Development of a Method of Analysis for Identifying an Individual Patient’s Perspective in Video-recorded Oncology Consultations

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dc.contributor.authorHealing, Sara
dc.contributor.supervisorBavelas, Janet Beavin
dc.date.accessioned2013-08-26T18:01:47Z
dc.date.available2013-08-26T18:01:47Z
dc.date.copyright2013en_US
dc.date.issued2013-08-26
dc.degree.departmentDepartment of Psychology
dc.degree.levelMaster of Science M.Sc.en_US
dc.description.abstractPatient-centred care has become an important model for health-care delivery, especially in cancer care. The implementation of this model includes patient-centred communication between the clinician and his or her patient. However, most research on patient-centred communication focuses on the clinicians’ initiative: what clinicians should do and what information they should seek to elicit from patients. It is equally important to recognize what each individual patient can contribute about his or her unique perspective on the disease, its treatment, and the effects on what is important to this patient. This thesis reports the development of a system for analyzing over 1500 utterances made by patients in eight video-recorded oncology consultations at the British Columbia Cancer Agency, Vancouver Island Centre. The analysis distinguishes between biomedical information that the patient can provide and patient-centred information, which contributes the individual patient’s unique perspective on any aspect of his or her illness or treatment. The resulting analysis system includes detailed operational definitions with examples, a decision tree, and .eaf files in ELAN software for viewing and for recording decisions. Two psychometric tests demonstrated that the system is replicable: high inter-analyst reliability (90% agreement between independent analysts) on a random sample of the data set and cross-validation to the remainder of the data set. A supplemental idiographic analysis of each consultation illustrates the important role that patient-centred information played in these consultations. This system could be an important tool for teaching clinicians to recognize the individual information that patients can provide and its relevance to their care.en_US
dc.description.proquestcode0992en_US
dc.description.proquestcode0451en_US
dc.description.proquestcode0350en_US
dc.description.proquestemailshealing@uvic.caen_US
dc.description.scholarlevelGraduateen_US
dc.identifier.urihttp://hdl.handle.net/1828/4835
dc.languageEnglisheng
dc.language.isoenen_US
dc.rights.tempAvailable to the World Wide Weben_US
dc.subjectpatient-centereden_US
dc.subjectpatient-centred careen_US
dc.subjectshared decision makingen_US
dc.subjectvideo analysisen_US
dc.subjectcancer careen_US
dc.subjectpatient informationen_US
dc.subjectpatient-centered communication - methodsen_US
dc.subjectpatient participationen_US
dc.subjectpatient communicationen_US
dc.subjectoncologyen_US
dc.subjectmedical student educationen_US
dc.titleDevelopment of a Method of Analysis for Identifying an Individual Patient’s Perspective in Video-recorded Oncology Consultationsen_US
dc.typeThesisen_US

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