Development of the Verona coding definitions of emotional sequences to code health providers' responses (VR-CoDES-P) to patient cues and concerns
Development of the Verona coding definitions of emotional sequences to code health providers' responses (VR-CoDES-P) to patient cues and concerns
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DOI：
10.1016/j.pec.2010.02.024
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发表时间：
2011-02-01
影响因子：
3.5
通讯作者：
Finset, Arnstein
中科院分区：
文献类型：
--
作者：
Del Piccolo, Lidia;de Haes, Hanneke;Finset, Arnstein
目的：提出一种根据VR - CoDES - CC（德尔·皮科洛等人，2009年[2]；齐默尔曼等人，已投稿待发表[3]）对医疗服务提供者对患者暗示和担忧的反应进行分类的方法。该系统允许进行序列分析，并详细描述服务提供者如何处理患者的情绪表达。
方法：维罗纳 - CoDES - P系统是基于“维罗纳序列分析网络”内的共识观点开发的。详细描述了创建过程的不同阶段。对104次精神科会诊的便利样本中的20次访谈进行了可靠性研究。
结果：VR - CoDES - P将服务提供者的反应分为两大类，对应于医疗服务提供者对患者表达的每个暗示/担忧所给予的明确程度（是/否）和空间（是/否）。该系统可进一步细分为17个单独类别。统计分析表明，VR - CoDES - P是可靠的（一致性为92.86%，科恩κ值为0.90（±0.04），p < 0.0001）。
结论：一旦在不同环境中测试了有效性和可靠性，该系统就应被用于研究服务提供者对患者情绪表达的反应与结果变量之间的关系。
实践意义：应用VR - CoDES - P的研究应被用于开发基于研究的方法，以最大限度地对患者间接和明显的情感需求表达做出适当反应。（C）2010爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: To present a method to classify health provider responses to patient cues and concerns according to the VR-CoDES-CC (Del Piccolo et al. (2009) [2] and Zimmermann et al. (submitted for publication) [3]). The system permits sequence analysis and a detailed description of how providers handle patient's expressions of emotion.Methods: The Verona-CoDES-P system has been developed based on consensus views within the "Verona Network of Sequence Analysis". The different phases of the creation process are described in detail. A reliability study has been conducted on 20 interviews from a convenience sample of 104 psychiatric consultations.Results: The VR-CoDES-P has two main classes of provider responses, corresponding to the degree of explicitness (yes/no) and space (yes/no) that is given by the health provider to each cue/concern expressed by the patient. The system can be further subdivided into 17 individual categories. Statistical analyses showed that the VR-CoDES-P is reliable (agreement 92.86%, Cohen's kappa 0.90 (+/- 0.04) p < 0.0001).Conclusion: Once validity and reliability are tested in different settings, the system should be applied to investigate the relationship between provider responses to patients' expression of emotions and outcome variables.Practice implications: Research employing the VR-CoDES-P should be applied to develop research-based approaches to maximize appropriate responses to patients' indirect and overt expressions of emotional needs. (C) 2010 Elsevier Ireland Ltd. All rights reserved.