scholarly journals The Impact of Video-Mediated Communication on Closed Wound Assessments in Postoperative Consultations: Conversation Analytical Study

10.2196/17791 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e17791 ◽  
Author(s):  
Wyke J P Stommel ◽  
Harry van Goor ◽  
Martijn W J Stommel
Keyword(s):  
Specific Activity ◽  
Resected Specimen ◽  
Video Technology ◽  
Mediated Communication ◽  
Long Term Conditions ◽  
Face To Face ◽  
Consultation Room ◽  
Wound Assessment ◽  
The Moment ◽  
The Impact

Background Research on the use of video-mediated technology for medical consultations is increasing rapidly. Most research in this area is based on questionnaires and focuses on long-term conditions. The few studies that have focused on physical examinations in video consultations indicated that it poses challenges for the participants. The specific activity of wound assessment through video in postsurgery consultations has not yet been studied. Furthermore, a comparative analysis of face-to-face and video settings on the moment-to-moment organization of such an activity is original. Objective The aim of this study was to examine the impact of video technology on the procedure of postsurgery wound assessment and its limits. Methods We recorded 22 postoperative video consultations and 17 postoperative face-to-face consultations. The primary purpose of the consultation was to inform the patient about the final pathology results of the resected specimen, and the secondary purpose was to check on the patient’s recovery, including an assessment of the closed wound. The recordings were transcribed in detail and analyzed using methods of conversation analysis. Results The way that an assessment of the wound is established in video consultations differs from the procedure in face-to-face consultations. In the consultation room, wound assessments overwhelmingly (n=15/17) involve wound showings in the context of surgeons reporting their observations formatted with evidentials (“looks neat”) and subsequently assessing what these observations imply or what could be concluded from them. In contrast, wound assessments in video consultations do not tend to involve showing the wound (n=3/22) and, given the technological restrictions, do not involve palpation. Rather, the surgeon invites the patient to assess the wound, which opens up a sequence of patient and physician assessments where diagnostic criteria such as redness or swollenness are made explicit. In contrast to observations in regular consultations, these assessments are characterized by epistemic markers of uncertainty (“I think,” “sounds...good”) and evidentials are absent. Even in cases of a potential wound problem, the surgeon may rely on questioning the patient rather than requesting a showing. Conclusions The impact of video technology on postoperative consultations is that a conclusive wound assessment is arrived at in a different way when compared to face-to-face consultations. In video consultations, physicians enquire and patients provide their own observations, which serve as the basis for the assessment. This means that, in video consultations, patients have a fundamentally different role. These talking-based assessments are effective unless, in cases of a potential problem, patient answers seem insufficient and a showing might be beneficial.

scholarly journals The Impact of Video-Mediated Communication on Closed Wound Assessments in Postoperative Consultations: Conversation Analytical Study (Preprint)

2020 ◽  
Author(s):  
Wyke J P Stommel ◽  
Harry van Goor ◽  
Martijn W J Stommel
Keyword(s):  
Specific Activity ◽  
Resected Specimen ◽  
Video Technology ◽  
Mediated Communication ◽  
Long Term Conditions ◽  
Face To Face ◽  
Consultation Room ◽  
Wound Assessment ◽  
The Moment ◽  
The Impact

BACKGROUND Research on the use of video-mediated technology for medical consultations is increasing rapidly. Most research in this area is based on questionnaires and focuses on long-term conditions. The few studies that have focused on physical examinations in video consultations indicated that it poses challenges for the participants. The specific activity of wound assessment through video in postsurgery consultations has not yet been studied. Furthermore, a comparative analysis of face-to-face and video settings on the moment-to-moment organization of such an activity is original. OBJECTIVE The aim of this study was to examine the impact of video technology on the procedure of postsurgery wound assessment and its limits. METHODS We recorded 22 postoperative video consultations and 17 postoperative face-to-face consultations. The primary purpose of the consultation was to inform the patient about the final pathology results of the resected specimen, and the secondary purpose was to check on the patient’s recovery, including an assessment of the closed wound. The recordings were transcribed in detail and analyzed using methods of conversation analysis. RESULTS The way that an assessment of the wound is established in video consultations differs from the procedure in face-to-face consultations. In the consultation room, wound assessments overwhelmingly (n=15/17) involve wound showings in the context of surgeons reporting their observations formatted with evidentials (“looks neat”) and subsequently assessing what these observations imply or what could be concluded from them. In contrast, wound assessments in video consultations do not tend to involve showing the wound (n=3/22) and, given the technological restrictions, do not involve palpation. Rather, the surgeon invites the patient to assess the wound, which opens up a sequence of patient and physician assessments where diagnostic criteria such as redness or swollenness are made explicit. In contrast to observations in regular consultations, these assessments are characterized by epistemic markers of uncertainty (“I think,” “sounds...good”) and evidentials are absent. Even in cases of a potential wound problem, the surgeon may rely on questioning the patient rather than requesting a showing. CONCLUSIONS The impact of video technology on postoperative consultations is that a conclusive wound assessment is arrived at in a different way when compared to face-to-face consultations. In video consultations, physicians enquire and patients provide their own observations, which serve as the basis for the assessment. This means that, in video consultations, patients have a fundamentally different role. These talking-based assessments are effective unless, in cases of a potential problem, patient answers seem insufficient and a showing might be beneficial.

Perceived Behaviors of Emergent and Assigned Leaders in Virtual Groups

2008 ◽  
pp. 1096-1110
Author(s):  
Kathryn R. Wickham ◽  
Joseph B. Walther
Keyword(s):  
Leadership Behaviors ◽  
Computer Mediated Communication ◽  
Mediated Communication ◽  
Leadership Theories ◽  
Online Groups ◽  
Face To Face ◽  
Virtual Groups ◽  
Computer Mediated ◽  
Group Members ◽  
The Impact

While considerable research has explored perceptions of groups and members in computer-mediated communication (CMC), and leadership behaviors in face-to-face groups, little research has examined how leadership is identified in CMC groups. Contemporary CMC theories alternatively stress the impact of salient, stereotyped roles on CMC groups’ perceptions, or the accretion of exaggerated impressions based on behavioral cues. These perspectives, in turn, coincide with predictions about the predominance of alternative forms of leadership: Assigned versus emergent. This study draws on traditional leadership theories from face-to-face group research and applies them to CMC to examine dynamics related to assigned and emergent leaders in online groups. The results of the study demonstrate that CMC groups may identify more than one leader. When identifying emergent leaders, regardless of whether a leader was assigned or not, group members consider perceived amounts of communication, intelligence, and encouraging and authoritarian behaviors.

THE IMPACT OF COGNITIVE COMPLEXITY ON FEEDBACK EFFICACY DURING ONLINE VERSUS FACE-TO-FACE INTERACTIVE TASKS

2013 ◽  
Vol 35 (4) ◽  
pp. 689-725 ◽  
Author(s):  
Melissa Baralt
Keyword(s):  
Cognitive Complexity ◽  
Task Complexity ◽  
Computer Mediated Communication ◽  
Control Group ◽  
Time On Task ◽  
Complex Task ◽  
Mediated Communication ◽  
Simple Task ◽  
Face To Face ◽  
The Impact

Informed by the cognition hypothesis (Robinson, 2011), recent studies indicate that more cognitively complex tasks can result in better incorporation of feedback during interaction and, as a consequence, more learning. It is not known, however, how task complexity and feedback work together in computerized environments. The present study addressed this gap by investigating how cognitive complexity in face-to-face (FTF) versus computer-mediated communication (CMC) environments mediates the efficacy of recasts in promoting second language development. Eighty-four adult learners of Spanish as a foreign language at a mid-Atlantic university were randomly assigned to a control group or one of four experimental groups. The experimental groups engaged in one-on-one interaction and received recasts on the Spanish past subjunctive but differed according to (a) whether or not they had to reflect on another person’s intentional reasons during the task and (b) whether they interacted in FTF or CMC environments. Learning was measured with two production tasks and a multiple-choice receptive test in a Pretest-Posttest 1-Posttest 2 design. Results revealed that in the FTF mode, performing the cognitively complex task while receiving recasts led to the most learning. In the CMC mode, the cognitively complex task + recasts was not effective. Instead, the cognitively simple task led to the most development in CMC. The study also found that judgments of time on task were the only independent measure of cognitive complexity that held across mode.

Perceived Behaviors of Emergent and Assigned Leaders in Virtual Groups

2009 ◽  
pp. 50-64
Author(s):  
Kathryn R. Wickham ◽  
Joseph B. Walther
Keyword(s):  
Leadership Behaviors ◽  
Computer Mediated Communication ◽  
Mediated Communication ◽  
Leadership Theories ◽  
Online Groups ◽  
Face To Face ◽  
Virtual Groups ◽  
Computer Mediated ◽  
Group Members ◽  
The Impact

While considerable research has explored perceptions of groups and members in computer-mediated communication (CMC), and leadership behaviors in face-to-face groups, little research has examined how leadership is identified in CMC groups. Contemporary CMC theories alternatively stress the impact of salient, stereotyped roles on CMC groups’ perceptions, or the accretion of exaggerated impressions based on behavioral cues. These perspectives, in turn, coincide with predictions about the predominance of alternative forms of leadership: Assigned versus emergent. This study draws on traditional leadership theories from face-to-face group research and applies them to CMC to examine dynamics related to assigned and emergent leaders in online groups. The results of the study demonstrate that CMC groups may identify more than one leader. When identifying emergent leaders, regardless of whether a leader was assigned or not, group members consider perceived amounts of communication, intelligence, and encouraging and authoritarian behaviors.

scholarly journals Eliciting the impact of digital consulting for young people living with long term conditions (LYNC study): which Patient Reported Outcome Measure? (Preprint)

2018 ◽  
Author(s):  
Jackie Sturt ◽  
Rebecca Dliwayo ◽  
Vera Forjaz ◽  
Kathryn Hamilton ◽  
Carol Bryce ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Young People ◽  
Patient Reported Outcome ◽  
Clinical Psychologist ◽  
Long Term Conditions ◽  
Face To Face ◽  
Scoping Reviews ◽  
Patient Reported ◽  
The Impact

BACKGROUND Digital consulting e.g. email, text and skype is increasingly offered to young people accessing specialist care for long term conditions. No patient reported outcome measures (PROM) have been evaluated for assessing outcomes of digital consulting. Systematic and scoping reviews, alongside patient involvement revealed two candidate PROMs for this purpose, the Patient Activation Measure (PAM) and the Physician’s Humanistic Behaviours Questionnaire (PHBQ). PAM measures knowledge, beliefs and skills that enable people to manage their long term condition. The PHBQ measures the extent to which behaviours that are important to patients in their physician-patient interactions are present. OBJECTIVE To explore i) whether the PAM and the PHBQ elicit important outcomes of digital consulting ii) whether the PROMs can isolate the digital consultation component of care. METHODS Participants were drawn from five clinics providing specialist NHS care to 16-24yrs olds with long term health conditions participating in the wider LYNC study. Fourteen people were convenience sampled and consented to have a cognitive interview in this sub-study. Seven participants were young people with either inflammatory bowel disease, cystic fibrosis or cancer. Seven clinicians were clinical psychologist, two nurses, three consultants and a community youth worker practising in Cancer, Diabetes, Cystic Fibrosis and Liver disease. Cognitive interviews were transcribed and analysed and a spread sheet recorded participants’ PROM item appraisals. Illustrative quotes were extracted verbatim from the interviews for all participants. RESULTS Young people found 10 of the PAM 13 items to be relevant to digital consulting and fewer of the additional PAM 22 items. They were only able to provide a spontaneous examples of digital consulting for 50% of the 22 items. Four of the 6 clinicians appraised 12 of the PAM 13 items and 19 of the PAM 22 items to be relevant to evaluating digital consulting and articulated operationalisation of the items with reference to their own digital consulting practice with greater ease than the young people. Appraising the PHBQ, in 14 of the 25 items (56%) 2/3rds of young people’s appraisals offered digital consulting examples with ease suggesting that the young people can detect and discern humanistic clinician behaviours via digital as well as face to face communication channels. Seventeen of the 25 items (68%) were appraised as relevant by the young people. This finding was mirrored in the clinician appraisals. Both young people and clinicians found the research task complex. Young participants required considerably more researcher prompting to illicit examples related to digital consulting rather than their face to face care. CONCLUSIONS The PAM and the PHBQ have satisfactory face and content validity for evaluating digital consulting to warrant proceeding to psychometric evaluation. Completion instructions require revision to differentiate between digital and face to face consultations.

scholarly journals “You’re Not Being Serious Enough!”: Renegotiating Relationships during Lockdown

2021 ◽  
Vol 14 (1) ◽  
pp. 75-93
Author(s):  
Lauren Dempsey
Keyword(s):  
Computer Mediated Communication ◽  
Professional Relationships ◽  
Structured Interviews ◽  
Mediated Communication ◽  
Face To Face ◽  
Familiar Face ◽  
Computer Mediated ◽  
The Moment ◽  
Insight Into ◽  
At Home

The outbreak of COVID-19 in 2020 led to a UK lockdown, where citizens were asked to stay at home for an undefined period. This forced people to make sudden decisions regarding where to live and who they would not see. Through 18 semi-structured interviews with individuals aged 27-72, this paper explores how people maintained friend-based, romantic, familial and professional relationships during lockdown in Spring 2020. The enforced separation following lockdown motivated people to reconsider how they conducted relationships in and outside the home. Within the household, people verbally and physically renegotiated boundaries to ensure relationship harmony. Computer-mediated communication (CMC) was utilised to maintain connections with estranged relationships, as people accessed new platforms to replicate familiar face-to-face (F2F) processes online. This article considers the disruption to relationships experienced during this time, providing an in-the-moment insight into the use of CMC in maintaining relationships during the first UK lockdown.

scholarly journals Technology-Mediated Communication in Familial Relationships: Moderated-Mediation Models of Isolation and Loneliness

2020 ◽  
Vol 60 (7) ◽  
pp. 1202-1212 ◽  
Author(s):  
Vanessa Burholt ◽  
Gill Windle ◽  
Merryn Gott ◽  
Deborah Jane Morgan
Keyword(s):  
Functional Equivalence ◽  
Mediated Communication ◽  
Telephone Contact ◽  
Full Sample ◽  
Moderation Effect ◽  
Face To Face ◽  
Familial Relationships ◽  
Design And Methods ◽  
The Impact ◽  
E Mail

Abstract Background and Objectives We examined whether technology-mediated communication has functional or emotional equivalence to face-to-face (FtF) contact in familial relationships, by scrutinizing the effects of phone, text/e-mail, and video contact on isolation and loneliness. Research Design and Methods We tested whether FtF contact with a relative would mediate the pathway between proximity to family and (i) isolation and (ii) loneliness. We then tested hypotheses that telephone, text/e-mails, and video contact would moderate this mediated pathway. We compared models for younger (<75) and older (≥75) cohorts, expecting to observe moderation effects for text/e-mail and video contact in the younger cohort only. Data were drawn from Wave 2 of CFAS Wales (United Kingdom) study (N = 2,099). Results Proximity to a relative had a significant indirect effect on isolation and loneliness through the mediating variable FtF contact. Phone and text/e-mail contact moderated the effect of FtF contact on isolation for all samples. None of the technologies moderated the impact of FtF contact on loneliness for the full sample. Telephone contact had a moderating influence on loneliness for the younger cohort only. Video calls had no significant moderation effect. Discussion and Implications Telephone and text/e-mail contact have functional equivalence to FtF contact in familial relationships. None of the forms of technological communication have emotional equivalence to the “gold standard” of embodied presence. The study demonstrates the importance of theorizing about the pathways to isolation and loneliness to better understand the likelihood of implementing successful interventions using technology-mediated communication within families.

scholarly journals Revisiting Effective Communication Between Patients and Physicians: Cross-Sectional Questionnaire Study Comparing Text-Based Electronic Versus Face-to-Face Communication (Preprint)

2019 ◽  
Author(s):  
Tala Mirzaei ◽  
Nicole Kashian
Keyword(s):  
Effective Communication ◽  
Perceived Health ◽  
Communication Satisfaction ◽  
Communication Effectiveness ◽  
Mediated Communication ◽  
Cross Sectional ◽  
Web Based ◽  
Face To Face ◽  
Significant Difference ◽  
The Impact

BACKGROUND Research has shown that text-based communication via telemedicine will continue to be a mode of communication that patients and physicians use in the future. However, very few studies have examined patients’ perspectives regarding the increased use of text-based communication versus face-to-face (FtF) communication. OBJECTIVE This study aimed to understand and compare the potential differences in patients’ perceptions of communication effectiveness with their physicians through different modes of communication. METHODS We conducted a web-based survey of 345 patients to explore the impact of different channels on effective communication and perceived health behavior and outcomes. We tested the impact of patients’ perceived communication and media effectiveness on their self-efficacy, communication satisfaction, and perceived health outcomes, separately for text-based information technology (IT)–mediated communication and FtF communication. Furthermore, we conducted a group comparison to identify significant differences across these 2 groups. RESULTS We found no significant differences between patients’ perceptions of effective communication using either IT-mediated communication or FtF communication with their physicians. However, we found significant differences in patients’ perception of media effectiveness: patients perceived FtF communication to be a more favorable medium (<i>P</i>=.02). Interestingly, we found no significant difference in terms of benefits (<i>P</i>=.09) and success (<i>P</i>=.08) of IT-mediated communication versus FtF communication. CONCLUSIONS The results of this study imply that patients can achieve the same level of communication effectiveness with their physicians using IT-mediated communication as they would in comparable FtF interactions, but patients view FtF communication to be a more favorable medium than IT-mediated communication.

scholarly journals Revisiting Effective Communication Between Patients and Physicians: Cross-Sectional Questionnaire Study Comparing Text-Based Electronic Versus Face-to-Face Communication

10.2196/16965 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e16965 ◽  
Author(s):  
Tala Mirzaei ◽  
Nicole Kashian
Keyword(s):  
Effective Communication ◽  
Perceived Health ◽  
Communication Satisfaction ◽  
Communication Effectiveness ◽  
Mediated Communication ◽  
Cross Sectional ◽  
Web Based ◽  
Face To Face ◽  
Significant Difference ◽  
The Impact

Background Research has shown that text-based communication via telemedicine will continue to be a mode of communication that patients and physicians use in the future. However, very few studies have examined patients’ perspectives regarding the increased use of text-based communication versus face-to-face (FtF) communication. Objective This study aimed to understand and compare the potential differences in patients’ perceptions of communication effectiveness with their physicians through different modes of communication. Methods We conducted a web-based survey of 345 patients to explore the impact of different channels on effective communication and perceived health behavior and outcomes. We tested the impact of patients’ perceived communication and media effectiveness on their self-efficacy, communication satisfaction, and perceived health outcomes, separately for text-based information technology (IT)–mediated communication and FtF communication. Furthermore, we conducted a group comparison to identify significant differences across these 2 groups. Results We found no significant differences between patients’ perceptions of effective communication using either IT-mediated communication or FtF communication with their physicians. However, we found significant differences in patients’ perception of media effectiveness: patients perceived FtF communication to be a more favorable medium (P=.02). Interestingly, we found no significant difference in terms of benefits (P=.09) and success (P=.08) of IT-mediated communication versus FtF communication. Conclusions The results of this study imply that patients can achieve the same level of communication effectiveness with their physicians using IT-mediated communication as they would in comparable FtF interactions, but patients view FtF communication to be a more favorable medium than IT-mediated communication.

Training to Improve Trust in Virtual Teams

2011 ◽  
pp. 1667-1674
Author(s):  
Monique L. French ◽  
Peggy M. Beranek
Keyword(s):  
Virtual Teams ◽  
Computer Mediated Communication ◽  
Project Teams ◽  
Mediated Communication ◽  
Team Members ◽  
Trust Development ◽  
Face To Face ◽  
Computer Mediated ◽  
Efficient Communication ◽  
The Impact

Several factors have been shown to affect how effective virtual teams communicate. One of these factors, trust, has received a great deal of attention by researchers. However, most virtual team members do not receive training on how to effectively communicate and promote trust. Several theories have questioned the ability of computer-mediated systems to aid the development of communication, trust, and other interpersonal attributes that are needed to form successful teams. Some researchers suggest computer-mediated communication does not differ from face-to-face communications in terms of the substance but in terms of a slower rate of transfer. However, most academic virtual teams and many organizational project teams meet over the course of several months and are then disbanded, thereby not having enough time to develop the types of links needed for effective, efficient communication. Our research investigates the impact of training on trust development by tracking trust levels among members of virtual teams in an academic environment. We extend the current research on the use of virtual teams by applying team training and tracking the resulting change in trust.

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