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The development of a prototype measure of the co-production of health in routine consultations for people with long-term conditions.
- Source :
-
Patient education and counseling [Patient Educ Couns] 2015 Jul 08. Date of Electronic Publication: 2015 Jul 08. - Publication Year :
- 2015
- Publisher :
- Ahead of Print
-
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).<br />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.<br />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.<br />Conclusion: Although the CPH tool is promising, further testing is required in order to improve reliability and validity.<br />Practical Implications: In the future, the measure could be used to test interventions to promote patient participation in decision making about self-management.<br /> (Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1873-5134
- Database :
- MEDLINE
- Journal :
- Patient education and counseling
- Publication Type :
- Academic Journal
- Accession number :
- 26194690
- Full Text :
- https://doi.org/10.1016/j.pec.2015.07.005