Coding linguistic elements in clinical interactions: a step-by-step guide for analyzing communication form.

Background: The quality of communication between healthcare professionals (HCPs) and patients affects health outcomes. Different coding systems have been developed to unravel the interaction. Most schemes consist of predefined categories that quantify the content of communication (the what). Though...

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Publicado en:BMC Medical Research Methodology Vol. 22; no. 1; pp. 1 - 13
Autores principales: Stortenbeker, Inge, Salm, Lisa, olde Hartman, Tim, Stommel, Wyke, Das, Enny, van Dulmen, Sandra
Formato: research Journal Article
Publicado: BioMed Central 7/12/2022
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Coding linguistic elements in clinical interactions: a step-by-step guide for analyzing communication form.
      aug:
        au:
          Stortenbeker, Inge
          Salm, Lisa
          olde Hartman, Tim
          Stommel, Wyke
          Das, Enny
          van Dulmen, Sandra
        affil: Centre for Language Studies, Radboud University, Nijmegen, the Netherlands
      sug:
        subj:
          Communication
          Linguistics
          Data Collection
          Reproducibility of Results
          Health Personnel
          Scales
          Ferrans and Powers Quality of Life Index
      ab: Background: The quality of communication between healthcare professionals (HCPs) and patients affects health outcomes. Different coding systems have been developed to unravel the interaction. Most schemes consist of predefined categories that quantify the content of communication (the what). Though the form (the how) of the interaction is equally important, protocols that systematically code variations in form are lacking. Patterns of form and how they may differ between groups therefore remain unnoticed. To fill this gap, we present CLECI, Coding Linguistic Elements in Clinical Interactions, a protocol for the development of a quantitative codebook analyzing communication form in medical interactions.Methods: Analyzing with a CLECI codebook is a four-step process, i.e. preparation, codebook development, (double-)coding, and analysis and report. Core activities within these phases are research question formulation, data collection, selection of utterances, iterative deductive and inductive category refinement, reliability testing, coding, analysis, and reporting.Results and Conclusion: We present step-by-step instructions for a CLECI analysis and illustrate this process in a case study. We highlight theoretical and practical issues as well as the iterative codebook development which combines theory-based and data-driven coding. Theory-based codes assess how relevant linguistic elements occur in natural interactions, whereas codes derived from the data accommodate linguistic elements to real-life interactions and contribute to theory-building. This combined approach increases research validity, enhances theory, and adjusts to fit naturally occurring data. CLECI will facilitate the study of communication form in clinical interactions and other institutional settings.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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