1. Can Verona Coding Definitions of Emotional Sequences (VR-CoDES) be applied to standardized Chinese medical consultations? - A reliability and validity investigation.
- Author
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Yin L, Yin M, Wang Q, Yan Y, Tang Q, Deng Y, and Liu X
- Subjects
- China, Cues, Cultural Characteristics, Female, Humans, Male, Patient Simulation, Psychometrics, Reproducibility of Results, Videotape Recording, Emotions, Medical History Taking standards, Physician-Patient Relations, Referral and Consultation
- Abstract
Objective: To investigate the reliability and validity of the Chinese version of VR-CoDES., Methods: The VR-CoDES was translated into Chinese, and a focus group was held to discuss its cultural adaptation. Video consultations between 75 fourth-year medical students and 2 standardized patients (SPs) were coded by two raters with the Chinese VR-CoDES. Inter-rater reliability was tested by using ICC. To obtain validity, the SPs reviewed the video consultations to confirm the cues and concerns., Results: ICC was 0.79. Specificity and sensitivity were 0.99 and 0.96 respectively. The SPs expressed considerably more cues (mean = 7.00) than concerns (mean = 0.32). Half of the responses of medical students were explicit reducing space. Focus group participants raised some cultural considerations, and some interactions were difficult to code due to cultural differences., Conclusion: The Chinese VR-CoDES obtained good reliability and validity. Due to differences in the expression of emotions and other differences such as different medical systems between China and Western countries, the Chinese VR-CoDES needs further cultural adaptation., Practice Implication: More consultations in real clinical settings need to be gathered to further support the Chinese VR-CoDES both on validation and cultural adaptation., (Copyright © 2019 Elsevier B.V. All rights reserved.)
- Published
- 2019
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