Titre :
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Shared Medical Appointments marginally enhance interaction between patients : An observational study on children and adolescents with type 1 diabetes (2013)
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Auteurs :
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Janneke Noordman
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Type de document :
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Article : texte imprimé
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Dans :
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Patient Education and Counseling (Vol. 92 n° 3, Septembre 2013)
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Article en page(s) :
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pp.418–425
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Note générale :
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biblio.
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Langues:
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Anglais
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Catégories :
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MALADIE CHRONIQUE
DIABETE
ADOLESCENT
PEDIATRIE
ENFANT
COMMUNICATION
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Mots-clés:
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MALADIE CHRONIQUE
;
DIABETE
;
ADOLESCENT
;
PEDIATRIE
;
ENFANT
;
COMMUNICATION
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Résumé :
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ObjectiveTo examine informational and emotional patient–provider and patient–patient communication sequences (i.e. cues and subsequent responses) during Shared Medical Appointments (SMAs) for children and adolescents with type 1 Diabetes Mellitus (T1DM) and their parents.Methods57 children/adolescents with T1DM and 36 healthcare providers participated in ten SMAs in seven Dutch hospitals. Parents were present in six SMAs. Video-recordings were made. Communication sequences, including informational and emotional cues and responses were rated using an adaptation of the Medical Interview Aural Rating Scale.Results143 patient-initiated cues were identified, followed by 140 provider responses and 30 patient responses. Patients gave more informational than emotional cues. Informational cues were mostly medical-related. Subsequent responses provided by providers and patients contained mostly appropriate information. We identified 17 patient and four parent cues with multiple responses.ConclusionsAlmost all cues were identified by healthcare providers and responded to in an appropriate manner. Cues not followed by a provider's response were picked up by other patients. Providers acted as mediator between a patient cue and another patient's response, thereby stimulating the interaction during SMAs.Practice implicationsProfessionals could more explicitly invite all participants to interact with each other, and enable them to have their share in the communication process.
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Note de contenu :
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SCIENTIFIQUE
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