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Realpe, A. X.; Wallace, L. M.; Adams, A. E. and Kidd, J. M.
(2015).
DOI: https://doi.org/10.1016/j.pec.2015.07.005
Abstract
Objectives: (i) To develop a prototype measure of co-production of health (CPH) in consultations for people with long-term conditions (LTCs); and (ii) to undertake initial validation of it, using a measure of patient-centred care, as defined by the Roter interaction analysis system (RIAS). Methods: Mixed methods were applied. A qualitative study gathered 11 experts' views on what comprised CPH behaviours. These were operationalised and a prototype measure applied to a convenience sample of 50 video-recorded consultations involving clinicians trained in self-management support and patients with LTCs at health services in six UK locations. Results: Twenty-two CPH behaviours were identified. High frequencies of CPH behaviours in consultations were associated with greater patient-centeredness, less clinician verbal dominance, and more patient communication control in comparison to consultations where CPH behaviours were less frequent. Conclusion: Although the CPH tool is promising, further testing is required in order to improve reliability and validity. Practical implications: In the future, the measure could be used to test interventions to promote patient participation in decision making about self-management.
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About
- Item ORO ID
- 46545
- Item Type
- Journal Item
- ISSN
- 1873-5134
- Project Funding Details
-
Funded Project Name Project ID Funding Body Not Set Not Set National Institute for Health Research Coventry Not Set Not Set Warwickshire Primary Care Research Network - Keywords
- Co-production; Self-management; Healthcare communication; Long-term conditions; Clinician-patient communication; Patient engagement; Interaction analysis; Primary care
- Academic Unit or School
- Faculty of Wellbeing, Education and Language Studies (WELS)
- Copyright Holders
- © 2015 Elsevier
- Depositing User
- Louise Wallace