PMID- 20669339
OWN - NLM
STAT- MEDLINE
DCOM- 20120605
LR  - 20120209
IS  - 1099-1611 (Electronic)
IS  - 1057-9249 (Linking)
VI  - 20
IP  - 9
DP  - 2011 Sep
TI  - Communication analysis in oncology care. Performance of a combination of a 
      content analysis system and a global scale.
PG  - 992-1000
LID - 10.1002/pon.1808 [doi]
AB  - OBJECTIVE: The aim was to assess the feasibility and reliability of Velikova's 
      Content Analysis System (VCAS) and the Medical Interaction Process System (MIPS) 
      global scale for evaluation of communication in oncology care. METHODS: Seventy 
      routine physician consultations with gastro-intestinal (GI) cancer patients were 
      audio-recorded. Two coders applied VCAS and MIPS global scale to the 
      consultations. VCAS captures aspects of communication like symptoms, side 
      effects, functional issues (e.g. emotional, social, physical), health-related 
      quality of life and medical decision making. MIPS global scale measures the total 
      impression of the consultation, e.g. patient centredness and psychosocial focus. 
      RESULTS: In total, 61 of 70 consultations were coded. The coding took twice the 
      consultations' actual durations in minutes for VCAS. The time for coding MIPS 
      global scale equalled the consultations length. However, the coder had then 
      listened to the consultation twice before, coding for VCAS. Cohen's kappa for all 
      aspects measured by VCAS varied between 0.20 and 1, mean 0.80. One category (Info 
      on test) had a kappa of 0.20, the other categories were all above 0.60. Weighted 
      Kappa for MIPS global scale varied between 0.25 and 0.73, mean 0.42. CONCLUSIONS: 
      VCAS and MIPS global scale is a feasible combination of tools for evaluating 
      patient-physician communication regarding content, medical decision making and 
      global aspects of communication. VCAS showed high reliability. The MIPS global 
      scale showed lower reliability, due to its sensitivity to the individual coders' 
      unique values, common for all global scales. Further development of the 
      combination of content and global instruments would be valuable.
CI  - Copyright (c) 2010 John Wiley & Sons, Ltd.
FAU - Fagerlind, Hanna
AU  - Fagerlind H
AD  - Department of Pharmacy, Uppsala University, Uppsala, Sweden. 
      Hanna.Fagerlind@farmaci.uu.se
FAU - Bergstrom, Ida
AU  - Bergstrom I
FAU - Lindblad, Asa Kettis
AU  - Lindblad AK
FAU - Velikova, Galina
AU  - Velikova G
FAU - Glimelius, Bengt
AU  - Glimelius B
FAU - Ring, Lena
AU  - Ring L
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20100728
PL  - England
TA  - Psychooncology
JT  - Psycho-oncology
JID - 9214524
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Communication
MH  - Data Collection/*methods
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Medical Oncology/*statistics & numerical data
MH  - Middle Aged
MH  - Neoplasms/*psychology
MH  - *Physician-Patient Relations
MH  - Psychometrics/instrumentation
MH  - Reproducibility of Results
EDAT- 2010/07/30 06:00
MHDA- 2012/06/06 06:00
CRDT- 2010/07/30 06:00
PHST- 2009/11/24 00:00 [received]
PHST- 2010/04/16 00:00 [revised]
PHST- 2010/06/14 00:00 [accepted]
PHST- 2010/07/30 06:00 [entrez]
PHST- 2010/07/30 06:00 [pubmed]
PHST- 2012/06/06 06:00 [medline]
AID - 10.1002/pon.1808 [doi]
PST - ppublish
SO  - Psychooncology. 2011 Sep;20(9):992-1000. doi: 10.1002/pon.1808. Epub 2010 Jul 28.