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Inter-disciplinary Reliability of an Instrument to Measure Patient-Provider Communication During Medical Interactions
Abstract
Effective communication between patients with communication disorders and their healthcare providers is essential in maintaining a high quality and efficiency of medical services and care. The University of Washington has developed the FRAME training seminar, and subsequently the FRAME instrument, to help medical students more effectively communicate with this patient population. Previous studies have only examined the reliability of the FRAME instrument when used by practitioners and graduate students from the field of speech-language pathology. The purpose of this study was to determine whether preceptors across other healthcare disciplines could reliably rate communication behaviors of medical student trainees interacting with standardized patients portraying communication disorders using the FRAME instrument used in the University of Washington training. Thirteen participants who are UW preceptors from the fields of speech-language-pathology, rehabilitation medicine, medicine, and nursing were recruited to rate the communication behaviors medical students interacting with standardized patients portraying communication disorders and submit qualitative feedback on their experiences. Results of the study found low inter-rater reliability using the FRAME instrument for both members of speech-language pathology and rehabilitation medicine. Qualitative survey feedback indicated that a majority of participants had positive experiences overall with some suggesting modifications to the comprehensiveness of the orientation and to the layout of the FRAME instrument.
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