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Nonverbal communication in the medical encounter

English title Nonverbal communication in the medical encounter
Applicant Schmid Mast Marianne
Number 118632
Funding scheme ProDoc
Research institution IPTO - Institut de Psychologie du Travail et des Organisations Université de Neuchâtel
Institution of higher education University of Neuchatel - NE
Main discipline Psychology
Start/End 01.05.2009 - 30.04.2012
Approved amount 146'124.00
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Keywords (10)

nonverbal communication; physician-patient interaction; health communication; nonverbal sensitivity; nonverbal behavior; patient-centered communication; nonverbal communication; physician-patient interaction; health communication; patient-centered care

Lay Summary (English)

Lead
Lay summary
We tested the hypothesis according to which correspondence between the physician's behavior and the patient's personality along the affiliation (warmth) dimension leads to better patients outcomes after a medical consultation. In the first two laboratory studies we showed that the more agreeable the patients (i.e., student participants) were, the better they reacted to a physician who was high rather than low in affiliativeness, in terms of satisfaction with the medical visit (Study 2), trust in the physician (Studies 1 and 2), and determination to adhere to the treatment (Study 1). The third study was conducted with real patients and physicians. Contrary to the correspondence hypothesis, patients reported high levels of satisfaction overall with the exception of patients low in agreeableness who faced physicians low in affiliativeness. The results of the laboratory studies might only generalize to a younger popultation (i.e., students), whereas when the age increases, physicians who are not behaving in a nice and friendly way might have particularly unsatisfied patients if the patient him- or herself is not very agreeable. Our results are a contribution to the emerging field of tailored or adaptive physician-patient communication. Adaptive communication means that the characteristics of the patient (e.g., gender, age, personality) needs to be taken into account when determining a patient-centered physician communication.
Direct link to Lay Summary Last update: 21.02.2013

Responsible applicant and co-applicants

Employees

Publications

Publication
Trait-agreeableness influences individual reactions to a physician's affiliative behavior in a simulated bad news delivery
Cousin G, Schmid Mast M (2016), Trait-agreeableness influences individual reactions to a physician's affiliative behavior in a simulated bad news delivery, in Health Communication, 31(3), 320-327.
Nonverbal communication in health settings
Cousin G, Schmid Mast M (2014), Nonverbal communication in health settings, in Thompson T L, Golson J G (ed.), Sage, Thousand Oaks, 73-100.
Agreeable patient meets affiliative physician: How physician behavior affects patient outcomes depends on patient personality.
Cousin Gaëtan, Schmid Mast Marianne (2013), Agreeable patient meets affiliative physician: How physician behavior affects patient outcomes depends on patient personality., in Patient education and counseling, 90(3), 399-404.
Finding the right interactional temperature: Do colder patients need more warmth in physician communicatoin style?
Cousin G, Mast MS, Jaunin N (2013), Finding the right interactional temperature: Do colder patients need more warmth in physician communicatoin style?, in Social Science and Medicine, 98, 18-23.
Gender and nonverbal expression of emotion
Cousin G, Schmid Mast M (2013), Gender and nonverbal expression of emotion, in Latu I M, Kaiser S, Schmid Mast M (ed.), Peter Lang, Bern, 119-131.
The role of nonverbal communication in medical interactions: Empirical results, theoretical bases, and methodological issues
Schmid Mast M, Cousin G (2013), The role of nonverbal communication in medical interactions: Empirical results, theoretical bases, and methodological issues, in Martin L R, DiMatteo R (ed.), Oxford University Press, Oxford, 38-53.
When physician expressed uncertainty leads to patient dissatisfaction: A gender study
Cousin G, Schmid Mast M, Jaunin N (2013), When physician expressed uncertainty leads to patient dissatisfaction: A gender study, in Medical Education, 47(9), 923-931.
Concordance between physician communication style and patient attitudes predicts patient satisfaction.
Cousin Gaëtan, Schmid Mast Marianne, Roter Debra L, Hall Judith A (2012), Concordance between physician communication style and patient attitudes predicts patient satisfaction., in Patient education and counseling, 87(2), 193-7.
Perceived dominance in physicians: Are female physicians under scrutiny?
Mast MS, Hall JA, Cronauer CK, Cousin G (2011), Perceived dominance in physicians: Are female physicians under scrutiny?, in PATIENT EDUCATION AND COUNSELING, 83(2), 174-179.
Gender-specific aspects of the physician-patient interaction.
Cronauer C Klöckner, Schmid Mast M (2010), Gender-specific aspects of the physician-patient interaction., in Die Rehabilitation, 49(5), 308-14.
Interactions between patients and physicians: why should we care about gender issues?
Cousin G, Schmid Mast M (2010), Interactions between patients and physicians: why should we care about gender issues?, in Revue médicale suisse, 6(257), 1444-7.
Five ways of being "theoretical": applications to provider-patient communication research.
Hall Judith A, Schmid Mast Marianne (2009), Five ways of being "theoretical": applications to provider-patient communication research., in Patient education and counseling, 74(3), 282-6.
Gender, power, and non-verbal communication
Mast MS, Klöckner C, Hall JA (2009), Gender, power, and non-verbal communication, in Kissane D (ed.), Oxford Press, New York, 63-73.
Geschlechtsspezifische Aspekte des Gesprächs zwischen Arzt bzw. Ärztin und Patient bzw. Patientin
Mast MS, Klöckner Cronauer C (2009), Geschlechtsspezifische Aspekte des Gesprächs zwischen Arzt bzw. Ärztin und Patient bzw. Patientin, in Langer T (ed.), Hans Marseille Verlag, München, 135-142.
Power, dominance, and persuasion
Mast MS, Cousin G, Power, dominance, and persuasion, in Hall JA (ed.), Mouton de Gruyter, Berlin, 613-635.

Collaboration

Group / person Country
Types of collaboration
CHUV Switzerland (Europe)
- Publication
Northeastern University, Boston, USA United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Johns Hopkins University, Baltimore, USA United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
EACH conference Poster Physicians' adaptation to patients' preferences concerning dominance is related to positive consultation outcomes 02.10.2014 Amsterdam, Netherlands Cousin Gaëtan; Schmid Mast Marianne;
SPSP conference Talk given at a conference Physician nonverbal adaptability leads to positive outcomes 02.02.2014 Austin, United States of America Schmid Mast Marianne; Cousin Gaëtan;
SPSP conference Poster Positive interaction ouitcomes through triloring of inerpersonal behavior 02.02.2014 Austin, United States of America Cousin Gaëtan; Schmid Mast Marianne;
SSP conference Talk given at a conference Physician behavioral adaptability leads to patient satisfaction 04.09.2013 Basel, Switzerland Schmid Mast Marianne; Cousin Gaëtan;
SPSP Meeting Poster Personality influences on individuals’ reactions to a physician’s affiliative behavior 26.01.2012 San Diego, United States of America Schmid Mast Marianne; Cousin Gaëtan;
SSP conference Talk given at a conference How patient personality affects medical consultation outcomes. 12.09.2011 Fribourg, Switzerland Cousin Gaëtan; Schmid Mast Marianne;
EACH conference Poster Patients’ individual characteristics moderate their reactions to the physicians’ communication style 10.09.2010 Monte Verita, Switzerland, Italy Schmid Mast Marianne; Cousin Gaëtan;
EACH conference Poster The influence of the patients’ trait of agreeableness on their reactions to the physicians’ communication style 05.09.2010 Verona, Italy Schmid Mast Marianne; Cousin Gaëtan;
SPSP conference Poster Should affiliative patients meet affiliative physicians? Correspondence effects of affiliation on patient trust and adherence. 28.01.2010 Las Vegas, United States of America Schmid Mast Marianne; Cousin Gaëtan;


Communication with the public

Communication Title Media Place Year
New media (web, blogs, podcasts, news feeds etc.) La communication des médecins hommes et femmes Web News Western Switzerland 2012
Media relations: print media, online media Les médecins hommes et femmes interagissent de manière différente avec leurs patients: Pourquoi s’en Revue Médicale Suisse Rhaeto-Romanic Switzerland Western Switzerland Italian-speaking Switzerland German-speaking Switzerland 2010

Awards

Title Year
Winner of the Sandoz research prize (1st position) 2012 for the study: « When physician expressed uncertainty negatively impacts on patient satisfaction: A gender study » together with Dr. Nicole Jaunin and Gaëtan Cousin 2012

Associated projects

Number Title Start Funding scheme
141737 Adaptive Physician-Patient Communication: Physician Interpersonal Sensitivity, Physician Behavioral Variability, and Patient Outcomes 01.10.2012 ProDoc
136811 Multimodal Computational Modeling of Nonverbal Social Behavior in Face to Face Interaction 01.12.2011 Ambizione

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