Table 9.
Techniques of VSR compared with area of research and data used for triangulation
| Ref | Area of research | Sample size a | Interval between consultation and interview | Nature of stimulus |
Initiation of recall |
Procedural structure | Data used in analysis |
|---|---|---|---|---|---|---|---|
|
Participant (P) | |||||||
| Researcher (R) | |||||||
| [19] |
Decision making |
26(26)C |
Not stated |
Selected clips only |
P (clips by researcher) |
‘Think aloud’ technique |
Pre-consultation interview |
| 9GP |
Transcripts from previous interview |
Individual topic guides for interviews ‘designed to promote reflection’ |
Consultations |
||||
| 9Ptb |
|
|
Immediate post consultation interview |
||||
| |
|
|
VSR interview GP |
||||
| |
|
|
VSR interview Pt |
||||
| [14] |
Decision making |
162(86)C |
Immediately post |
More than one video consultation |
Video not stopped |
Video shown first, semi structured interview following. Consultations selected for VSR chosen to reflect different discussions regarding smoking |
VSR Interview GP |
| 39GP |
(consultations analysed in other paper) |
||||||
| [18] |
Decision making |
72C |
‘shortly after’ |
Video |
P and R |
Asked to stop video whenever wanted to comment generally or about preventative service plus semi structured interview |
Pt VSR interview |
| 36Pt |
GP VSR interview |
||||||
| 18GP |
|
||||||
| [36] |
Shared decision making |
22(18)C |
Within 2 weeks |
video |
P |
P asked to stop when identified thoughts, feelings or behaviours associated with decision-making, followed by semi-structured interview |
Pt VSR interview |
| 10GP |
GP VSR interview |
||||||
| 18Pt |
Consultations |
||||||
| [21] |
Impact of computer on doctor patient relationship |
39(39)C |
1 week |
Video |
P and R |
Interview guided by video analysis |
Consultations |
| 12Pt |
Pt VSR interview |
||||||
| 5GP |
GP VSR interview |
||||||
| [39,40] |
Impact of computer on doctor patient relationship |
29C |
Not stated |
Video |
Not stopped |
Separate interview and video viewing. GP completed questionnaire when viewing the video |
GP post consultation interviews |
| 6GP |
GP questionnaire completed when watching video |
||||||
| Consultation | |||||||
| Observations at 4 sites [39] | |||||||
| Pt interviews | |||||||
| [16,29] |
Describe self-management interactions |
86(40)C |
1 week |
video |
P and R |
Semi structured interview and prompts during playback |
Patient post consultation interviews |
| Impact of computer |
11GP |
6 VSR interviews (Nurses) |
|||||
| Consultations (CA [16]) | |||||||
| GP VSR interview | |||||||
| [17,22-28] |
Evaluation of SR method [22] |
46C |
About 1 week |
Video, shown more than once |
P |
No interview. P asked to say what thinking. Neutral prompts if no response. |
Pt VSR comments [17,22-24,26] |
| Difficult consultations [24,25,28] |
46Pt |
GP asked to comment if unsure how to proceed |
GP VSR comments [17,22,25-28] |
||||
| Doctor patient relationship [23,26,27] Health promotion [17] |
12GP |
Pt and GP questionnaire post viewing (effect of video on behaviour and satisfaction with consultation) [22] |
|||||
| Consultation [17,23,25] | |||||||
| (8C, 5GP, 8Pt) | |||||||
| [30] |
Doctor patient relationship |
32C |
Immediately |
Video |
P |
Asked to say stop when they recalled thought or feeling |
Satisfaction questionnaire |
| 16GP |
(post consultation) |
||||||
| 32 Pt |
GP VSR comments |
||||||
| Pt VSR comments | |||||||
| [32] |
Doctor-patient relationship |
30C |
Not stated |
Video |
P |
P asked to comment on effective communication, things that were new, significant, unusual or important |
Pt VSR comments and GP VSR comments edited in to original consultation tape for analysis |
| 15GP | |||||||
| 30Pt | |||||||
| [38] |
Doctor patient relationship |
1C |
Not stated |
Video |
P |
P asked to identify problems and concerns |
Consultation |
| 1GP 1Pt |
Medical record |
||||||
| Pt VSR comments | |||||||
| GP VSR comments | |||||||
| [15] |
Communication |
78(31)C |
Not stated |
Video |
P and R |
P asked to stop if any comment, particularly about HIV. R stopped tape after HIV discussion |
Consultation |
| Doctor patient relationship |
26Pt |
Semi structured interview after viewing |
Pt VSR interview |
||||
| Difficult consultations |
17GP |
|
GP VSR interview |
||||
| [34,35] |
Communication |
24C |
Not stated |
Video |
P and R |
R stopped for ‘key moments’, when interpreter did anything other than translate. Semi-structured interview |
GP VSR interviews [34] |
| 24GP |
Interpreters VSR interviews [35] |
||||||
| 22C |
|
||||||
| 15 Inter-preters |
|
||||||
| [20] |
Cross cultural communication |
25C |
As soon as possible |
Video |
Video not stopped |
Structured Interview post viewing |
Pt VSR interview |
| 25P |
(consultation analysed in other paper) |
||||||
| [33] |
Cross cultural communication |
U |
P immediately |
Video |
P |
Questioned first about recall, then asked to stop tape at any point |
Pt VSR interview |
| 44pts |
GP not stated |
GP VSR interview |
|||||
| UGP |
|
Consultations |
|||||
| [13] |
Cross cultural communication |
24(24)C |
Within 2 weeks |
Video |
P and R |
R stopped for ‘key moments’ around cross cultural communication |
Pt VSR interview |
| 12GP |
Semi-structured interview |
GP VSR interview |
|||||
| 24Pt | |||||||
| [31] |
Patients covert agenda |
121C |
Within 8 days |
Video |
P |
3 phases: unprompted recall of consultation; asked to comment on any topic during video; then prompted by transcript of consultation |
Pt VSR interview |
| 18Pt |
Written transcript of consultation |
||||||
| [37] | Clinician-patient relationship and team working | 24Pt |
One week | Video | P | Asked to stop tape and comment spontaneously | Pt VSR comments |
| 3GPc | GP VSR comments |
||||||
| Other team members VSR comments |
aNumber of consultations collected (analysed) (C); Number of GPs undergoing VSR (GP); Number of patients undergoing VSR (Pt).
bPrimary care data only, study included 14 other health professionals and 11 other patients.
cUnclear how many consultations as the 24 patients saw more than one member of the team.