Table 3.
Strategy | Question Asked | Type of Question | Temporality | Possibility for Response |
---|---|---|---|---|
Closed-ended questions | ||||
1 | Are you taking X? Do you take X? | Interrogative Yes/no question | Temporally unlimited | Requires yes/no response. Little opportunity for patient to discuss medication-taking behavior |
2 | Did you take X? | Interrogative Yes/no question | Temporally limited | Requires yes/no response. Little opportunity for patient to discuss medication-taking behavior |
3 | So, you are taking X, Y and Z medications. 1. rising intonation (“?”) 2. falling intonation (“.”) | Declarative 1. positive assumption/neutral expectation 2. positive assumption/positive expectation Closed-ended | Temporally unlimited | 1. Patient perceives expectation of adherence therefore is difficult to negate (i.e., well, no actually I'm not). 2. Patient perceives provider making statement of ‘fact’ and therefore even harder to negate |
4 | So you took X [this morning] | Declarative | Temporally limited | Requires yes/no response. Positive assumption presented, therefore difficult to negate |
Open-ended questions | ||||
5 | Which medications are you taking for your blood pressure? | Interrogative | Temporally unlimited | Requires patient to provide information, thereby allowing provider to assess patients' knowledge of medication |
6 | How often are you taking your X medication? | Interrogative Restricted to a number | Temporally unlimited | Requires patient to tell how often, but does not assess patients' knowledge of medication types |
Temporality: unlimited, assessing usual behavior;.
Limited: assessing behavior of a specific kind and time.