Can Verona Coding Definitions of Emotional Sequences (VR-CoDES) be applied to standardized Chinese medical consultations? – A reliability and validity investigation. Issue 8 (August 2019)

• Record Type: Journal Article
• Authors: Yin, Lanyi; Yin, Meng; Wang, Qingyan; Yan, Yaxin; Tang, Qiuping; Deng, Yunlong; Liu, Xinchun
• Is Part Of: Patient education and counseling. Volume 102:Issue 8(2019)
• Page Start: 1460
• Page End: 1466
• Publication Date: 2019-08
• Subjects: VR-CoDES -- Doctor-patient communication -- Medical students -- Standardized patient -- Chinese translation -- Reliability and validity; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2019.03.025
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Initial good psychometric properties found for the Chinese VR-CoDES. Culture gaps occurred when applying VR-CoDES to simulated Chinese medical consultation. The Chinese VR-CoDES captured most of the emotional expressions presented. The majority of SPs' emotional expressions were cues whilst concerns rarely occurred. Explicit Reduce space Information-advise (ERIa) composed 49.5% of the medic's responses. 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.