Rapport, Resistance, and Reactance

Alison, Emily K.; Alison, Laurence; Surmon-Böhr, Frances; Shortland, Neil

doi:10.1093/med-psych/9780197545959.003.0002

Cited by 2 publications

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“…The concept of soft skills is a powerful way to conceptualise rapport as it implies rapport can be practised and developed into mastery in contexts like telehealth. 44 This applies equally to health professionals understanding telepresence without which rapport could not be realistically experienced. 37 , 45 , 46 Even with mastery though, rapport is not guaranteed, and requires attention in every interaction.…”

Section: Discussionmentioning

confidence: 99%

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Health professionals’ experiences of rapport during telehealth encounters in community palliative care: An interpretive description study

2023

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Background: Despite the reported importance of rapport, there are knowledge gaps in the ways rapport is developed and experienced by health professionals during telehealth calls in palliative care. Aim: To gain an understanding about developing rapport during telehealth calls by exploring the experiences of health professionals in community palliative care. Design: A qualitative Interpretive Description study was conducted with semi-structured interviews and focus groups between November 2020 and May 2021. Data was audio recorded, transcribed, and analysed using Reflexive thematic analysis. A COREQ checklist was completed. Setting/Participants: Thirty-one palliative care professionals who had participated in telehealth calls were recruited from four hospice locations in Aotearoa, New Zealand. Results: There were two themes identified: (1) ‘Getting on together’, which included how rapport shows up in telehealth, with examples of calls with rapport and without rapport, and (2) ‘Rapport is a soft skill’, which identified health professionals using body language and listening in specific ways in telehealth, while being aware of the privacy of calls, and lack of training concerns. Conclusion: Based on health professionals experiences of rapport it was determined that rapport is vitally important in telehealth calls, as it is in-person interactions. Rapport is a soft skill that can potentially be learned, practiced and mastery developed, although rapport in each interaction is not guaranteed. Patient and family experiences of rapport in the palliative telehealth area warrants further research and there is some urgency for health professional training in telehealth interpersonal skills.

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Section: Discussionmentioning

confidence: 99%

“… 38 , 47 Although more research is needed into rapport and telehealth, researchers have identified the qualities required for successful rapport building and developed a checklist for telehealth skills. 44 , 48 Further research is also warranted to reflect the vital experiences that patients and families have of rapport in telehealth.…”

Section: Discussionmentioning

confidence: 99%

Health professionals’ experiences of rapport during telehealth encounters in community palliative care: An interpretive description study

2023

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“…Two experienced ORBIT coders, worked independently to code each 15 min interview segment according to an ORBIT coding manual. The manual developed by Alison and Alison (2012) was used to code the behaviour of the participants in the interview. Interviewer behaviour was coded into three elements measuring the following: (i) Global Motivational Interviewing Scores (GMIS), (ii) Motivational Interviewing of Detainees: Assessment of Skills (MIDAS), and (iii) Interpersonal Behaviour Circle: Adaptive and Maladaptive – Interviewer (IBC-I).…”

Section: Methodsmentioning

confidence: 99%

An Economic Evaluation of the Impact of Using Rapport-Based Interviewing Approaches With Child Sexual Abuse Suspects

et al. 2021

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Two studies examined whether rapport-based interviewing with child sexual abuse (CSA) suspects provides greater interview yield that could result in overall cost-savings to the investigation. First, multi-level modelling was applied to 35 naturalistic CSA suspect interviews to establish whether rapport-based interviewing techniques increase “yield” – defined as information of investigative value. The Observing Rapport Based Interviewing Technique (ORBIT coding manual was used to code interviews; it includes an assessment of both interpersonal adaptive and maladaptive rapport-based interviewer engagement as well as motivational interviewing (MI) strategies. The impact of these two strands (interpersonal and MI) on extracting information of investigative value (including strengthening a case for court and safeguarding) were examined. Adaptive interpersonal strategies increased case strengthening and safeguarding yield, with motivational interviewing having the largest impact on safeguarding yield. Both strategies increase the likelihood of gaining additional types of economic yield. Maladaptive interviewer strategies reduced case strengthening and different types of economic yield. In study two, literature-based economic estimates were applied to establish the potential cost benefits from following national ORBIT rapport training. Further training in adaptive and motivational interviewing could contribute cost savings between £19 and £78 million (annual unit costs) increasing to £238–£972 million (lifetime costs) for online CSA across England and Wales; and £157–£639 million (annual unit costs) increasing to £2–£8 billion (lifetime costs) for all CSA. Failure to commit training resource to this, or an alternative strategy, could mean the cost burden attributable to maladaptive interviewing (between £1 and £6 million for online CSA and £12 and £48 million for all CSA) is not successfully averted.

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Rapport, Resistance, and Reactance

Cited by 2 publications

References 0 publications

Health professionals’ experiences of rapport during telehealth encounters in community palliative care: An interpretive description study

Health professionals’ experiences of rapport during telehealth encounters in community palliative care: An interpretive description study

An Economic Evaluation of the Impact of Using Rapport-Based Interviewing Approaches With Child Sexual Abuse Suspects

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