Myrna L Friedlander, Kelsey Kangos, Kieran Maestro, Hannah Muetzelfeld, Scott T Wright, Nicole Da Silva, Justin Kimber, Drew A Helmer, Lisa M McAndrew
{"title":"介绍医学联盟观察系统(SOMA):一个研究医患关系一致性的工具。","authors":"Myrna L Friedlander, Kelsey Kangos, Kieran Maestro, Hannah Muetzelfeld, Scott T Wright, Nicole Da Silva, Justin Kimber, Drew A Helmer, Lisa M McAndrew","doi":"10.1177/0011000019891434","DOIUrl":null,"url":null,"abstract":"We developed the System for Observing Medical Alliances (SOMA) to study relationships between medical providers and patients with medically unexplained symptoms (MUS). Based on literature in health psychology, medicine, and the psychotherapeutic alliance, the SOMA operationalizes three medical alliance dimensions: Engagement in the Consultation Process, Trust in the Provider, and Concordance of Illness Beliefs and Treatment Recommendations. Specific behavioral indicators, tallied as observed by trained judges, are used as the basis for rating each dimension. In a sample of 33 medical consultations with veterans who had MUS, interrater reliabilities ranged from .79 to .94. Notably, the other dimension ratings accounted for 40% of the variability in Concordance, with Trust in the Provider contributing unique variance. In addition to research, psychologists in integrated health settings can use the SOMA to consult and train medical providers on communication skills that enhance concordance.","PeriodicalId":48165,"journal":{"name":"Counseling Psychologist","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2019-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0011000019891434","citationCount":"4","resultStr":"{\"title\":\"Introducing the System for Observing Medical Alliances (SOMA): A Tool for Studying Concordance in Patient-Physician Relationships.\",\"authors\":\"Myrna L Friedlander, Kelsey Kangos, Kieran Maestro, Hannah Muetzelfeld, Scott T Wright, Nicole Da Silva, Justin Kimber, Drew A Helmer, Lisa M McAndrew\",\"doi\":\"10.1177/0011000019891434\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"We developed the System for Observing Medical Alliances (SOMA) to study relationships between medical providers and patients with medically unexplained symptoms (MUS). Based on literature in health psychology, medicine, and the psychotherapeutic alliance, the SOMA operationalizes three medical alliance dimensions: Engagement in the Consultation Process, Trust in the Provider, and Concordance of Illness Beliefs and Treatment Recommendations. Specific behavioral indicators, tallied as observed by trained judges, are used as the basis for rating each dimension. In a sample of 33 medical consultations with veterans who had MUS, interrater reliabilities ranged from .79 to .94. Notably, the other dimension ratings accounted for 40% of the variability in Concordance, with Trust in the Provider contributing unique variance. In addition to research, psychologists in integrated health settings can use the SOMA to consult and train medical providers on communication skills that enhance concordance.\",\"PeriodicalId\":48165,\"journal\":{\"name\":\"Counseling Psychologist\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2019-12-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1177/0011000019891434\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Counseling Psychologist\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1177/0011000019891434\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, APPLIED\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Counseling Psychologist","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1177/0011000019891434","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, APPLIED","Score":null,"Total":0}
Introducing the System for Observing Medical Alliances (SOMA): A Tool for Studying Concordance in Patient-Physician Relationships.
We developed the System for Observing Medical Alliances (SOMA) to study relationships between medical providers and patients with medically unexplained symptoms (MUS). Based on literature in health psychology, medicine, and the psychotherapeutic alliance, the SOMA operationalizes three medical alliance dimensions: Engagement in the Consultation Process, Trust in the Provider, and Concordance of Illness Beliefs and Treatment Recommendations. Specific behavioral indicators, tallied as observed by trained judges, are used as the basis for rating each dimension. In a sample of 33 medical consultations with veterans who had MUS, interrater reliabilities ranged from .79 to .94. Notably, the other dimension ratings accounted for 40% of the variability in Concordance, with Trust in the Provider contributing unique variance. In addition to research, psychologists in integrated health settings can use the SOMA to consult and train medical providers on communication skills that enhance concordance.
期刊介绍：
The Counseling Psychologist is the official publication of the Division of Counseling Psychology (Division 17) of the American Psychological Association. Each issue includes a major article or set of articles on a specific theme of importance to the theory, research, and practice of counseling psychology. In addition, articleas appear in the Forums that address professional issues, methodological and theoretical issues, and comments on previous publications in the journal.
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