A linguistic study of patient-centered interviewing: Emergent interactional effects

Ashley M. Hesson, Issidoros Sarinopoulos, Richard M. Frankel, Robert C. Smith

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Objectives: To evaluate interactional effects of patient-centered interviewing (PCI) compared to isolated clinician-centered interviewing (CCI). Methods: We conducted a pilot study comparing PCI (N=4) to CCI (N=4) for simulated new-patient visits. We rated interviews independently and measured patient satisfaction with the interaction via a validated questionnaire. We conducted interactional sociolinguistic analysis on the interviews and compared across three levels of analysis: turn, topic, and interaction. Results: We found significant differences between PCI and CCI in physician responses to patients' psychosocial cues and concerns. The number and type of physician questions also differed significantly across PCI and CCI sets. Qualitatively, we noted several indicators of physician-patient attunement in the PCI interviews that were not present in the CCI interviews. They spanned diverse aspects of physician and patient speech, suggesting interactional accommodation on the part of both participants. Conclusions: This small pilot study highlights a variety of interactional variables that may underlie the effects associated with patient-centered interviewing (e.g., positive relationships, health outcomes). Question form, phonological accommodation processes, and use of stylistic markers are relatively unexplored in controlled studies of physician-patient interaction. Practice implications: This study characterizes several interactional variables for larger scale studies and contributes to models of patient-centeredness in practice.

Original languageEnglish (US)
Pages (from-to)373-380
Number of pages8
JournalPatient Education and Counseling
Volume88
Issue number3
DOIs
StatePublished - Sep 2012

    Fingerprint

Keywords

  • Communication
  • Discourse analysis
  • Patient-centered interviewing linguistics
  • Provider-patient relationship
  • Sociolinguistics

ASJC Scopus subject areas

  • Medicine(all)

Cite this