Application of the Verona Coding Definitions of Emotional Sequences (VR-CoDES) on a pediatric data set

作者：Vatne Torun M^*; Finset Arnstein; Ornes Knut; Ruland Cornelia M

来源：Patient Education and Counseling, 2010, 80(3): 399-404.

DOI：10.1016/j.pec.2010.06.026

• Patient-provider communication
• Concern
• Cues
• Pediatrics

Objective: Adult patients present concerns as defined in the Verona Coding Definitions of Emotional Sequences (VR-CoDES), but we do not know how children express their concerns during medical consultations. This study aimed to evaluate the applicability of VR-CoDES to pediatric oncology consultations.
Methods: Twenty-eight pediatric consultations were coded with the Verona Coding Definitions of Emotional Sequences (VR-CoDES), and the material was also qualitatively analyzed for descriptive purposes. Five consultations were randomly selected for reliability testing and descriptive statistics were computed.
Results: Perfect inter-rater reliability for concerns and moderate reliability for cues were obtained. Cues and/or concerns were present in over half of the consultations. Cues were more frequent than concerns, with the majority of cues being verbal hints to hidden concerns or non-verbal cues. Intensity of expressions, limitations in vocabulary, commonality of statements, and complexity of the setting complicated the use of VR-CoDES. Child-specific cues: use of the imperative, cues about past experiences, and use of onomatopoeia were observed.
Conclusion: Children with cancer express concerns during medical consultations. VR-CoDES is a reliable tool for coding concerns in pediatric data sets. Practice implications: For future applications in pediatric settings an appendix should be developed to incorporate the child-specific traits.

• 出版日期2010-9