Differences in Audiotaped Versus Videotaped Physician-Patient Interactions

Dawn L. Riddle1, Terrance L. Albrecht2, Michael D. Coovert3, Louis A. Penner3, John C. Ruckdeschel2, Christina G. Blanchard4, Gwendolyn Quinn2, Daniel Urbizu5
1Medical Interaction Research Group. H. Lee Moffitt Cancer Center and Research Institute at the, University of South Florida, MRC-CANCONT, Tampa
2Medical Interaction Research Group, Moffitt Cancer Center, University of South Florida College of Medicine, USA
3Medical Interaction Research Group, Moffitt Cancer Center, University of South Florida, USA
4Medical Interaction Research Group, Moffitt Cancer Center, USA
5Medical Interaction Research Group and Project Link, Moffitt Cancer Center, USA

Tóm tắt

Most medical interaction studies have been conducted on audiotaped recordings of physician-patient encounters. Empirical studies have not previously demonstrated whether coders' scores differ on audio-only versus videotaped data. Data from a convenience sample of forty-seven physician-patient interactions were analyzed using the same coding systems to judge audio-only versus video-based data formats. All coding conditions demonstrated acceptable reliability, using intraclass correlation coefficients. However, MANOVA analyses show that ratings of audiotaped physician-patient interactions are not equivalent to ratings of videotaped encounters. Exploratory factor analyses show differences in the underlying structures of the data derived from the audio-only versus the video information. The differences in the video-based factor solutions account for more total variance and are more consistent with theoretical expectations.

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