Skip to main content
Log in

Differences in Audiotaped Versus Videotaped Physician-Patient Interactions

  • Published:
Journal of Nonverbal Behavior Aims and scope Submit manuscript

Abstract

Most medical interaction studies have been conducted on audiotaped recordings of physician-patient encounters. Empirical studies have not previously demonstrated whether coders' scores differ on audio-only versus videotaped data. Data from a convenience sample of forty-seven physician-patient interactions were analyzed using the same coding systems to judge audio-only versus video-based data formats. All coding conditions demonstrated acceptable reliability, using intraclass correlation coefficients. However, MANOVA analyses show that ratings of audiotaped physician-patient interactions are not equivalent to ratings of videotaped encounters. Exploratory factor analyses show differences in the underlying structures of the data derived from the audio-only versus the video information. The differences in the video-based factor solutions account for more total variance and are more consistent with theoretical expectations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Albrecht, T.L., & Adelman, M.B. (1984). Social support and life stress: New directions for communication research. Human Communication Research, 11, 3-32.

    Google Scholar 

  • Albrecht, T.L., Adelman, M.B., and Associates (1987). Communicating social support. Newbury Park, CA: Sage.

    Google Scholar 

  • Albrecht, T.L., Blanchard, C.G., Ruckdeschel, J.C., Coovert, M., & Strongbow, R. (1999). Strategic physician communication and oncology clinical trials. Journal of Clinical Oncology, 17, 3324-3332.

    Google Scholar 

  • Albrecht, T.L., & Goldsmith, D.J. (in press). Social support, social networks, and health. Forthcoming in T. Thompson et al. (Eds.), Handbook of health communication. Hillsdale, NJ: Erlbaum.

  • Bartko, J.J. (1979). Various intraclass correlation reliability coefficients. Psychological Bulletin, 83, 762-765.

    Google Scholar 

  • Bartko, J.J., & Carpenter, W.T. (1976). Methods and theory of reliability. Journal of Nervous Mental Disorders, 163, 307-317.

    Google Scholar 

  • Bavelas, J. B. (1994). Gestures as part of speech: Methodological implications. Research on Language and Social Interaction, 27, 201-221.

    Google Scholar 

  • Bavelas, J. B., & Chovil, N. (2000). Visual acts of meaning: An integrated message model of language in face-to-face dialogue. Journal of Language and Social Psychology, 19, 163-194.

    Google Scholar 

  • Bavelas, J. B., Chovil, N., Coates, L., & Roe, L. (1995). Gestures specialized for dialogue. Personality and Social Psychology Bulletin, 21, 394-405.

    Google Scholar 

  • Bédard, M., Martin, N., Krueger, P., & Brazil, K. (2000). Assessing reproducibility of data obtained with instruments based on continuous measurements. Experimental Aging Research, 26, 353-365.

    Google Scholar 

  • Blanchard, C.G., Labrecque, M. S., Ruckdeschel, J. C., & Blanchard, E.G. (1988). Information and decision-making preferences of hospitalized adult cancer patients. Social Science and Medicine, 27, 1139-45.

    Google Scholar 

  • Burgoon, J. (1994). Nonverbal signals. In M.N. Knapp, & G. R. Miller (Eds.), Handbook of interpersonal communication, 2nd Ed. (pp. 229-285). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Caris-Verhallen, W.M.C.M., Kerkstra, A., & Bensing, J. M. (1999). Non-verbal behaviour in nurse-elderly patient communication. Journal of Advanced Nursing, 29, 808-818.

    Google Scholar 

  • Crippa, J. A., Sanches, R. F., Hallak, J. E., Loureiro, S. R., & Zuardi, A. W. (2001). A structured interview guide increases Brief Psychiatric Rating Scale reliability in raters with low clinical experience. Acta Psychiatrica Scandanavia, 103, 465-470.

    Google Scholar 

  • Daly-Jones, O. (1998). Some advantages of video conferencing over high-quality audio conferencing: Fluency and awareness of attentional focus. International Journal of Human-Computer Studies, 49, 21-58.

    Google Scholar 

  • DiMatteo, M. R., Taranta, A., Friedman, H. S., & Prince, L. M. (1980). Predicting patient satisfaction from physicians' nonverbal communication skills. Medical Care, 18, 376-387.

    Google Scholar 

  • Fabrigar, L. R., Wegender, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272-299.

    Google Scholar 

  • Ford, S., Fallowfield, L., & Lewis, S. (1996). Doctor-patient interactions in oncology. Social Science and Medicine, 42, 1511-1519.

    Google Scholar 

  • Ford, S., Hall, A., Ratcliffe, D., & Fallowfield, L. (2000). The Medical Interaction Process System (MIPS): An instrument for analyzing interviews of oncologists and patients with cancer. Social Science and Medicine, 50, 553-66.

    Google Scholar 

  • Fransson, P., Tavelin, B., & Widmark, A. (2001). Reliability and responsiveness of a prostate cancer questionnaire for radiotherapy-induced side effects. Supportive Cancer Care, 9, 187-98.

    Google Scholar 

  • Friedman, H. S. (1979a). Nonverbal communication between patients and medical practitioners. Journal of Social Issues, 35, 82-99.

    Google Scholar 

  • Friedman, H. S. (1979b). The interactive effects of facial expressions of emotion and verbal messages on perceptions of affective meaning. Journal of Experimental Social Psychology, 15, 453-469.

    Google Scholar 

  • Gillotti, C., Thompson, T., & McNeilis, K. (2002). Communicative competence in the delivery of bad news. Social Science and Medicine, 54, 1011-1023.

    Google Scholar 

  • Greene M.G., Adelman R.D., Friedmann E., & Charon R. (1994). Older patient satisfaction with communication during an initial medical encounter. Social Science and Medicine, 38, 1279-88.

    Google Scholar 

  • Griffin, J. (1998). How to say it at work: putting yourself across with power words, phrases, body language, and communication secrets. Paramus, NJ: Prentice Hall.

    Google Scholar 

  • Ickes, W. (1994). Methods of studying close relationships. In A. Weber, & J. Harvey, Eds., Perspectives on close relationships (pp. 18-44). Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Ickes, W., & Tooke, W. (1988). The observational method: Studying the interaction of minds and bodies. In S. Duck, & S. Hay (Eds.), Handbook of personal relationships: Theory, research, and interventions (pp. 79-97). Chichester, England: John Wiley.

    Google Scholar 

  • Larsen, K. M., & Smith, C. K. (1984). Sequential nonverbal behavior in the patient-physician interview. Journal of Family Practice, 18, 257-261.

    Google Scholar 

  • MacCallum, R. C., Widaman, K. F., Zhang, S. B., & Hong, S. H. (1999). Sample size in factor analysis. Psychological Methods, 4, 84-99.

    Google Scholar 

  • Macnab, A. J., Levine, M., Glick, N., Phillips, N., Susak, L., & Elliott, M. (1994). The Vancouver sedative recovery scale for children-validation and reliability of scoring based on videotaped instruction. Canadian Journal Anesthesiology, 41, 913-918.

    Google Scholar 

  • Mechanic, D., & Meyer, S. (2000). Concepts of trust among patients with serious illness. Social Science and Medicine, 51, 657-668.

    Google Scholar 

  • Mortensen, C. D. (1997). Miscommunication. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Nichol, J. D., & Watson K. E. (2000). Videotutoring, non-verbal communication and initial teacher training. British Journal of Educational Technology, 31, 135-144.

    Google Scholar 

  • Ong, L. M. L., Visser, M. R. M., Kruyver, I.P.M., Bensing, J.M., van den Brink-Muinen, A., Stouthard, J.M.L., Lammes, F.B., & de Haes, J.C.J.M. (1998). The Roter Interaction Analysis System (RIAS) in oncological consultations: Psychometric properties. Psycho-Oncology, 7, 387-401.

    Google Scholar 

  • Rosser, W. W., & Kasperski, J. (2001). The benefits of a trusting physician-patient relationship. The Journal of Family Practice, 50, 329-330.

    Google Scholar 

  • Roter, D.L. (1991). The Roter Method of Interaction Process Analysis: RIAS Manual. Baltimore, MD: Johns Hopkins University.

    Google Scholar 

  • Roter D. L., Geller, G., Bernhardt, B. A., Larson, S.M., & Doksum T. (1999). Effects of obstetrician gender on communication and patient satisfaction. Obstetrics and Gynecology, 93, 635-641.

    Google Scholar 

  • Roter, D.L., Larson, S., Fischer, G. S., Arnold, R. M., & Tulsky, J. A. (2000). Experts practice what they preach-A descriptive study of best and normative practices in end-of-life discussions. Archives of Internal Medicine, 160, 3477-3485.

    Google Scholar 

  • Rummell, R.J. (1970). Applied factor analysis. Evanston, IL: Northwestern University Press.

    Google Scholar 

  • Ruusuvuori, J. (2001). Looking means listening: Coordinating displays of engagement in doctor patient interaction. Social Science and Medicine, 52, 1093-1108.

    Google Scholar 

  • Saw, S.M., & Ng, T.P. (2001). The design and assessment of questionnaires in clinical research. Singapore Medical Journal, 42,131-5.

    Google Scholar 

  • Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420-428.

    Google Scholar 

  • Streiner, D.L. (1995). Learning how to differ: Agreement and reliability statistics in psychiatry. Canadian Journal of Psychiatry, 40, 60-66.

    Google Scholar 

  • Streiner, D.L, & Norman, G.R. (1995). Health measurement scales (2nd ed). New York: Oxford University Press.

    Google Scholar 

  • Watzlawick, P., Beavin, J., & Jackson, D. (1967). Pragmatics of human communication. New York: Norton.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Riddle, D.L., Albrecht, T.L., Coovert, M.D. et al. Differences in Audiotaped Versus Videotaped Physician-Patient Interactions. Journal of Nonverbal Behavior 26, 219–239 (2002). https://doi.org/10.1023/A:1022160117278

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1022160117278

Navigation