EN PT

Methods and theory for improving medical communication, 04 Feb 2015, 14:30

February 04, 2015

ArgLab Workshop

Av. de Berna 26, Building B1, Floor 0, Room 0.05 (Anfiteatro) 

 

Methods and theory for improving medical communication

 


Presentations:

 

- ‘Healthy reasoning’: using heuristics in medical decision making

Sarah Bigi

 

- Information on Patients’ Medical Knowledge in Health Counselling: How can communication become more patient-centered?

Elisabeth Mayweg-Paus, Regina Jucks, Rainer Bromme

 


Abstracts

 

‘Healthy reasoning’: using heuristics in medical decision making

Sarah Bigi

 

According to the WHO, chronic conditions cause 63% of deaths globally. Especially in Western countries, the increasing aging of the population and stronger impact of comorbility and chronic conditions are seriously challenging the sustainability of health care systems.

In this scenario, prevention becomes a fundamental goal: prevention of chronic diseases, but also of the complications connected to them, which are caused by a bad management of the disease itself. In a situation of chronicity and comorbility, prevention is achieved by considering patients as active agents in the process of care, by motivating and helping them make long-term commitments to healthier lifestyles. These have become therapeutic goals in their own right, which can only be achieved through an effective use of communication during the consultation.

The research project “Healthy reasoning. Strategies and mechanisms of persuasion in chronic care” aims at testing the usability and effectiveness of heuristic strategies – or ‘irrational’ reasoning – in the decision making process within the medical consultation with chronic patients. Decision making comes into play during the crucial phase of the consultation in which doctors and patients discuss treatment or behavior change. In particular with regard to behavior change, it is extremely important that patients are involved, not only for ethical reasons, but also because involvement has been shown to be strongly linked to commitment and, eventually, to adherence. However, existing literature on ‘shared decision making’ in the consultation and on the ‘motivational interview’ recommends avoiding ‘argumentation’, which seems to be considered only in its more rational form.  This would seem to allow no space for insights coming from the field of Argumentation Theory, but what emerges from the aforementioned studies can be easily integrated in an approach to decision making in the consultation in which argumentation is considered as a macro-category encompassing ‘rational’ and ‘irrational’ uses of argument.

Based on a strong theoretical foundation, the experimental phases of the project involve the operationalization of heuristic strategies and their use within the decision making phases of real life consultations with diabetes patients. To this end, a sample of doctors from different regions of Italy are being recruited to participate in the experimental phase.

The presentation will outline the theoretical and methodological design of the project, highlighting the similarities and differences of the approach taken in comparison with the literature on ‘shared decision making’ and on the ‘motivational interview’. 

 

 

Information on Patients’ Medical Knowledge in Health Counselling: How Can Communication Become More Patient-Centred?

Elisabeth Mayweg-Paus, Regina Jucks, Rainer Bromme

 

The success of health communication is not solely determined by a well-considered selection of the information introduced into the counselling process but also by the communicative skills of physicians and other health care providers. Here, one central challenge is to communicate health information in a way that it is intelligible to the patient. In this talk, I will report two studies examining how physicians use information about a patient’s background knowledge when both anticipating what a patient knows and producing actual answers in an email counseling setting.

A fictitious patient used a (high vs. low) level of technical jargon in an email inquiry about diabetes and provided explicit information on prior knowledge (high vs. low) through self-report. Final-year medical students (semi-experts) were asked to gauge the patient’s knowledge level (Experiment 1) and to produce an answer to the inquiry (Experiment 2). A total of N = 150 participated in one of the two experiments. The finding shed light on how semi-experts use different hints on the patient’s knowledge level: Whereas knowledge anticipation is influenced mainly by direct information on the patient’s knowledge level as provided in self-reports, the way responses are formulated also depends to some extent on lexical aspects, like word use, of the patient’s inquiry. More specifically, the answers were more technical when the inquiry used technical jargon instead of everyday language.

Knowledge anticipation and communication behavior in email health care seem to be guided by different hints regarding the patient, suggesting the existence of two separate mechanisms. Beyond merely teaching physicians or health care providers to be aware of the patient’s knowledge level when formulating a patient-centered response, on-task methods should support health care providers during the actual communication phase by providing, for instance, metacognitive prompts.

 

Back to previous page


Events

All Events

2nd ERB Project Workshop: Wittgenstein, Nature, and Religion

2nd ERB Project Workshop

July 29, 2020

Dina Mendonça 8 July, 2020

Lisbon Mind & Reasoning RIP Seminar | Why the Situated…

July 08, 2020

Dave Ward, 12 June 2020, 11h

ArgLab Research Colloquium | Friendly Sensorimotor Generalists

June 12, 2020

Gloria Andrada (w/Robert Clowes), 3 June, 2020, 15.00h to 16.00h

Lisbon Mind & Reasoning RIP Seminar | Transparency in Extended…

June 02, 2020

Alice Crary, 8 May 2020, 11h

ArgLab Research Colloquium | Dehumanization and the Question of Animals

May 08, 2020

Alan Cienki, 17 April 2020, 11h

ArgLab Research Colloquium | Pragmatic functions of gesture on different…

April 17, 2020

Catarina Dutilh Novaes, 13 March 2020, 11h

ArgLab Research Colloquium | The role of trust in argumentation

March 13, 2020

Two-day Masterclass on Wittgenstein’s Epistemology of Religion

ERB Masterclass 2020

February 26, 2020

Fabrizia Garavaglia, 19 February, 2020, 12.00h to 13.00h

Lisbon Mind & Reasoning RIP Seminar | A situated approach…

February 19, 2020

Florian Franken Figueiredo, 14 Feb 2020, 11h

ArgLab Research Colloquium | Philosophy for Children and the Socratic…

February 14, 2020

Abraham Sapién, 22 January, 2020, 12.00h to 13.00

Lisbon Mind & Reasoning RIP Seminar | The Structure of…

January 22, 2020

DISARGUE Workshop 19-20 Dec 2019

THE INTERNATIONAL WORKSHOP ON THE DISCURSIVE MANAGEMENT OF POLITICAL DISAGREEMENT

December 19, 2019

Hili Razinsky, 11 December, 2019, 12.00h to 13.00h

Lisbon Mind & Reasoning RIP Seminar | Interpersonal communication and…

December 11, 2019

Herman Cappelen, 6 December 2019, 11h

ArgLab Research Colloquium | Conceptual Engineering: Under our Control?

December 06, 2019

Dima Mohammed, 15 Nov 2019, 11h

ArgLab Research Colloquium | "Discursive depoliticisation: From argumentation to explanation"

November 15, 2019

Rob Vinten, 6 Nov, 2019, 12.00h to 13.00h

Lisbon Mind & Reasoning RIP Seminar | Wittgenstein, Buddhism, and…

November 06, 2019

Vito Evola, 11 October 2019, 11h

ArgLab Research Colloquium | "More than words: Worldmaking and stancetaking…

October 11, 2019

Institutions

IFIL FCSH/NOVA
Faculdade de Direito Universidade Nova de Lisboa
FCSH
UNL
FCT