Development of the Verona coding definitions of emotional sequences to code health providers’ responses (VR-CoDES-P) to patient cues and concerns

et al. 2016

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2 Highlights  Emotions in clinical conversations of cancer patients studied by a coding system and speech prosody  Emotional energy f0 was associated with cues and concerns as coded by VR-CoDES system  An additional aid to study emotional speech with potential to reveal hidden content and meaning AbstractObjective: Emotions, are in part conveyed by varying levels of fundamental frequency of voice pitch (f0). This study tests the hypothesis that patients display heightened levels of emotional arousal (f0) during Verona Coding Definitions of Emotional Sequences (VR-CoDES) cues and concerns versus during neutral statements. Methods:The audio recordings of sixteen head and neck cancer survivors' follow-up consultations were coded for patients' emotional distress. Pitch (f0) of coded cues and concerns, including neutral statements was extracted. These were compared using a hierarchical linear model, nested for patient and pitch range, controlling for statement speech length. Utterance content was also explored. Results:Clustering by patient explained 30% of the variance in utterances f0. Cues and concerns were on average 13.07 Hz higher than neutral statements (p = 0.02). Cues and concerns in these consultations contained content with a high proportion of recurrence fears. Conclusion:The present study highlights the benefits and challenges of adding f0 and potential other prosodic features to the toolkit of coding emotional distress in the health communication setting. Practice implications:The assessment of f0 during clinical conversations can provide additional information for research into emotional expression.3

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Section: The Verona Coding Definitions Of Emotional Sequencesmentioning

confidence: 99%

Using fundamental frequency of cancer survivors’ speech to investigate emotional distress in out-patient visits

Kandsberger

Rogers

et al. 2016

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“…Eight GPs and 107 patients, a subsample of a larger study [15], from the Greater Glasgow Emotional Sequences (VR-CoDES CC and VR-CoDES-P) [17,18], during September 2009 and January 2010, for both patients' expressions of cues/concerns and GPs' responses. The coding manual defines an emotional cue as a hint suggesting an underlying negative emotion, whereas a concern is an explicitly verbalised expression of negative emotion.…”

Section: Participants and Proceduresmentioning

confidence: 99%

Do multimorbidity and deprivation influence patients’ emotional expressions and doctors’ responses in primary care consultations? – An exploratory study using multilevel analysis

Lundy

Humphris

et al. 2015

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Objective: To explore whether and how patient multimorbidity and socioeconomic deprivation conditions might influence patients' emotional expression and doctors' responses in the general practice (GP) consultations. Results: GPs were less likely to provide space as the consultation proceeded, controlling for multimorbidity and deprivation variables. Patients with multimorbidity were less likely to express emotional distress in an explicit form. GPs were more likely to provide acknowledgement to emotions expressed by patients from more deprived areas. Methods Conclusion:Multimorbidity and deprivation may influence the dynamics of the GP consultations in specific ways. Rigorous methodologies using larger samples are required to explore further how these two variables relate to each other and influence cue expression, provider response and subsequent patient outcomes.Practice implications: Understanding how multimorbidity and deprivation impact on GP consultations may help inform future service improvement programmes.

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“…The VR-CoDES is a consensus based system to studying patients' expressions of emotional distress [10] and health providers' responses to patients' expressions emotions [11]. It was developed primarily from medical consultations and only relatively recently has been applied to the dental context [2].…”

Section: The Vr-codes In the Dental Contextmentioning

confidence: 99%

“…The Verona Coding Definitions of Emotional Sequence (VR-CoDES-CC and VR-CoDES-P) [10,11] was used to code patient cues/concerns and staff responses. Additional guidelines September 2013.…”

Section: Coding Cues/concerns and Responsementioning

confidence: 99%

Applying the Verona coding definitions of emotional sequences (VR-CoDES) in the dental context involving patients with complex communication needs: An exploratory study

Black

Freeman

et al. 2014

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