In the interview, Sarangi rightly points to the increasing drive to recognize patients, and more generally, lay persons, as experts and decision-makers. For instance, patients have their own unique knowledge of being a patient and receiver of healthcare services. A patient also knows what is important to him or her and must therefore play a crucial role in the decision-making process relating to the care given.
{"title":"The patient or lay person as expert","authors":"Rolf Wynn","doi":"10.1558/cam.26000","DOIUrl":"https://doi.org/10.1558/cam.26000","url":null,"abstract":"In the interview, Sarangi rightly points to the increasing drive to recognize patients, and more generally, lay persons, as experts and decision-makers. For instance, patients have their own unique knowledge of being a patient and receiver of healthcare services. A patient also knows what is important to him or her and must therefore play a crucial role in the decision-making process relating to the care given.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"131 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140731494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Srikant Sarangi’s rich and provocative insights clearly merit robust inquiry. In resounding endorsement of his spot-on driving thesis of communication as “action/meaning-making practice,” let us stretch beyond our disciplinary corridors and embark on a brief phenomenological and ontological dig to further challenge the quarantining of communication to a template of skills and behavior.
{"title":"Communicating at face value","authors":"Michael C. Brannigan","doi":"10.1558/cam.25999","DOIUrl":"https://doi.org/10.1558/cam.25999","url":null,"abstract":"Srikant Sarangi’s rich and provocative insights clearly merit robust inquiry. In resounding endorsement of his spot-on driving thesis of communication as “action/meaning-making practice,” let us stretch beyond our disciplinary corridors and embark on a brief phenomenological and ontological dig to further challenge the quarantining of communication to a template of skills and behavior.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"197 S575","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140730741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katharine Weetman, C. Wiskin, J. Skelton, Katharine Heathcock
Background: Students completing a healthcare degree can experience difficulties, both academic and non-academic. Early intervention for struggling students may present an opportunity for remediation. Students may be coached in academic performance, clinical communication, values-based learning and development of professional identity The referred students’ coaching programme at the University of Birmingham is a unique offering, encompassing eight different healthcare programmes. Referrals can be triggered by academic performance and ‘concern forms’ by stakeholders. Concerns by referrers include exam failure, performance anxiety, lack of confidence, poor team and/or patient/public communication or inadequate self-presentation as well as issues with attitudes/values, study methods, organisation, writing, language, motivation and conduct. Each student referred to the programme receives a bespoke coaching service. Sessions may include role play, narrative reflection, review and revision of academic work, structured feedback and signposting of resources. Methods and analysis: A qualitative evaluation is carried out of students referred to the Interactive Studies Unit at the University of Birmingham for coaching support with language, communication and professional development. This evaluation explores the experiences of referred students via qualitative surveys. The results are examined using thematic analysis and corpus linguistics. There is a minimum target of 15 participants. Dissemination: The findings will be published and shared internally for training and internal process improvement purposes.
{"title":"Evaluating the referred students’ coaching programme through student surveys","authors":"Katharine Weetman, C. Wiskin, J. Skelton, Katharine Heathcock","doi":"10.1558/cam.24819","DOIUrl":"https://doi.org/10.1558/cam.24819","url":null,"abstract":"Background: Students completing a healthcare degree can experience difficulties, both academic and non-academic. Early intervention for struggling students may present an opportunity for remediation. Students may be coached in academic performance, clinical communication, values-based learning and development of professional identity The referred students’ coaching programme at the University of Birmingham is a unique offering, encompassing eight different healthcare programmes. Referrals can be triggered by academic performance and ‘concern forms’ by stakeholders. Concerns by referrers include exam failure, performance anxiety, lack of confidence, poor team and/or patient/public communication or inadequate self-presentation as well as issues with attitudes/values, study methods, organisation, writing, language, motivation and conduct. Each student referred to the programme receives a bespoke coaching service. Sessions may include role play, narrative reflection, review and revision of academic work, structured feedback and signposting of resources.\u0000Methods and analysis: A qualitative evaluation is carried out of students referred to the Interactive Studies Unit at the University of Birmingham for coaching support with language, communication and professional development. This evaluation explores the experiences of referred students via qualitative surveys. The results are examined using thematic analysis and corpus linguistics. There is a minimum target of 15 participants.\u0000Dissemination: The findings will be published and shared internally for training and internal process improvement purposes.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"96 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140421025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In speech and language therapy it is common to do an assessment of a child’s speech and language abilities. During the assessment, the child does not solely carry out the assigned task, but also does repair work to achieve intersubjectivity in order to perform well in the test activity. The aim of the present study was to investigate how children with Developmental Language Disorder (DLD) design and initiate repair during assessment. Sixteen children with DLD aged between 7;05 (7 years and 5 months) to 10;00 years were included. The data consist of video recordings of the children and a researcher made during the test activities, and conversation analysis is used to analyse the data. Findings show how the children initiate several kinds of repair during the test activities, with several types of reformulations presenting candidate understandings. The reformulations occurred just after the task-setting turn (TST), and they indicate that the children displayed an understanding of what was expected of them during the test activities. By using reformulations, the children thus revealed pragmatic skills and demonstrated competence in being a test taker. These findings may have clinical implications when assessing pragmatic skills.
{"title":"Children’s reformulations during speech-language assessment","authors":"Annette Esbensen, Maja Sigurd Pilesjö","doi":"10.1558/cam.23829","DOIUrl":"https://doi.org/10.1558/cam.23829","url":null,"abstract":"In speech and language therapy it is common to do an assessment of a child’s speech and language abilities. During the assessment, the child does not solely carry out the assigned task, but also does repair work to achieve intersubjectivity in order to perform well in the test activity. The aim of the present study was to investigate how children with Developmental Language Disorder (DLD) design and initiate repair during assessment. Sixteen children with DLD aged between 7;05 (7 years and 5 months) to 10;00 years were included. The data consist of video recordings of the children and a researcher made during the test activities, and conversation analysis is used to analyse the data. Findings show how the children initiate several kinds of repair during the test activities, with several types of reformulations presenting candidate understandings. The reformulations occurred just after the task-setting turn (TST), and they indicate that the children displayed an understanding of what was expected of them during the test activities. By using reformulations, the children thus revealed pragmatic skills and demonstrated competence in being a test taker. These findings may have clinical implications when assessing pragmatic skills.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"133 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140423648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stefan Timmermans, Tanya Stivers, Keith Cox, Amanda McArthur
Communication research on medical interaction has made inroads into how patients shape treatment outcomes as well as how physician presentation of treatment can shape patient acceptance or resistance. Pain is the number one reason patients visit primary care physicians. The overprescription of opioids for chronic pain remains a major public health problem in the US and constitutes a risk factor for opioid addiction. In this study, we investigated how primary care physicians communicate recommendations for alternatives to opioid treatments for patients with self-reported moderate to serious chronic musculoskeletal pain and examined the relationship between communication strategies and patient resistance to non-opioid treatment recommendations. We relied on a convenience sample of 35 video recorded visits in which musculo-skeletal pain was reported as moderate to severe (or over 5 on the pain scale). Using a combined approach of abductive analysis, conversation analysis and descriptive statistics, we show that physicians are less likely to face patient resistance when they frame their non-opioid pain treatment recommendation as novel and present the treatment as concrete and tailored to the patient’s problem.
{"title":"Patients in pain","authors":"Stefan Timmermans, Tanya Stivers, Keith Cox, Amanda McArthur","doi":"10.1558/cam.22881","DOIUrl":"https://doi.org/10.1558/cam.22881","url":null,"abstract":"Communication research on medical interaction has made inroads into how patients shape treatment outcomes as well as how physician presentation of treatment can shape patient acceptance or resistance. Pain is the number one reason patients visit primary care physicians. The overprescription of opioids for chronic pain remains a major public health problem in the US and constitutes a risk factor for opioid addiction. In this study, we investigated how primary care physicians communicate recommendations for alternatives to opioid treatments for patients with self-reported moderate to serious chronic musculoskeletal pain and examined the relationship between communication strategies and patient resistance to non-opioid treatment recommendations. We relied on a convenience sample of 35 video recorded visits in which musculo-skeletal pain was reported as moderate to severe (or over 5 on the pain scale). Using a combined approach of abductive analysis, conversation analysis and descriptive statistics, we show that physicians are less likely to face patient resistance when they frame their non-opioid pain treatment recommendation as novel and present the treatment as concrete and tailored to the patient’s problem.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical implications of covert recording.","authors":"Rolf Wynn, Gunnar Ellingsen","doi":"10.1558/cam.22766","DOIUrl":"10.1558/cam.22766","url":null,"abstract":"<p><p>A rejoinder to the review by Elywn and colleages.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"10 1","pages":"90-92"},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74905844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A response to the rejoinders to Elwyn and colleages.
对Elwyn和同事们的回应。
{"title":"A response to the rejoinders.","authors":"Glyn Elwyn","doi":"10.1558/cam.24968","DOIUrl":"10.1558/cam.24968","url":null,"abstract":"<p><p>A response to the rejoinders to Elwyn and colleages.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"48 1","pages":"93-97"},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77368422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physicians' feelings and reactions in Taiwan.","authors":"Wen-Hsuan Hou","doi":"10.1558/cam.23425","DOIUrl":"10.1558/cam.23425","url":null,"abstract":"<p><p>A rejoinder to the review by Elywn and colleages.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"107 1","pages":"82-85"},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83438753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How can the law better enable consultation recording?","authors":"Amelia Hyatt, Megan Prictor","doi":"10.1558/cam.23424","DOIUrl":"10.1558/cam.23424","url":null,"abstract":"<p><p>A rejoinder to the review by Elywn and colleages.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"114 1","pages":"86-89"},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76872912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patients and consultations.","authors":"Angus Clarke, Lisa Ballard, Shane Doheny","doi":"10.1558/cam.23724","DOIUrl":"10.1558/cam.23724","url":null,"abstract":"<p><p>A rejoinder to the review by Elywn and colleages.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"28 1","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84458577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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