Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Coding patient emotional cues and concerns in medical consultations: The Verona coding definitions of emotional sequences (VR-CoDES).
AU - Zimmermann, C
AU - Del Piccolo, L
AU - Bensing, J
AU - Bergvik, S
AU - de Haes, H
AU - Eide, H
AU - Fletcher, Ian
AU - Goss, C
AU - Heaven, C
AU - Humpheris, G
AU - Kim, YM
AU - Langewitz, W
AU - Meeuwesen, L
AU - Nuebling, M
AU - Rimondini, M
AU - Salmon, P
AU - van Dulmen, S
AU - Wissow, L
AU - Zandbelt, L
AU - Finset, A
PY - 2011/2
Y1 - 2011/2
N2 - ObjectiveTo present the Verona Coding Definitions of Emotional Sequences (VR-CoDES CC), a consensus based system for coding patient expressions of emotional distress in medical consultations, defined as Cues or Concerns.MethodsThe system was developed by an international group of communication researchers. First, consensus was reached in different steps. Second, a reliability study was conducted on 20 psychiatric consultations.ResultsA Cue is defined as a verbal or non-verbal hint which suggests an underlying unpleasant emotion that lacks clarity. A Concern is defined as a clear and unambiguous expression of an unpleasant current or recent emotion that is explicitly verbalized with or without a stated issue of importance. The conceptual framework sets precise criteria for cues and concerns and for whom (health provider or patient) elicits the cue/concern. Inter-rater reliability proved satisfactory (agreement 81.5%, Cohen's Kappa 0.70).ConclusionThe VR-CoDES CC will facilitate comparative research on provider–patient communication sequences in which patients express emotional distress.Practice implicationsThe VR-CoDES CC may be used to help clinicians in recognizing or facilitating cues and concerns, thereby improving the recognition of patients’ emotional distress, the therapeutic alliance and quality of care for these patients.
AB - ObjectiveTo present the Verona Coding Definitions of Emotional Sequences (VR-CoDES CC), a consensus based system for coding patient expressions of emotional distress in medical consultations, defined as Cues or Concerns.MethodsThe system was developed by an international group of communication researchers. First, consensus was reached in different steps. Second, a reliability study was conducted on 20 psychiatric consultations.ResultsA Cue is defined as a verbal or non-verbal hint which suggests an underlying unpleasant emotion that lacks clarity. A Concern is defined as a clear and unambiguous expression of an unpleasant current or recent emotion that is explicitly verbalized with or without a stated issue of importance. The conceptual framework sets precise criteria for cues and concerns and for whom (health provider or patient) elicits the cue/concern. Inter-rater reliability proved satisfactory (agreement 81.5%, Cohen's Kappa 0.70).ConclusionThe VR-CoDES CC will facilitate comparative research on provider–patient communication sequences in which patients express emotional distress.Practice implicationsThe VR-CoDES CC may be used to help clinicians in recognizing or facilitating cues and concerns, thereby improving the recognition of patients’ emotional distress, the therapeutic alliance and quality of care for these patients.
KW - Cue
KW - Concern
KW - Coding definitions
KW - VR-CoDES
U2 - 10.1016/j.pec.2010.03.017
DO - 10.1016/j.pec.2010.03.017
M3 - Journal article
VL - 82
SP - 141
EP - 148
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 2
ER -