ABSTRACT

Communication Quality Analysis (CQA) is a rigorous transcript-based coding method for assessing clinical communication quality. We compared the resource-intensive transcript-based version with a streamlined real-time version of the method with respect to feasibility, validity, reliability, and association with traditional measures of communication quality. Simulated conversations between 108 trainees and 12 standardized patients were assessed by 7 coders using the two versions of CQA (transcript and real-time). Participants also completed two traditional communication quality assessment measures. Real-time CQA was feasible and yielded fair to excellent reliability, with some caveats that can be addressed in future work. CQA ratings were moderately correlated with traditional measures of communication quality, suggesting that CQA captures different aspects of communication quality than do traditional measures. Finally, CQA did not exhibit the ceiling effects observed in the traditional measures of communication quality. We conclude that real-time CQA is a user-friendly method for assessing communication quality that has the potential for broad application in training, research, and intervention contexts and may offer improvements to traditional, self-rated communication measures.

摘要

沟通质量分析 (CQA) 是一种严格的基于转录的编码方法，用于评估临床沟通质量。我们将基于资源密集型转录本的版本与该方法的简化实时版本在可行性、有效性、可靠性以及与传统通信质量衡量标准的关联方面进行了比较。7 名编码员使用 CQA 的两个版本（转录版和实时版）对 108 名受训者和 12 名标准化患者之间的模拟对话进行了评估。参与者还完成了两项传统的通信质量评估措施。实时 CQA 是可行的，并且具有相当出色的可靠性，但有一些警告可以在未来的工作中解决。CQA 评级与传统的通信质量衡量标准呈适度相关，这表明 CQA 捕捉到了与传统测量方法不同的通信质量方面。最后，CQA 没有表现出传统通信质量衡量标准中观察到的天花板效应。我们得出的结论是，实时 CQA 是一种用户友好的评估沟通质量的方法，具有在培训、研究和干预环境中广泛应用的潜力，并且可以改进传统的自评沟通措施。