When patients and clinician (dis)agree about the nature of the problem: The role of displays of shared understanding in acceptance of treatment

McCabe, Rose

doi:10.1016/j.socscimed.2021.114208

Cited by 16 publications

(15 citation statements)

References 26 publications

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“…Tracking the effect of communication styles all the way to clinical outcomes is very difficult. This is because communication is more likely to affect health in an indirect way through its influence on intervening variables 21–24 such as shared understanding, 25 patient recall, 26 , 27 patient health-related behavior, 27 , 28 and patient adherence 29–33 ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

Health Communication Research Informs Inflammatory Bowel Disease Practice and Research: A Narrative Review

Karimi

Moore

Lukin

et al. 2023

Crohn's &Amp; Colitis 360

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Background In the absence of targeted empirical evidence on effective clinical communication in inflammatory bowel disease (IBD), a broad overview of existing evidence on effective communication in healthcare and available recommendations for communication in telehealth is provided and mapped onto IBD research and practice. Methods A narrative literature review was conducted using Pubmed and Scopus databases and snowballing literature search. Results Evidence-based relationship building strategies include communicating emotions, acknowledging and addressing patients’ hesitancy, and ensuring continued support. A particular recommendation regarding telehealth interaction is to avoid long stretches of talk. Effective informational strategies include facilitating and supporting information exchange and considering patients’ preferences in decision making. In teleconsultations, clinicians should ask direct questions about patients’ emotional state, clarify their understanding of patients’ concerns and check patients’ understanding, address at least one patient-reported outcome when discussing the recommended treatment, and shorten the consultation where possible. Strategies for maximising effective clinical communication in the spoken communicative mode include using infographics and simple language, and assessing adherence at the beginning of the consultation. For teleconsultations, clinicians are advised to allow patients to explain the reason for their call at the beginning of the teleconsultation, probe additional concerns early and before ending the teleconsultation, and be mindful of technical issues such as voice delays. Conclusions Use of question prompt lists, decision aids, micro-lessons, and communication training interventions for clinicians could be beneficial in IBD care. Further research into the implementation of such interventions as well as clinical communication concerns specific to IBD is warranted.

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Section: Resultsmentioning

confidence: 99%

Health Communication Research Informs Inflammatory Bowel Disease Practice and Research: A Narrative Review

Karimi

Moore

Lukin

et al. 2023

Crohn's &Amp; Colitis 360

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show abstract

“…Patient-centred communication involves (building) a partnership between the patient and the practitioner that enables collaboration, grounded in both the practitioner's and the patient's knowledge, views, and experiences (Santana et al, 2018). In the case of health problems that do not have an unequivocal biomedical cause, the process of collaboratively reaching a shared understanding of the problem tends to require negotiation between patients and practitioners (McCabe, 2021). This means that patients need (to be encouraged) to share their own, potentially different, perspectives.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it is considered important that patients and their practitioners develop a shared understanding of the causal and maintaining factors that have contributed, and still contribute, to their pain and pain-related disability (Frantsve & Kerns, 2007;Oosterhof et al, 2014;Verbeek et al, 2004). After all, if patients and practitioners reach a shared understanding about the nature of the pain problem, they are more likely to reach agreement on the treatment goals and the most appropriate treatment plan (see also McCabe, 2021). This does not mean, however, that patients and their practitioners need to agree on each…”

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confidence: 99%

Consultations Preliminary to Interdisciplinary Chronic Pain Rehabilitation

Stinesen

Sneijder

Köke

et al. 2023

EJHC

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Before patients with chronic pain enter an interdisciplinary chronic pain rehabilitation programme, a team of various healthcare professionals performs a biopsychosocial analysis of their pain problem. To enhance patients’ engagement, the problem analysis is thoroughly discussed with them in order to gain a shared understanding of the nature of their pain problem. This study explores how patients and practitioners talk through their rehabilitation team’s hypotheses regarding the psychosocial factors involved in these patients’ health situation. Nine consultations were recorded at various Dutch interdisciplinary chronic pain rehabilitation units. The recordings were transcribed and analysed, combining an applied conversation analytic research approach with discursive psychology. Patients and practitioners are found to orient to ensuring consensus on the problem analysis as a relevant activity and tend to avoid or minimize the articulation of differences in perspectives. This study also shows that this orientation to consensus involves a delicate management of issues of accountability and blame. Findings can be used by practitioners to consider communication practices that are more likely to encourage patients to voice potential concerns regarding their rehabilitation team’s findings.

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“…Past studies have analyzed video-recorded healthcare encounters to examine how treatment decisions are made in situ (Wang 2020;Stivers & Timmermans 2021;Tate 2022;McCabe 2021;Ostermann 2021;Dalby Landmark et al 2017;Kaminskiy & Finlay 2019;Pino et al 2020). These studies use Conversation Analysis (Sidnell & Stivers 2012;Tietbohl & White 2022) to microanalyze video-recorded clinical interactions and identify systematic patterns in how practitioners mental versus physical health diagnosis (Tate 2019).…”

Section: Literaturementioning

confidence: 99%

Gatekeeping and factors underlying decisions not to refer to mental health services after self-harm: Triangulating video-recordings of consultations, interviews, medical records and discharge letters

Bergen

Lomas

Ryan

2023

SSM - Qualitative Research in Health

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When patients and clinician (dis)agree about the nature of the problem: The role of displays of shared understanding in acceptance of treatment

Cited by 16 publications

References 26 publications

Health Communication Research Informs Inflammatory Bowel Disease Practice and Research: A Narrative Review

Health Communication Research Informs Inflammatory Bowel Disease Practice and Research: A Narrative Review

Consultations Preliminary to Interdisciplinary Chronic Pain Rehabilitation

Gatekeeping and factors underlying decisions not to refer to mental health services after self-harm: Triangulating video-recordings of consultations, interviews, medical records and discharge letters

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