Is the Medium the Message?
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|ClinicalTrials.gov Identifier: NCT03374865|
Recruitment Status : Recruiting
First Posted : December 15, 2017
Last Update Posted : December 15, 2017
Digital communication media like video‐interaction (cf. Skype) are increasingly being adopted in institutional environments like hospitals for physician‐patient interactions. We may expect that the use of a digital medium affects these interactions in various ways and on various levels. In video‐interaction, eye contact for example is impossible due to the position of the camera, which implies interactional behavior through gaze is impaired. This may influence who speaks when, if and how the participants avoid/ solve misunderstandings, etcetera. This project makes headway in our understanding of the impact of new communication media on the role of language‐in‐use as a rich semiotic system, specifically in institutional interaction. This type of contextualized research reveals which communicative aspects users consider important, how they manage their institutional relationship through them and how they go about solving communication problems.
The project compares the interaction of physicians and patients in video‐mediated consultations to their traditional, face‐to‐face counterparts on both the verbal and the nonverbal (gaze) level. The affordances of video‐consultations with relevance to institutional goals and identities are analyzed through a comparison with the interaction in face‐to‐face consultations. The approach used is Conversation Analysis, which involves finding patterns on both the verbal and non‐verbal level (in sequences, turn design, preference, etc.) in order to answer the question what goals and tasks the participants achieve and what dilemma's or problems they aim to solve in their talk. This study will provide insights in the limitations and advantages of both channels of communication. Best practices will be generated and outcomes of the analyses will be used to develop reco
|Condition or disease||Intervention/treatment|
|Video-mediated Consultation Face to Face Consultation||Other: Facetalk Other: Face-to-face consultation|
Show Detailed Description
|Study Type :||Observational|
|Estimated Enrollment :||50 participants|
|Official Title:||Is the Medium the Message? A Study of the Affordances of Video-mediated Medical Consultations Compared to Traditional Consultations|
|Actual Study Start Date :||June 1, 2017|
|Estimated Primary Completion Date :||September 1, 2018|
|Estimated Study Completion Date :||December 1, 2018|
Consultations using Facetalk videocommunication software
Area of interest: communication during Facetalk consultations
Traditional face-to-face consultations
Other: Face-to-face consultation
Area of interest: communication during face-to-face consultations
- Verbal communication [ Time Frame: 10 minutes ]
Verbal communication. The main method is multimodal conversation analysis. Conversation analysis has a long tradition of research based on the rendition of talk and interaction in terms of written transcripts of the audible cues. The video‐mediated and face‐to‐face interactions will be compared. This means that phenomena observed in the video‐mediated consultations will be compared to equivalent actions and practices in the face‐to‐face consultations. Relevant phenomena are likely to be the opening of the conversation (checking the technology), the design of questions (use of more lexical tokens than deixis), particular gestures, specific repair sequences due to technical trouble etc.). The analysis will be descriptive.
All talk will be transcribed according to CA conventions. Software like ELAN may be used for the synchronization of multiple video data and for the annotation of (fragments of) the video data.
- Non-verbal communication [ Time Frame: 10 minutes ]Body language
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03374865
|Contact: Martijn Stommel||024 361 1111||Martijn.Stommel@radboudumc.nl|
|Contact: Martijn Stommel 024 361 1111|