Difference between revisions of "Yip-Schoeb2020"

From emcawiki
Jump to: navigation, search
(Created page with "{{BibEntry |BibType=ARTICLE |Author(s)=Adrian Yip; Veronika Schoeb |Title=Facilitating patient participation in physiotherapy: Symptom-talk during exercise therapy from an Asi...")
 
m
Line 3: Line 3:
 
|Author(s)=Adrian Yip; Veronika Schoeb
 
|Author(s)=Adrian Yip; Veronika Schoeb
 
|Title=Facilitating patient participation in physiotherapy: Symptom-talk during exercise therapy from an Asian context
 
|Title=Facilitating patient participation in physiotherapy: Symptom-talk during exercise therapy from an Asian context
|Tag(s)=EMCA; Healthcare communication; Patient Participation; Health literacy; In Press;  
+
|Tag(s)=EMCA; Healthcare communication; Patient Participation; Health literacy; In Press; Medical EMCA
 
|Key=Yip-Schoeb2018
 
|Key=Yip-Schoeb2018
 
|Year=2018
 
|Year=2018
 
|Language=English
 
|Language=English
|Journal=Physiotherapy Theory and Practice: An International Journal of Physical Therapy  
+
|Journal=Physiotherapy Theory and Practice: An International Journal of Physical Therapy
 
|URL=https://www.tandfonline.com/doi/abs/10.1080/09593985.2018.1485800
 
|URL=https://www.tandfonline.com/doi/abs/10.1080/09593985.2018.1485800
 
|DOI=https://doi.org/10.1080/09593985.2018.1485800
 
|DOI=https://doi.org/10.1080/09593985.2018.1485800
 
|Abstract=Background and purpose: Patient participation is the cornerstone for effective physiotherapy intervention. The aim was to analyze how patients and physiotherapists negotiate symptoms during exercise therapy and describe patients’ participation during this process. Methods: Nineteen consultations with sixteen patients and six physiotherapists were video-recorded in two Hong Kong outpatient settings. Conversation Analysis was used to uncover interactional aspects of symptom-talk, focusing on turn-taking, sequence organization, and vocabulary. Results: Physiotherapists explored patients’ symptoms only minimally and their frequent use of closed-ended questions allowed limited opportunity for participation. For patient-initiated symptom-talk, less than half elicited actions from physiotherapists, whose minimal acknowledgments were often accepted. Yet, some patients achieved a more substantial contribution through: (1) pausing the exercise-in-progress; (2) gazing at the physiotherapist; (3) pointing at the painful area; and (4) interrupting the physiotherapist, thereby challenging the social order. While discussion about symptoms was often initiated by physiotherapists, some patients participated actively by engaging in certain communicative strategies. Conclusions: Patient participation can be improved by physiotherapists offering a supportive environment (i.e., question design, responding to patients’ initiations, and promoting health literacy), and by patients embracing action-engendering communicative strategies. The fine details of interaction shed light onto the subtleties of symptom-talk initiated by patients or physiotherapists in physiotherapy.
 
|Abstract=Background and purpose: Patient participation is the cornerstone for effective physiotherapy intervention. The aim was to analyze how patients and physiotherapists negotiate symptoms during exercise therapy and describe patients’ participation during this process. Methods: Nineteen consultations with sixteen patients and six physiotherapists were video-recorded in two Hong Kong outpatient settings. Conversation Analysis was used to uncover interactional aspects of symptom-talk, focusing on turn-taking, sequence organization, and vocabulary. Results: Physiotherapists explored patients’ symptoms only minimally and their frequent use of closed-ended questions allowed limited opportunity for participation. For patient-initiated symptom-talk, less than half elicited actions from physiotherapists, whose minimal acknowledgments were often accepted. Yet, some patients achieved a more substantial contribution through: (1) pausing the exercise-in-progress; (2) gazing at the physiotherapist; (3) pointing at the painful area; and (4) interrupting the physiotherapist, thereby challenging the social order. While discussion about symptoms was often initiated by physiotherapists, some patients participated actively by engaging in certain communicative strategies. Conclusions: Patient participation can be improved by physiotherapists offering a supportive environment (i.e., question design, responding to patients’ initiations, and promoting health literacy), and by patients embracing action-engendering communicative strategies. The fine details of interaction shed light onto the subtleties of symptom-talk initiated by patients or physiotherapists in physiotherapy.
 
 
 
}}
 
}}

Revision as of 15:01, 5 September 2018

Yip-Schoeb2020
BibType ARTICLE
Key Yip-Schoeb2018
Author(s) Adrian Yip, Veronika Schoeb
Title Facilitating patient participation in physiotherapy: Symptom-talk during exercise therapy from an Asian context
Editor(s)
Tag(s) EMCA, Healthcare communication, Patient Participation, Health literacy, In Press, Medical EMCA
Publisher
Year 2018
Language English
City
Month
Journal Physiotherapy Theory and Practice: An International Journal of Physical Therapy
Volume
Number
Pages
URL Link
DOI https://doi.org/10.1080/09593985.2018.1485800
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

Download BibTex

Abstract

Background and purpose: Patient participation is the cornerstone for effective physiotherapy intervention. The aim was to analyze how patients and physiotherapists negotiate symptoms during exercise therapy and describe patients’ participation during this process. Methods: Nineteen consultations with sixteen patients and six physiotherapists were video-recorded in two Hong Kong outpatient settings. Conversation Analysis was used to uncover interactional aspects of symptom-talk, focusing on turn-taking, sequence organization, and vocabulary. Results: Physiotherapists explored patients’ symptoms only minimally and their frequent use of closed-ended questions allowed limited opportunity for participation. For patient-initiated symptom-talk, less than half elicited actions from physiotherapists, whose minimal acknowledgments were often accepted. Yet, some patients achieved a more substantial contribution through: (1) pausing the exercise-in-progress; (2) gazing at the physiotherapist; (3) pointing at the painful area; and (4) interrupting the physiotherapist, thereby challenging the social order. While discussion about symptoms was often initiated by physiotherapists, some patients participated actively by engaging in certain communicative strategies. Conclusions: Patient participation can be improved by physiotherapists offering a supportive environment (i.e., question design, responding to patients’ initiations, and promoting health literacy), and by patients embracing action-engendering communicative strategies. The fine details of interaction shed light onto the subtleties of symptom-talk initiated by patients or physiotherapists in physiotherapy.

Notes