Slicing it thin: New methods for brief sampling analysis using RIAS-coded medical dialogue

Debra L. Roter, Judith A. Hall, Danielle Blanch-Hartigan, Susan Larson, Richard M. Frankel

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objective: To explore the relationship between one-minute slices and full-session interaction and the predictive validity of the slices to ratings of affect and rapport. Methods: Third-year medical students (n=253) were videotaped during an OSCE. All interaction was coded using the Roter Interaction Analysis System (RIAS) and samples were drawn at minutes 1, 5, and 9 and extracted from the coded database. The slices were related in multivariate analysis to full-session interaction, corrected for slice content, and correlated with affect ratings of participants and independently rated judgments of rapport. Results: One-minute slices explained 33% of full-session variance in student interaction and 30% of variance in standardized patient interaction. Slices were significantly correlated with affective ratings of participants and independent judgments of rapport in a similar pattern as full-session interaction analysis. Conclusions: One-minute slices of interaction can provide a meaningful degree of insight into OSCE session communication with both concurrent and predictive validity to ratings of session affect and rapport. Practice implications: Evidence of concurrent and predictive validity further supports use of this approach as a research tool that provides an efficient means of analyzing processes of care, examining variation in communication throughout a visit and predicting visit outcomes.

Original languageEnglish (US)
Pages (from-to)410-419
Number of pages10
JournalPatient Education and Counseling
Volume82
Issue number3
DOIs
StatePublished - Mar 1 2011

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Communication
Medical Students
Multivariate Analysis
Databases
Students
Research
bismuth subnitrate

Keywords

  • Medical students
  • Patient-provider communication
  • Rapport
  • Roter Interaction Analysis System (RIAS)
  • Standardized patients
  • Thin slice analysis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Slicing it thin : New methods for brief sampling analysis using RIAS-coded medical dialogue. / Roter, Debra L.; Hall, Judith A.; Blanch-Hartigan, Danielle; Larson, Susan; Frankel, Richard M.

In: Patient Education and Counseling, Vol. 82, No. 3, 01.03.2011, p. 410-419.

Research output: Contribution to journalArticle

Roter, Debra L. ; Hall, Judith A. ; Blanch-Hartigan, Danielle ; Larson, Susan ; Frankel, Richard M. / Slicing it thin : New methods for brief sampling analysis using RIAS-coded medical dialogue. In: Patient Education and Counseling. 2011 ; Vol. 82, No. 3. pp. 410-419.
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