Methods Inf Med - Real-time feedback on nonverbal clinical communication. Theoretical framework and clinician acceptance of ambient visual design.

Tópicos

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Resumo

TRODUCTION: This article is part of the focus theme of Methods of Information in Medicine on "Pervasive Intelligent Technologies for Health".BACKGROUND: Effective nonverbal communication between patients and clinicians fosters both the delivery of empathic patient-centered care and positive patient outcomes. Although nonverbal skill training is a recognized need, few efforts to enhance patient-clinician communication provide visual feedback on nonverbal aspects of the clinical encounter.OBJECTIVES: We describe a novel approach that uses social signal processing technology (SSP) to capture nonverbal cues in real time and to display ambient visual feedback on control and affiliation--two primary, yet distinct dimensions of interpersonal nonverbal communication. To examine the design and clinician acceptance of ambient visual feedback on nonverbal communication, we 1) formulated a model of relational communication to ground SSP and 2) conducted a formative user study using mixed methods to explore the design of visual feedback.METHODS: Based on a model of relational communication, we reviewed interpersonal communication research to map nonverbal cues to signals of affiliation and control evidenced in patient-clinician interaction. Corresponding with our formulation of this theoretical framework, we designed ambient real-time visualizations that reflect variations of affiliation and control. To explore clinicians' acceptance of this visual feedback, we conducted a lab study using the Wizard-of-Oz technique to simulate system use with 16 healthcare professionals. We followed up with seven of those participants through interviews to iterate on the design with a revised visualization that addressed emergent design considerations.RESULTS: Ambient visual feedback on non- verbal communication provides a theoretically grounded and acceptable way to provide clinicians with awareness of their nonverbal communication style. We provide implications for the design of such visual feedback that encourages empathic patient-centered communication and include considerations of metaphor, color, size, position, and timing of feedback.CONCLUSIONS: Ambient visual feedback from SSP holds promise as an acceptable means for facilitating empathic patient-centered nonverbal communication.

Resumo Limpo

troduct articl part focus theme method inform medicin pervas intellig technolog healthbackground effect nonverb communic patient clinician foster deliveri empath patientcent care posit patient outcom although nonverb skill train recogn need effort enhanc patientclinician communic provid visual feedback nonverb aspect clinic encounterobject describ novel approach use social signal process technolog ssp captur nonverb cue real time display ambient visual feedback control affiliationtwo primari yet distinct dimens interperson nonverb communic examin design clinician accept ambient visual feedback nonverb communic formul model relat communic ground ssp conduct format user studi use mix method explor design visual feedbackmethod base model relat communic review interperson communic research map nonverb cue signal affili control evidenc patientclinician interact correspond formul theoret framework design ambient realtim visual reflect variat affili control explor clinician accept visual feedback conduct lab studi use wizardofoz techniqu simul system use healthcar profession follow seven particip interview iter design revis visual address emerg design considerationsresult ambient visual feedback non verbal communic provid theoret ground accept way provid clinician awar nonverb communic style provid implic design visual feedback encourag empath patientcent communic includ consider metaphor color size posit time feedbackconclus ambient visual feedback ssp hold promis accept mean facilit empath patientcent nonverb communic

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