Development of the Verona coding definitions of emotional sequences to code health providers' responses (VR-CoDES-P) to patient cues and concerns

作者：Del Piccolo Lidia^*; de Haes Hanneke; Heaven Cathy; Jansen Jesse; Verheul William; Bensing Jozien; Bergvik Svein; Deveugele Myriam; Eide Hilde; Fletcher Ian; Goss Claudia; Humphris Gerry; Kim Young Mi; Langewitz Wolf; Mazzi Maria Angela; Mjaaland Trond; Moretti Francesca; Nuebling Matthias; Rimondini Michela; Salmon Peter; Sibbern Tonje; Skre Ingunn; van Dulmen Sandra; Wissow Larry; Young Bridget; Zandbelt Linda; Zimmermann Christa; Finset Arnstein

来源：Patient Education and Counseling, 2011, 82(2): 149-155.

DOI：10.1016/j.pec.2010.02.024

• Health provider response
• Cue
• Concern
• VR-CoDES
• Communication skills

Objective: To present a method to classify health provider responses to patient cues and concerns according to the VR-CoDES-CC (Del Piccolo et al. (2009) [2] and Zimmermann et al. (submitted for publication) [3]). The system permits sequence analysis and a detailed description of how providers handle patient's expressions of emotion.
Methods: The Verona-CoDES-P system has been developed based on consensus views within the "Verona Network of Sequence Analysis". The different phases of the creation process are described in detail. A reliability study has been conducted on 20 interviews from a convenience sample of 104 psychiatric consultations.
Results: The VR-CoDES-P has two main classes of provider responses, corresponding to the degree of explicitness (yes/no) and space (yes/no) that is given by the health provider to each cue/concern expressed by the patient. The system can be further subdivided into 17 individual categories. Statistical analyses showed that the VR-CoDES-P is reliable (agreement 92.86%, Cohen's kappa 0.90 (+/- 0.04) p < 0.0001).
Conclusion: Once validity and reliability are tested in different settings, the system should be applied to investigate the relationship between provider responses to patients' expression of emotions and outcome variables.
Practice implications: Research employing the VR-CoDES-P should be applied to develop research-based approaches to maximize appropriate responses to patients' indirect and overt expressions of emotional needs.

• 出版日期2011-2