Project

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Adaptivity in Communication and Health

English title Adaptivity in Communication and Health
Applicant Schulz Peter
Number 132615
Funding scheme ProDoc
Research institution Istituto Media e Giornalismo Facoltà di Scienze della comunicazione Università della Svizzera italiana
Institution of higher education Università della Svizzera italiana - USI
Main discipline Communication sciences
Start/End 01.02.2011 - 30.04.2016
Approved amount 381'525.00
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Keywords (9)

health communication; doctor-patient communication; health and media; health literacy; patient empowerment; judgment skills; self management; asthma; insomnia

Lay Summary (German)

Lead
Lay summary
Das Konzept der Gesundheitskompetenz (health literacy) hat sich in den letzten 20 Jahren als wichtiger Faktor der Gesundheitsversorgung und der medizinischen Behandlung durchgesetzt. Seit der Ottawa-Charta von 1986 wurde zudem Patienten-Empowerment zunehmend als ein Werkzeug erkannt, die Mitwirkung und Mitverantwortung des Patienten in der Gesundheitsversorgung zu stärken. Beide Konzepte hängen zusammen. Der Zusammenhang wurde in einem anderen Forschungsprojekt systematisch erkundet; dort haben wir Kompetenzkomponenten in ein Modell von Empowerment eingefügt, insbesondere deklaratives und prozedurales Wissen zu einem in Rede stehenden Gesundheitsfeld sowie die Urteilsfähigkeit des Patienten, vernunftbegründete Entscheidungen auf diesem Feld zu fällen. Insbesondere die Urteilsfähigkeit setzt Patienten in die Lage, im Alltag mit gesundheitlichen Leiden umzugehen, die in ihrem Leben auftreten und ihre Aktivitäten behindern. Dadurch werden sie unabhängig und kommen in die Lage, mit einer Situation zu Recht zu kommen, die durch akute oder chronische Leiden hervor gebracht wurde. Dies geht selbstverständlich oft nicht ohne Üben und erfordert anfänglich auch die Unterstützung von Ärzten und Pflegepersonal. Aber diese Fähigkeiten zu entwickeln und zu erwerben ist ein integraler Bestandteil des Empowerment.
Forschungen im Bereich Marketing stellen das Konzept des "psychologischen Empowerment" bereit, das auf die subjektive Selbstwahrnehmung des Entscheidungsbereichs und des Einflusses von Mitarbeitern in Unternehmen abzielt. Das Gegenstück ist das Rollen-Empowerment oder situationales Empowerment, das den tatsächlichen Entscheidungsspielraum der Mitarbeiter meint. Unsere geplanten Untersuchungen beabsichtigen vor dem Hintergrund dieser Konzepte zu verstehen, wie Gesundheitskompetenz und Empowerment die gesundheitsrelevanten Entscheidungen und das gesundheitsrelevante Verhalten von Individuen beeinflussen.
Die Untersuchungen werden sich dem Leben mit Asthma (Projekt 1) und Schlafstörungen (Projekt 2) widmen. In beiden Fällen gibt es reichlich Evidenz, dass die Unterweisung in Techniken des Selbst-Management eine Reihe günstiger Ergebnisse hat und dass Gesundheitskompetenz mit besseren Therapie-Ergebnissen und besserem Selbst-Management einhergehen. In beiden Projekten werden je zwei parallel aufgebaute Studien zunächst ein Messinstrument für die Urteilsfähigkeit des Patienten entwickeln und validieren (Studie 1) und dann den Einfluss der Urteilsfähigkeit und anderer Elemente der Gesundheitskompetenz auf nützliches und schädliches Verhalten bei der Bewältigung der beiden chronischen Erkrankungen untersuchen (Studie 2). Die Studien werden im Tessin durchgeführt.
Direct link to Lay Summary Last update: 21.02.2013

Responsible applicant and co-applicants

Employees

Publications

Publication
Building shared situational awareness on the move. Staff monitoring behavior in clinic corridors
González-Martínez E., Bangerter A., Lê Van K. (2017), Building shared situational awareness on the move. Staff monitoring behavior in clinic corridors, in Qualitative Health Research, 27(14), 2244-2257.
Passing-by 'Ca va?' checks in clinic corridors
González-Martínez E., Bangerter A., Lê Van K. (2017), Passing-by 'Ca va?' checks in clinic corridors, in Semiotica, 215, 1-42.
Beyond "one size fits all": Physician nonverbal adaptability to patients' need for paternalism and its positive consultation outcomes.
Carrard Valérie, Schmid Mast Marianne, Cousin Gaëtan (2016), Beyond "one size fits all": Physician nonverbal adaptability to patients' need for paternalism and its positive consultation outcomes., in Health communication, 1-7.
Hospital staff corridor conversations. Work in passing
González-Martínez E., Bangerter A., Lê Van K., Navarro C. (2016), Hospital staff corridor conversations. Work in passing, in Journal of advanced nursing, 72(3), 521-532.
What are parents' perspectives on psychological empowerment in the MMR vaccination decision? A focus group study.
Fadda Marta, Galimberti Elisa, Carraro Valter, Schulz Peter J (2016), What are parents' perspectives on psychological empowerment in the MMR vaccination decision? A focus group study., in BMJ open, 6(4), 010773-010773.
Addressing issues of vaccination literacy and psychological empowerment in the measles-mumps-rubella (MMR) vaccination decision-making: a qualitative study.
Fadda Marta, Depping Miriam K, Schulz Peter J (2015), Addressing issues of vaccination literacy and psychological empowerment in the measles-mumps-rubella (MMR) vaccination decision-making: a qualitative study., in BMC public health, 15, 836-836.
Arguments and sources on Italian online forums on childhood vaccinations: Results of a content analysis.
Fadda Marta, Allam Ahmed, Schulz Peter J (2015), Arguments and sources on Italian online forums on childhood vaccinations: Results of a content analysis., in Vaccine, 33(51), 7152-9.
Building bridges between doctors and patients: the design and pilot evaluation of a training session in argumentation for chronic pain experts.
Zanini Claudia, Sarzi-Puttini Piercarlo, Atzeni Fabiola, Di Franco Manuela, Rubinelli Sara (2015), Building bridges between doctors and patients: the design and pilot evaluation of a training session in argumentation for chronic pain experts., in BMC medical education, 15, 89-89.
Influences of health literacy, judgment skills, and empowerment on asthma self-management practices.
Londoño Ana Maria Moreno, Schulz Peter J (2015), Influences of health literacy, judgment skills, and empowerment on asthma self-management practices., in Patient education and counseling, 98(7), 908-17.
Medical information on the internet: a tool for measuring consumer perception of quality aspects.
Dubowicz Arthur, Schulz Peter J (2015), Medical information on the internet: a tool for measuring consumer perception of quality aspects., in Interactive journal of medical research, 4(1), 8-8.
Physician behavioral adaptability: A model to outstrip a "one size fits all" approach.
Carrard Valérie, Schmid Mast Marianne (2015), Physician behavioral adaptability: A model to outstrip a "one size fits all" approach., in Patient education and counseling, 98(10), 1243-7.
The effect of social support features and gamification on a Web-based intervention for rheumatoid arthritis patients: randomized controlled trial.
Allam Ahmed, Kostova Zlatina, Nakamoto Kent, Schulz Peter Johannes (2015), The effect of social support features and gamification on a Web-based intervention for rheumatoid arthritis patients: randomized controlled trial., in Journal of medical Internet research, 17(1), 14-14.
Functional validity of a judgment skills measure within the concept of health literacy for sleeping disorder patients.
Dubowicz Arthur, Schulz Peter J (2014), Functional validity of a judgment skills measure within the concept of health literacy for sleeping disorder patients., in International journal of environmental research and public health, 11(10), 10868-82.
Impact of patient’s judgment skills on asthma self-management: A pilot study
Moreno-Londoño A.M., Schulz P.J. (2014), Impact of patient’s judgment skills on asthma self-management: A pilot study, in Journal of Public Health Research, 3(3), 307.
Judgment skills, a missing component in health literacy: development of a tool for asthma patients in the Italian-speaking region of Switzerland.
Moreno Londoño Ana Maria, Schulz Peter J (2014), Judgment skills, a missing component in health literacy: development of a tool for asthma patients in the Italian-speaking region of Switzerland., in Archives of public health = Archives belges de sante publique, 72(1), 12-12.
The Impact of Search Engine Selection and Sorting Criteria on Vaccination Beliefs and Attitudes: Two Experiments Manipulating Google Output
Allam A, Schulz PJ, Nakanoto K (2014), The Impact of Search Engine Selection and Sorting Criteria on Vaccination Beliefs and Attitudes: Two Experiments Manipulating Google Output, in Journal of Medical Internet Research, 16(4), e100.
The impact of social support on the acceptance process among RA patients: a qualitative study.
Kostova Zlatina, Caiata-Zufferey Maria, Schulz Peter J (2014), The impact of social support on the acceptance process among RA patients: a qualitative study., in Psychology & health, 29(11), 1283-302.
The process of acceptance among rheumatoid arthritis patients in Switzerland: a qualitative study.
Kostova Zlatina, Caiata-Zufferey Maria, Schulz Peter J (2014), The process of acceptance among rheumatoid arthritis patients in Switzerland: a qualitative study., in Pain research & management, 19(2), 61-8.
Medical assessments of patient decisions and health literacy. A scenario-based measure of judgment skills.
Dubowicz Arthur, Schulz Peter J (2013), Medical assessments of patient decisions and health literacy. A scenario-based measure of judgment skills., in Patient education and counseling, 93(2), 224-9.
'What matters to Andrew'. The problem of premissary relevance in automated health advisors. Insights from pragma-dialectics.
Rubinelli Sara, Labrie Nanon H M, O'Keefe Daniel J (2013), 'What matters to Andrew'. The problem of premissary relevance in automated health advisors. Insights from pragma-dialectics., in Patient education and counseling, 92(2), 218-22.
Teaching argumentation theory to doctors: why and what
Rubinelli S., Zanini C. (2012), Teaching argumentation theory to doctors: why and what, in Argumentation in Context, 1(1), 66-80.
Using Argumentation Theory to Identify the Challenges of Shared Decision-Making when the Doctor and the Patient have a Difference of Opinion.
Zanini Claudia A, Rubinelli Sara (2012), Using Argumentation Theory to Identify the Challenges of Shared Decision-Making when the Doctor and the Patient have a Difference of Opinion., in Journal of public health research, 1(2), 165-9.
Social representations in psychology: A bibliometrical analysis
Eicher V., Emery V., Maridor M., Gilles I., Bangerter A. (2011), Social representations in psychology: A bibliometrical analysis, in Papers on Social Representations, 20(2), 1-9.

Associated projects

Number Title Start Funding scheme
135114 Guided Health Literacy and Empowerment: The Role of Social Interaction 01.06.2011 ProDoc
134875 Mobile and Contingent Work Interactions in the Hospital Care Unit 01.09.2011 ProDoc
141737 Adaptive Physician-Patient Communication: Physician Interpersonal Sensitivity, Physician Behavioral Variability, and Patient Outcomes 01.10.2012 ProDoc
118688 Communication and Health 01.02.2008 ProDoc

Abstract

The Pro*Doc “Communication & Health”, a collaboration of the Universities of Lugano, Neuchâtel, Zurich, Fribourg and Virginia Tech, Blacksburg, USA, has worked successfully since 2008. Based on the experiences with the Pro*Doc, we apply for extending the project to for another three years. The new Pro*Doc is to focus more specifically on “Adaptivity in Communication & Health.” It will basically repeat, with some corrections to accommodate the experiences with the existing program, the teaching module that has been proven to be successful, add new research projects all centering around the concept of adaptivity, and include two new partners, namely one from the University of Luzern, and another from the University of Fribourg (Domaine Sociologie, Politiques sociales et Travail social).
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