Validating computer-generated measures of linguistic style matching and accommodation in patient-clinician communication

被引:0
作者
Khaleghzadegan, Salar [1 ,2 ,8 ]
Rosen, Michael [1 ,3 ,4 ]
Links, Anne [5 ]
Ahmad, Alya [6 ]
Kilcullen, Molly [1 ]
Boss, Emily [4 ,5 ]
Beach, Mary Catherine [4 ,6 ]
Saha, Somnath [6 ,7 ]
机构
[1] Johns Hopkins Univ, Armstrong Inst Patient Safety & Qual, Sch Med, Baltimore, MD USA
[2] Geisel Sch Med, Dartmouth Inst Hlth Policy & Clin Practice, Dartmouth Coll, Lebanon, NH USA
[3] Johns Hopkins Univ, Anesthesiol & Crit Care Med, Sch Med, Baltimore, MD USA
[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA
[5] Johns Hopkins Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD USA
[6] Johns Hopkins Univ, Dept Med, Sch Med, Baltimore, MD USA
[7] Ctr Improve Vet Involvement Care, VA Portland Hlth Care Syst, Portland, OR USA
[8] Armstrong Inst Patient Safety & Qual, 750 E Pratt St,15th Floor, Baltimore, MD 21210 USA
基金
美国国家卫生研究院; 美国国家航空航天局;
关键词
Patient-clinician communication; Linguistic style matching; Linguistic accommodation; Patient perception; PROVIDER COMMUNICATION; HEALTH OUTCOMES; LANGUAGE USE; ADHERENCE; CARE; PHYSICIANS; FLEXIBILITY; PATTERNS; QUALITY; MODELS;
D O I
10.1016/j.pec.2023.108074
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To explore the validity of computer-analyzed linguistic style matching (LSM) in patient-clinician communication. Methods: Using 330 transcribed HIV patient encounters, we quantified word use with Linguistic Inquiry and Word Count (LIWC), a dictionary-based text analysis software. We measured LSM by calculating the degree to which clinicians matched patients in the use of LIWC "function words" (e.g., articles, pronouns). We tested associations of different LSM metrics with patients' perceptions that their clinicians spoke similiarly to them. Results: We developed 3 measures of LSM: 1) at the whole-visit level; (2) at the turn-by-turn level; and (3) using a "rolling-window" approach, measuring matching between clusters of 8 turns per conversant. None of these measures was associated with patient-rated speech similarity. However, we found that increasing trajectories of LSM, from beginning to end of the visit, were associated with higher patient-rated speech similarity (beta 0.35, CI 0.06, 0.64), compared to unchanging trajectories. Conclusions: Our findings point to the potential value of clinicians' adapting their communication style to match their patients, over the course of the visit. Practice implications: With further validation, computer-based linguistic analyses may prove an efficient tool for generating data on communication patterns and providing feedback to clinicians in real time.
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页数:8
相关论文
共 58 条
[11]  
Boyd R. L., 2022, DEV PSYCHOMETRIC PRO, DOI DOI 10.13140/RG.2.2.23890.43205
[12]   PATIENT PERCEPTION OF INVOLVEMENT IN MEDICAL-CARE - RELATIONSHIP TO ILLNESS ATTITUDES AND OUTCOMES [J].
BRODY, DS ;
MILLER, SM ;
LERMAN, CE ;
SMITH, DG ;
CAPUTO, GC .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1989, 4 (06) :506-511
[13]   PHYSICIANS COMMUNICATION STYLE AND PATIENT SATISFACTION [J].
BULLER, MK ;
BULLER, DB .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1987, 28 (04) :375-388
[14]   The secret life of pronouns: Flexibility in writing style and physical health [J].
Campbell, RS ;
Pennebaker, JW .
PSYCHOLOGICAL SCIENCE, 2003, 14 (01) :60-65
[15]  
Crow H., 2002, Health technology assessment
[16]  
Danescu-Niculescu-Mizil C., 2011, INT WORLD WIDE WEB C, P745, DOI [10.1145/1963405.1963509, DOI 10.1145/1963405.1963509]
[17]   4 MODELS OF THE PHYSICIAN-PATIENT RELATIONSHIP [J].
EMANUEL, EJ ;
EMANUEL, LL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (16) :2221-2226
[18]  
Farzadnia S., 2015, International Journal of Society, Culture Language, V4, P17
[19]   Respecting patients is associated with more patient-centered communication behaviors in clinical encounters [J].
Flickinger, Tabor E. ;
Saha, Somnath ;
Roter, Debra ;
Korthuis, P. Todd ;
Sharp, Victoria ;
Cohn, Jonathan ;
Moore, Richard D. ;
Ingersoll, Karen S. ;
Beach, Mary Catherine .
PATIENT EDUCATION AND COUNSELING, 2016, 99 (02) :250-255
[20]   Higher Quality Communication and Relationships Are Associated With Improved Patient Engagement in HIV Care [J].
Flickinger, Tabor E. ;
Saha, Somnath ;
Moore, Richard D. ;
Beach, Mary C. .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2013, 63 (03) :362-366