Table 2.
Mean scores of the CCOG items for the first and second interview *
|
Item |
Pre |
Post |
Difference |
|
|---|---|---|---|---|
| mean | mean | mean | (95% CI) † | |
|
Section: Initiating the Session |
2.9 |
2.6 |
0.3 |
(0.1 - 0.5) |
| Greets patient |
2.0 |
1.8 |
0.2 |
(-0.1 - 0.5) |
| Introduces self and role |
2.9 |
2.6 |
0.3 |
(-0.2 - 0.9) |
| Demonstrates respect |
2.0 |
2.0 |
0.0 |
(-0.2 - 0.3) |
| Identifies and confirms problems list |
3.1 |
2.5 |
0.6 |
(0.2 - 1.1) |
| Negotiates agenda |
4.2 |
4.1 |
0.1 |
(-0.4 - 0.6) |
|
Section: Gathering Information |
2.8 |
2.3 |
0.5 |
(0.2 - 0.9) |
| Encourages patient to tell story |
3.0 |
2.2 |
0.7 |
(0.3 - 1.2) |
| Appropriately moves from open to closed questions |
3.1 |
2.4 |
0.7 |
(0.2 - 1.1) |
| Listens attentively |
2.3 |
1.9 |
0.4 |
(0.1 - 0.8) |
| Facilitates patient’s responses verbally and non-verbally |
2.6 |
2.1 |
0.5 |
(0.1 - 0.9) |
| Uses easily understood questions and comments |
2.3 |
2.1 |
0.2 |
(-0.2 - 0.6) |
| Clarifies patient´s statements |
2.8 |
2.5 |
0.3 |
(-0.1 - 0.7) |
| Establishes dates |
3.5 |
2.5 |
1.0 |
(0.5 - 1.5) |
|
Section: Understanding Patient´s Perspective |
3.4 |
2.8 |
0.5 |
(0.2 - 0.9) |
| Determines and acknowledges patient´s ideas re: cause |
3.7 |
3.4 |
0.3 |
(-0.2 - 0.9) |
| Explores patient´s concerns re: problem |
3.1 |
2.5 |
0.6 |
(0.2 - 1.0) |
| Encourages expression of emotions |
3.1 |
2.8 |
0.3 |
(-0.1 - 0.7) |
| Picks up/responds to verbal and non-verbal clues |
3.4 |
2.8 |
0.6 |
(0.2 - 0.9) |
|
Section: Providing Structure to Consultation |
3.3 |
2.9 |
0.4 |
(0.1 - 0.8) |
| Summarises at end of a specific line of inquiry |
3.9 |
3.4 |
0.5 |
(-0.1 - 1.0) |
| Progresses using transitional statements |
3.3 |
2.9 |
0.4 |
(-0.1 - 0.9) |
| Structures logical sequence |
3.3 |
2.8 |
0.5 |
(0.1 - 1.0) |
| Attends to timing |
2.8 |
2.5 |
0.3 |
(-0.2 - 0.7) |
|
Section: Building Relationship |
2.7 |
2.3 |
0.4 |
(0.1 - 0.8) |
| Demonstrates appropriate non-verbal behaviour |
2.6 |
2.2 |
0.5 |
(-0.1 - 0.9) |
| If reads or writes, doesn´t interfere with dialogue/rapport |
2.7 |
2.3 |
0.4 |
(0.0 - 0.8) |
| Is not judgemental |
2.4 |
2.1 |
0.3 |
(-0.1 - 0.8) |
| Empathises with and supports patient |
2.9 |
2.4 |
0.5 |
(0.1 - 1.0) |
| Appears confident |
3.1 |
2.5 |
0.6 |
(0.1 - 1.1) |
|
Section: Closing the Session |
3.7 |
2.7 |
1.0 |
(0.6 - 1.4) |
| Encourages patient to discuss any additional points |
4.0 |
2.9 |
1.1 |
(0.6 - 1.6) |
| Closes interview by summarising briefly |
3.9 |
3.0 |
0.9 |
(0.4 - 1.4) |
| Contracts with patient re next steps |
2.9 |
2.0 |
0.9 |
(0.4 - 1.5) |
| Total score | 3.1 | 2.6 | 0.5 | (0.2 - 0.8) |
* 5-point scale of all items; pre and post (scale: 1 = excellent, 5 = deficient).
† 95% confidence interval.