|
1
2
3
4
5
6
WS5
First Annual Research Symposium on “Energetic and
Spiritual Processes of Healing”
(continuação)
D2 Exploration
of Patient and Provider Interaction Patterns
Beth Yohalem-Ilsley, Jennifer Schneider, Nancy Vuckovic,
Lynn DeBar, Kaiser
Permanente Center for Health Research, Portland, OR
Objectives: This study explores patient-provider
interaction patterns across a variety of complementary
and alternative medicine (CAM) modalities and allopathic
care. Primary goals of the study are to: 1) determine
feasibility and acceptability of videotaping treatment
sessions, and 2) elucidate domains of interaction within
CAM encounters that may not be captured by existing
coding methodologies.
Materials and Methods: Six practitioners (5 CAM
and 1 allopathic) were recruited, each seeing two
participants (n=12). All encounters were video recorded
with the camera placed in an unobtrusive location.
Within 1 week of the session practitioners and
participants separately reviewed the videotape while
simultaneously being interviewed by trained qualitative
researchers. All debrief interviews were audio-taped and
transcribed for analysis. Treatment sessions were also
transcribed. The Roter Interaction Analysis System
(RIAS) was selected for coding the therapeutic
interactions.
Results: 1) Low reactivity to the video camera
was reported by both practitioners and participants. 2)
Although the RIAS was appropriate for some aspects of
the encounter, the system, constructed for use in
allopathic encounters, did not account for some unique
features of CAM interactions such as: measuring the
duration and type of therapeutic touch; distinguishing
clearly medical versus psychosocial and spiritual
content; references to energy; participant initiated
conversation; and the timing and duration of silent
time.
Conclusions: Initial analysis indicates that
other verbal aspects of the interactions such as use of
metaphors and language congruency, and non-verbal
aspects of the interaction such as qualification of
touch or energy exchange, are important areas in which
to develop coding methodologies.
Supported by the NIH-funded Oregon Center for
Complementary and Alternative Medicine, Kaiser
Permanente Center for Health Research, Portland OR
Consulta
à página original:
http://www.issseem.org/WS5Abstracts.html
1
2
3
4
5
6
|
imprimir
com os comandos
do seu browserr
|