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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
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Realpe, Alba, Wallace, L. M., Adams, Ann and Kidd, J. M. (2015) The development of a prototype measure of the co-production of health in routine consultations for people with long-term conditions. Patient Education and Counseling, 98 (12). pp. 1608-1616. doi:10.1016/j.pec.2015.07.005
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Official URL: http://dx.doi.org/10.1016/j.pec.2015.07.005
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).
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.
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.
Conclusion
Although the CPH tool is promising, further testing is required in order to improve reliability and validity.
Practical implications
In the future, the measure could be used to test interventions to promote patient participation in decision making about self-management.
| Item Type: | Journal Article | ||||||||||
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School |
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| Journal or Publication Title: | Patient Education and Counseling | ||||||||||
| Publisher: | Elsevier Ireland Ltd. | ||||||||||
| ISSN: | 0738-3991 | ||||||||||
| Official Date: | December 2015 | ||||||||||
| Dates: |
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| Volume: | 98 | ||||||||||
| Number: | 12 | ||||||||||
| Page Range: | pp. 1608-1616 | ||||||||||
| DOI: | 10.1016/j.pec.2015.07.005 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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