The development of a prototype measure of the co-production of health in routine consultations for people with long-term conditions

Realpe, A. X.; Wallace, L. M.; Adams, A. E. and Kidd, J. M. (2015). The development of a prototype measure of the co-production of health in routine consultations for people with long-term conditions. Patient Education and Counseling, 98(12) pp. 1608–1616.

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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