The Medical Interaction Process System (MIPS): an instrument for analysing interviews of oncologists and patients with cancer

Ford, Steve; Hall, Angela; Ratcliffe, Denise; Fallowfield, Lesley

doi:10.1016/s0277-9536(99)00308-1

Cited by 111 publications

(96 citation statements)

References 43 publications

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“…This had little effect upon the quality of these measures, as the distribution, reliability and correlation analyses observed are very similar to those observed using the original HAQ in other medical outpatient groups (Lucock and Morley, 1996;Lucock et al, 1997). The MIPS was also altered, providing further detail of reassurance utterances that were previously grouped (Ford et al, 2000). These patient populations were selected for study because locally they undergo protocol-based surveillance when in remission.…”

Section: Limitations Of the Studymentioning

confidence: 98%

“…These are determined by the syntax and by its context. The MIPS was derived in oncology (Ford et al, 2000), and has good to excellent inter-rater and rate-rerate reliability (Fallowfield et al, 2002). We devised and formalised adaptations to the MIPS to classify reassurance, after training from the group who developed MIPS:…”

Section: Communication During the Medical Consultationmentioning

confidence: 99%

“…DS performed the ratings, using a coding sheet developed alongside the MIPS (Ford et al, 2000). A random sample of 10% of interviews was selected, and rerated by DS and MK, to assess reliability (Bland and Altman, 1996).…”

Section: Communication During the Medical Consultationmentioning

confidence: 99%

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Reassurance and the anxious cancer patient

et al. 2004

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Section: Limitations Of the Studymentioning

confidence: 98%

Section: Communication During the Medical Consultationmentioning

confidence: 99%

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Reassurance and the anxious cancer patient

et al. 2004

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“…Similar to interaction analysis systems (e.g. the MIPS [66]), the CCS codes discrete portions of doctors' talk with patients. However, unlike interaction analysis systems, which are by nature descriptive, the CCS is prescriptive, focusing only the skills that should be present.…”

Section: Discussionmentioning

confidence: 99%

“…the coding systems used) varied widely. Seven of the 13 studies used one of two interaction analysis systems, the Medical Interaction Process System (MIPS) [66] and the Cancer Research Campaign Workshop Evaluation Manual (CRCWEM) [35]. The MIPS is a coding tool designed specifically for research purposes [67], while the CRCWEM is a research tool designed to assess the form, function and, content of transcribed utterances [68].…”

Section: Choosing An Assessment Methodsmentioning

confidence: 99%

The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

et al. 2009

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Objective: The objective of this paper is to report the implementation and assessment of the Comskil Training Curriculum at Memorial Sloan-Kettering Cancer Center.Method: Twenty-eight attending physicians and surgeons participated in communication skills training modules as part of a train-the-trainer program. Doctors were video recorded in clinical consultations with patients two times before training and two times after training, resulting in 112 video recordings for analysis. Recordings were coded using the Comskil Coding System.Results: Communication skills related to two of the six major skill sets, Establishing the Consultation Framework and Checking, increased following training. Limited changes emerged in three skill sets, while one skill set, Shared Decision Making, did not change. Doctors who attended more training modules had higher levels of change. Female participants demonstrated three skills more frequently than males post-training.Conclusions: The intervention produced significant communication skills uptake in a group of experienced attending clinicians, mediated by the amount of training. Future research should focus on the dose of training necessary to achieve skills uptake and the effect of skills training on patient outcomes.

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