Communication behaviour | Unadjusted | Adjusted* | |||
Telephone | Face to face | p Value | p Value | 95% CI | |
Data gathering | |||||
Closed-ended biomedical questions | 3.5 | 8.6 | 0.002 | 0.033 | +0.3 to +7.7 |
Open-ended biomedical questions | 1.4 | 3.1 | 0.008 | 0.09 | −0.2 to +3.1 |
Closed-ended psychosocial questions | 0.2 | 1.9 | 0.008 | 0.044 | +0.1 to +3.5 |
Open-ended psychosocial questions | 0.3 | 0.3 | 1.00 | ||
Bids for clarification | 0.1 | 0.5 | 0.09 | ||
Total count | 5.5 | 14.4 | <0.001 | 0.003 | +2.9 to +13.3 |
Patient education and counselling | |||||
Provides biomedical info | 7.3 | 19.4 | <0.001 | <0.001 | +4.8 to +13.2 |
Provides psychosocial info | 1.0 | 1.7 | 0.36 | ||
Counsels biomedical | 2.7 | 5.4 | 0.012 | 0.06 | −0.1 to +5.3 |
Counsels psychosocial | 0.2 | 0.3 | 0.56 | ||
Total count | 11.2 | 26.9 | <0.001 | <0.001 | +5.8 to +17.2 |
Rapport building | |||||
Personal remark | 2.2 | 3.4 | 0.051 | ||
Laughter/tells jokes | 0.6 | 3.1 | <0.001 | <0.001 | +1.1 to +3.2 |
Approval | 0.2 | 0.6 | 0.08 | ||
Empathy | 0.3 | 0.5 | 0.37 | ||
Concern | 0.1 | 0.3 | 0.045 | 0.66 | −0.3 to +0.4 |
Reassure | 0.8 | 3.6 | <0.001 | 0.012 | +0.5 to +3.6 |
Legitimate | 0.1 | 0.2 | 0.25 | ||
Total count | 4.1 | 11.8 | <0.001 | <0.001 | +3.9 to +10.0 |
Partnership building | |||||
Paraphrase (checks understanding) | 0.1 | 0.1 | 0.77 | ||
Partnering (shows partnership/support) | 0.2 | 0.4 | 0.25 | ||
Asks for opinion | 0.2 | 0.7 | 0.023 | 0.30 | −0.4 to +0.8 |
Asks for understanding | 0.1 | 1.1 | 0.28 | ||
Asks for reassurance | 0.0 | 0.1 | 0.31 | ||
Total count | 0.6 | 2.4 | 0.044 | 0.26 | −1.2 to +4.2 |
Disagreement | |||||
Shows disapproval | 0.1 | 0.4 | 0.33 | ||
Shows criticism | 0.0 | 0.1 | 0.16 | ||
Total count | 0.1 | 0.5 | 0.27 | 0.69 | −0.7 to +1.1 |
Giving direction | |||||
Transition | 0.5 | 1.1 | 0.09 | ||
Gives orientation | 0.6 | 3.9 | <0.001 | 0.15 | −0.6 to +4.1 |
Total count | 1.1 | 5.0 | <0.001 | 0.09 | −0.4 to +4.5 |
Total count of all codes | 34.0 | 74.5 | <0.001 | <0.001 | +19.5 to +43.9 |
RIAS patients: frequency of code groupings according to consultation type* | |||||
Data gathering | |||||
Closed-ended biomedical questions | 1.2 | 1.6 | 0.29 | ||
Open-ended biomedical questions | 0.2 | 0.5 | 0.09 | ||
Closed-ended psychosocial questions | 0.1 | 0.2 | 0.35 | ||
Open-ended psychosocial questions | 0.03 | 0.01 | 0.81 | ||
Bids for clarification | 0.1 | 0.1 | 0.47 | ||
Total count | 1.5 | 2.4 | 0.09 | 0.28 | −0.6 to +2.1 |
Provides information | |||||
Provides biomedical information | 14.2 | 27.8 | <0.001 | 0.028 | +1.0 to +16.1 |
Provides psychosocial information | 1.8 | 7.9 | 0.002 | 0.06 | −0.3 to +8.9 |
Total count | 16.0 | 35.8 | <0.001 | 0.002 | +5.0 to +20.1 |
Rapport building | |||||
Personal remark | 1.8 | 2.4 | 0.34 | ||
Laughter/tells jokes | 0.7 | 4.9 | <0.001 | 0.003 | +1.0 to +4.4 |
Approval | 0.2 | 0.2 | 0.71 | ||
Empathy | 0.0 | 0.0 | n/a | ||
Concern | 0.3 | 0.6 | 0.17 | ||
Reassure | 0.1 | 0.4 | 0.08 | ||
Legitimate | 0.0 | 0.0 | n/a | ||
Total count | 3.1 | 8.6 | <0.001 | 0.003 | +1.4 to +6.2 |
Partnership building | |||||
Paraphrase (checks understanding) | 0.1 | 0.0 | 0.09 | ||
Partnering (shows partnership/support) | 0.0 | 0.0 | n/a | ||
Asks for opinion | 0.03 | 0.0 | 0.24 | ||
Asks for understanding | 0.06 | 0.06 | 0.96 | ||
Asks for reassurance | 0.0 | 0.2 | 0.046 | 0.66 | −0.2 to +0.2 |
Total count | 0.1 | 0.2 | 0.46 | 0.55 | −0.2 to +0.4 |
Disagreement | |||||
Shows disapproval | 0.5 | 0.5 | 0.92 | ||
Shows criticism | 0.2 | 0.1 | 0.29 | ||
Total count | 0.7 | 0.6 | 0.79 | 0.25 | −1.9 to +0.5 |
Direction | |||||
Transition | 0.1 | 0.2 | 0.63 | ||
Gives orientation | 0.1 | 0.1 | 0.48 | ||
Total count | 0.2 | 0.3 | 0.49 | 0.63 | −0.7 to +0.4 |
Total count of all codes | 29.3 | 62.2 | <0.001 | <0.001 | +9.3 to +30.4 |
RIAS, Roter Interaction Analysis Scale,
↵* The figures represent the average number of utterances of this type in each sort of consultation. Adjusted p values and confidence intervals for mean difference between face-to-face and telephone consultations are shown where the unadjusted result was significant, and take account of age, sex, number and type of presented problems, doctor/patient initiation, length of consultation and consulting doctor.