Gut, Elizabeth E Weems

{"title":"The new Face(book) of medicine.","authors":"Staci Defibaugh, Suzanne M Gut, Elizabeth E Weems","doi":"10.1558/cam.20979","DOIUrl":"10.1558/cam.20979","url":null,"abstract":"Before the COVID-19 pandemic, many medical providers (MPs) turned to social media platforms as an opportunity to interact with colleagues and provide education to patients. When the pandemic flooded social network services (SNSs), such as Facebook, with a great deal of information, both accurate and dubious, MPs continued using SNSs to share information and updates about the infodemic (as defined by the World Health Organization). This study explores how MPs engaged in education and advice giving on Facebook during the early months of the pandemic. For this study, a total of 572 Facebook posts about COVID-19 were collected from the Facebook pages of three medical doctors between 1 January and 15 July, 2020. A total of 79 posts were analyzed, focusing on how advice was discursively constructed. The strategies analyzed included creating a light-hearted tone through moments of levity and making advice more indirect through pronoun shifts and framing devices. We argue that medical providers likely soften the force of advice because of the public/professional confluence that exists on Facebook; this approach may also make the advice more palatable. This study highlights possible implications for current MPs and aid in their overall training.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"17 1","pages":"66-77"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74617545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An initial investigation of improving acute care for hearing-impaired patients through the use of a transparent surgical mask. 通过使用透明外科口罩改善听力受损患者急性护理的初步调查。

Communication and Medicine Pub Date : 2022-12-31 DOI: 10.1558/cam.20514

Karen Bradbury, Rachyl Pines

{"title":"An initial investigation of improving acute care for hearing-impaired patients through the use of a transparent surgical mask.","authors":"Karen Bradbury, Rachyl Pines","doi":"10.1558/cam.20514","DOIUrl":"10.1558/cam.20514","url":null,"abstract":"There is a general assumption that, in the hospital setting, standard surgical masks, unlike transparent masks, prevent effective communication with the hearing-impaired. This study investigates the experience of healthcare professionals (HPs) and hearing-impaired patients using a transparent surgical mask vs. a standard surgical mask in an acute care hospital. Our study design used a cross sectional, mixed-methods survey of 25 adult hearing-impaired patients/visitors and 36 HPs caring for them while wearing a transparent mask. The results demonstrated that 89% of staff and 76% of patients said the mask improved communication. This improvement was due to better ability to interpret nonverbal cues, which led to less need for repetition or volume increase. It was found that 69% of staff said the mask was comfortable and 81% were satisfied; 64% of patients liked being able to see facial expressions of the person wearing the mask; 72% of patients felt more connected to, and 76% understood the speech of, the person using the mask; and 80% of patients and 78% of staff preferred the transparent mask. The findings suggest that hospital staff/providers should use a mask with a clear window around the mouth and face while caring for hearing-impaired patients. This may improve patient satisfaction and prevent errors that are due to miscommunication.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"33 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86944231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'I feel it's something that irritates her'. “我觉得这是让她恼火的事情。”

Communication and Medicine Pub Date : 2022-12-31 DOI: 10.1558/cam.19797

Marta Kirilova, Line Højland

{"title":"'I feel it's something that irritates her'.","authors":"Marta Kirilova, Line Højland","doi":"10.1558/cam.19797","DOIUrl":"10.1558/cam.19797","url":null,"abstract":"Interpreting is increasingly being used in psychotherapy, but the presence of an interpreter in the therapeutic encounter is an under-researched area. This paper examines interpreter-mediated trauma therapy with Danish-speaking therapists treating Arabic-speaking patients diagnosed with post-traumatic stress disorder (PTSD). We focus on the notion of 'emotion discourse' as a broad term covering how therapists and patients talk about emotional experience, and how interpreters negotiate and mediate it. The data consist of three group interviews with ten therapists and six excerpts from two audio-recorded interpreter-mediated therapy sessions. The detailed interaction analysis explores (1) the therapists' expectations about interpreting emotion discourse and (2) the interactional strategies that the interpreters use to negotiate and render the interaction between therapists and patients who speak different languages. The findings show that the therapists have clear expectations about what needs to be translated and how, but these expectations remain hidden to the interpreters. The interpreters use various interpreting strategies and orient towards meaning rather than towards verbatim translations. We conclude by recommending that both therapists and interpreters engage in a professional collaboration that requires not only training and awareness of mutually relevant information, but also an updated view of interpreter-mediated interaction as a dynamic collaborative process.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"97 1","pages":"91-104"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80575992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moving books and sensitive readers. 感动的书和敏感的读者。

Communication and Medicine Pub Date : 2022-12-31 DOI: 10.1558/cam.20400

Anja Rydén Gramner

引用次数: 0

'Best of luck on your journey to healing'. 祝你康复之旅好运。

Communication and Medicine Pub Date : 2022-12-31 DOI: 10.1558/cam.22677

Melissa Ceuterick, Jana Declercq

{"title":"'Best of luck on your journey to healing'.","authors":"Melissa Ceuterick, Jana Declercq","doi":"10.1558/cam.22677","DOIUrl":"10.1558/cam.22677","url":null,"abstract":"In many countries, including Belgium and the Netherlands, dependence on benzodiazepines (BZDs) is a medical and social issue, and, for long-term users who want to taper off, doing so remains a personal challenge. For these users, online contexts such as forums can be a place to discuss this experience and look for practical and moral support among former users and fellow users trying to reduce or stop BZD use. This paper aims to shed light on the discourses of a Dutch-language benzodiazepine withdrawal forum, examining 133 forum threads (41,516 words). We take a corpus-based approach that combines frequency analyses with qualitative discourse analysis. We explore how the users extensively share lived, experiential knowledge of using and reducing medication and, in doing so, engage with domain-specific biomedical jargon. As such they discursively construct specialised expertise and a medical(ised), health professional-like expert identity, both in relation to their own situation, but also in interaction with other forum members, as advisors to each other. The forum thus not only serves as a site for emotional peer support, but also as a site for detailed informational support on tapering, which is traditionally offered by health professionals. This is especially pervasive, as many forum users also express indignation about the medical establishment and its lack of institutional knowledge support in the process of tapering off.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"2 1","pages":"37-50"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87377259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'It sounds very negative'. “听起来很消极。”

Communication and Medicine Pub Date : 2022-12-31 DOI: 10.1558/cam.20721

Courtney Andrews, Valerie M Lawhon, Kimberly Wiseman, Gabrielle B Rocque

{"title":"'It sounds very negative'.","authors":"Courtney Andrews, Valerie M Lawhon, Kimberly Wiseman, Gabrielle B Rocque","doi":"10.1558/cam.20721","DOIUrl":"10.1558/cam.20721","url":null,"abstract":"New developments in cancer research provide opportunities to reduce the amount or intensity of chemotherapy for patients with early-stage breast cancer (EBC), with the goal of achieving recurrence-free survival rates equivalent to the current standard of care while reducing the short- and long-term toxicities that are associated with more aggressive chemotherapy regimens. Clinical trials are necessary to determine the lowest effective dosage of chemotherapy, and there is interest from patients and providers to enroll eligible patients in these trials. Currently, the word being used to describe these trials is 'de-escalation'. This paper considers the reactions of EBC patients and patient advocates to the word 'de-escalation' and how best to describe this approach and its anticipated benefits. Based on a patient survey and on interviews that were coded with the assistance of a content analysis program, we found that the participants tended to react negatively to 'de-escalation', with many associating this word with giving up in the war against cancer. Instead, the participants prefer positive, patient-centered language. This information will be useful to providers in considering how best to describe de-escalation clinical trials to eligible patients in ways that avoid therapeutic misconception and facilitate the shared decision-making process regarding treatment.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"31 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85683681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0