Audio-visual recording of patient–GP consultations for research purposes: A literature review on recruiting rates and strategies

Themessl‐Huber, Markus; Humphris, Gerry; Dowell, Jon; MacGillivray, Stephen; Rushmer, Rosemary; Williams, Brian

doi:10.1016/j.pec.2008.01.015

Cited by 84 publications

(69 citation statements)

References 106 publications

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“…53,[55][56][57][58] Findings from video elicitation interview studies, including ours, support this conclusion. 42,59 Once physicians are engaged with a patient, they fall into clinical routines that are diffi cult to change much even with conscious effort.…”

Section: Ideo El Ici Tat Ion In T Erv Ie W Ssupporting

confidence: 64%

“…53 Obtaining buy-in from physicians and clinic staff is critically important. Investigators should participate in recruiting physicians and clinics whenever possible.…”

Section: Participants and Samplingmentioning

confidence: 99%

“…Selection bias among participants who consent to video-recording may be a more important concern. 35,53,59 …”

Section: Ideo El Ici Tat Ion In T Erv Ie W Smentioning

confidence: 99%

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Video Elicitation Interviews: A Qualitative Research Method for Investigating Physician-Patient Interactions

Henry¹,

Fetters

2012

The Annals of Family Medicine

123

126

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We describe the concept and method of video elicitation interviews and provide practical guidance for primary care researchers who want to use this qualitative method to investigate physician-patient interactions. During video elicitation interviews, researchers interview patients or physicians about a recent clinical interaction using a video recording of that interaction as an elicitation tool. Video elicitation is useful because it allows researchers to integrate data about the content of physician-patient interactions gained from video recordings with data about participants' associated thoughts, beliefs, and emotions gained from elicitation interviews. This method also facilitates investigation of specifi c events or moments during interactions. Video elicitation interviews are logistically demanding and time consuming, and they should be reserved for research questions that cannot be fully addressed using either standard interviews or video recordings in isolation. As many components of primary care fall into this category, highquality video elicitation interviews can be an important method for understanding and improving physician-patient interactions in primary care. INTRODUCTIONF ace-to-face interactions between physicians and patients are central to primary care and an important focus of primary care research. Video elicitation interviews are one qualitative method for evaluating these interactions. Elicitation interviews use a stimulus, such as photographs 1,2 or written records, 3 to prompt participants to discuss subjects in greater detail than they would during standard interviews. During video elicitation interviews, researchers interview patients or physicians about a recent clinical interaction using a video recording of that interaction as an elicitation tool.This article provides practical guidance for primary care researchers conducting video elicitation interviews. First, we briefl y review existing social science and health care literature on this method. Next, we discuss the key steps for designing and conducting video elicitation interviews and make recommendations to researchers based on our experience conducting a video elicitation study of preventive services in primary care. 4 Finally, we discuss the limitations of this method.We focus on video elicitation interviews as a qualitative method for investigating physician-patient interactions. Researchers also conduct video elicitation interviews as interventions 5,6 and for teaching purposes. [7][8][9] These important applications have many similarities with video elicitation interviews used as research tools, but they have different primary goals and are not the focus of this article. We also focus on interactions involving real physicians and patients rather than studies of students interviewing actors, 10,11 because the content and purpose of real and contrived interactions differ in important ways. 12,13Stephen G. 25 They discovered that physicians and patients typically paused videos at the exact same moments when asked to ...

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Section: Ideo El Ici Tat Ion In T Erv Ie W Ssupporting

confidence: 64%

“…53 Obtaining buy-in from physicians and clinic staff is critically important. Investigators should participate in recruiting physicians and clinics whenever possible.…”

Section: Participants and Samplingmentioning

confidence: 99%

See 1 more Smart Citation

Video Elicitation Interviews: A Qualitative Research Method for Investigating Physician-Patient Interactions

Henry¹,

Fetters

2012

The Annals of Family Medicine

123

126

View full text Add to dashboard Cite

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“…In addition, the results from this study may be subject to bias as patient or GP behaviour might have been influenced by the very nature of the camera observation, although these effects may be minimal (Themessl-Huber et al, 2008). However, these findings suggest that weight discussion for overweight and obese patients is not routine within primary care practice in Scotland.…”

Section: Discussionmentioning

confidence: 82%

Talk weight: an observational study of communication about patient weight in primary care consultations

Laidlaw

McHale

Locke

et al. 2014

Prim Health Care Res Dev

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BackgroundObesity is a major public health issue and primary care practitioners are well placed to opportunistically raise the issue of overweight or obesity with their patients.Aim and methodsThis study investigated the prevalence of weight discussion in primary care consultations with overweight and obese patients, in a practice in Fife, Scotland, and described weight-related communication using video analysis.FindingsWeight was raised in 25% of consultations with overweight and obese patients. GPs initiated weight discussion more often than patients; however, these attempts were often blocked by patients. Weight-related outcomes were more common when patients initiated the weight discussion. This study confirms the potential of video analysis for understanding primary care weight discussion. It also suggests that GPs may benefit from a communication-based intervention to tackle patient blocking behaviours and contributes to the evidence suggesting that interventions targeted to increase the prevalence of weight-related discussions with their patients are needed.

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“…First, it is possible that under normal, nonvideotaped circumstances, provider-parent interaction involves different communication behaviors than those identified. However, other studies have revealed a negligible effect of the videotape on provider and parent behavior, 51 and we used several maneuvers to minimize the Hawthorne effect. Second, we videotaped only a single vaccine encounter and therefore could not assess how specific provider communication practices varied or were associated with vaccination outcomes over time.…”

Section: Figurementioning

confidence: 99%

The Architecture of Provider-Parent Vaccine Discussions at Health Supervision Visits

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: An increasing number of parents have concerns about childhood vaccines. Parents consistently cite their child' s provider as influential in their vaccine decision-making. Little is known about how providers communicate with parents about vaccines and which communication strategies are important.WHAT THIS STUDY ADDS: How providers initiate the vaccine recommendation at health supervision visits appears to be an important determinant of parent resistance. Also, when providers pursue their original vaccine recommendations in the face of parental resistance, many parents subsequently agree to vaccination. abstract OBJECTIVE: To characterize provider-parent vaccine communication and determine the influence of specific provider communication practices on parent resistance to vaccine recommendations. METHODS:We conducted a cross-sectional observational study in which we videotaped provider-parent vaccine discussions during health supervision visits. Parents of children aged 1 to 19 months old were screened by using the Parent Attitudes about Childhood Vaccines survey. We oversampled vaccine-hesitant parents (VHPs), defined as a score $50. We developed a coding scheme of 15 communication practices and applied it to all visits. We used multivariate logistic regression to explore the association between provider communication practices and parent resistance to vaccines, controlling for parental hesitancy status and demographic and visit characteristics. RESULTS:We analyzed 111 vaccine discussions involving 16 providers from 9 practices; 50% included VHPs. Most providers (74%) initiated vaccine recommendations with presumptive (eg, "Well, we have to do some shots") rather than participatory (eg, "What do you want to do about shots?") formats. Among parents who voiced resistance to provider initiation (41%), significantly more were VHPs than non-VHPs. Parents had significantly higher odds of resisting vaccine recommendations if the provider used a participatory rather than a presumptive initiation format (adjusted odds ratio: 17.5; 95% confidence interval: 1.2-253.5). When parents resisted, 50% of providers pursued their original recommendations (eg, "He really needs these shots"), and 47% of initially resistant parents subsequently accepted recommendations when they did. CONCLUSIONS:How providers initiate and pursue vaccine recommendations is associated with parental vaccine acceptance. Pediatrics

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Audio-visual recording of patient–GP consultations for research purposes: A literature review on recruiting rates and strategies

Cited by 84 publications

References 106 publications

Video Elicitation Interviews: A Qualitative Research Method for Investigating Physician-Patient Interactions

Video Elicitation Interviews: A Qualitative Research Method for Investigating Physician-Patient Interactions

Talk weight: an observational study of communication about patient weight in primary care consultations

The Architecture of Provider-Parent Vaccine Discussions at Health Supervision Visits

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