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ARTICLES

A Comprehensive Observational Coding Scheme for Analyzing Instrumental, Affective, and Relational Communication in Health Care Contexts

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Pages 178-197 | Published online: 04 Jan 2011
 

Abstract

Many observational coding schemes have been offered to measure communication in health care settings. These schemes fall short of capturing multiple functions of communication among providers, patients, and other participants. After a brief review of observational communication coding, the authors present a comprehensive scheme for coding communication that is (a) grounded in communication theory, (b) accounts for instrumental and relational communication, and (c) captures important contextual features with tailored coding templates: the Siminoff Communication Content & Affect Program (SCCAP). To test SCCAP reliability and validity, the authors coded data from two communication studies. The SCCAP provided reliable measurement of communication variables including tailored content areas and observer ratings of speaker immediacy, affiliation, confirmation, and disconfirmation behaviors.

Acknowledgments

Results presented in this article are supported by a grant from the Agency for Healthcare Research and Quality, Understanding Consent to Tissue Donation (R01 HS-13152), Principal Investigator Laura A. Siminoff.

Notes

Note. Percentages represent total for speaker.

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