Structured Communication

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Matthew R. Kutcher - One of the best experts on this subject based on the ideXlab platform.

  • Rating a Physician by Adolescents Using the Structured Communication Adolescent Guide (SCAG)
    2009
    Co-Authors: Matthew R. Kutcher, Susan Wakefield, Karen Mann, Jillian Maccuspie, Joseph Murphy, Kim Blake
    Abstract:

    The Structured Communication Adolescent Guide (SCAG) is a 29-item checklist used for teaching and assessing the adolescent clinical interview. The SCAG is divided into four sections (Getting Started, Gathering Information, Teen Alone [including lifestyles] and Wrap Up) each with a General Rating. The SCAG has been shown to be both reliable and valid when used by adolescents who have been trained in its use. We investigated the feasibility and reliability of the SCAG when used by Junior High School adolescents who had not been formally trained to use the SCAG. Methods: Participants (adolescents from three Junior High Schools) used the SCAG to score a physician in a videotaped interview with an adolescent and a mother standardized patient (SP) pair. Participants were asked to score the physician as if they were the adolescent in the video. Participants then completed a questionnaire about their experience using the SCAG. A Gold Standard SCAG score for the videotaped interview was created by a group of adolescent SP’s, a medical educator and a standardized patient trainer. Results: The Junior High School adolescents (N = 183, mean age = 13.40 years +/.51) included males (N = 94) and females (N = 89). No significant difference in SCAG scores were detected when analyzed across participant’s age, sex, and/or school. Reliability for the SCAG total scores (0.85) and General Ratings (0.73) were high. The Gold Standard scores agreed well with the participants’ scores. Participants also reported that the SCAG dealt with many issues that they felt were important to teen health and well being; and that the SCAG was clear and easy to use. Conclusion: The SCAG can be reliably used by Junior High School adolescents when watching a patient-physician interview. As these adolescents were untrained in using the SCAG and not SPs, the SCAG may be a useful tool to use on the wards, in outpatients or in a physician’s office with adolescent patients. This could provide an additional source of feedback for learners and practicing physicians.

  • a Structured Communication adolescent guide scag assessment of reliability and validity
    Medical Education, 2005
    Co-Authors: Kim Blake, Susan Wakefield, Karen Mann, Joseph Murphy, Nicolle Vincent, Matthew R. Kutcher
    Abstract:

    PURPOSE To assess the reliability and validity of aStructured Communication Adolescent Guide(SCAG) in an undergraduate medical education set-ting using trained adolescent raters.METHOD The SCAG is a 49-item, 6-section (A–F),protocol derived from the Calgary CambridgeObservation Guide that incorporates adolescent psy-chosocial data collection with the physician’s com-munication skills. Four trained female adolescentsscored 42 videotaped adolescent clinical encountersusing the SCAG; a trained psychologist’s rating foreach videotape was used as the gold standard.RESULTS Agreement among adolescent raters wasdetermined by calculating intraclass correlationcoefficients (ICC). The individual SCAG item scores,combined with the global ratings for each section,resulted in an overall ICC value of 0.93, indicatingvery strong agreement among the 4 raters. Theglobal rating scores for the sections (initiating thesession, initiating separation, once adolescent isalone ) lifestyle and closure) produced an ICCrange of 0.58–0.93. However, the ICC values for the2 remaining sections (how was information collec-ted and gathering information) global rating scoreswere below 0.30, signifying low agreement. Overallagreement between the adolescent raters and thegold standard resulted in an ICC value of 0.78. This isevidence of the SCAG’s criterion validity.CONCLUSION The SCAG is a reasonably valid toolfor use in guiding an encounter with an adolescentpatient. However, 2 sections require modificationsto improve their reliability and thus the SCAG’soverall performance. Our results suggest that theSCAG shows promise as a potentially useful teachingresource in undergraduate medical education inadolescent medical interviewing.KEYWORDS education, medical, undergraduate⁄*methods; *Communication; physician–patient rela-tions; data collection; videotape recording⁄ methods;reproducibility of results.Medical Education 2005; 39: 482–491

Katrin Franke - One of the best experts on this subject based on the ideXlab platform.

  • ICCS - Feasibility Study of Social Network Analysis on Loosely Structured Communication Networks
    Procedia Computer Science, 2020
    Co-Authors: Jan William Johnsen, Katrin Franke
    Abstract:

    Abstract Organised criminal groups are moving more of their activities from traditionally physical crime into the cyber domain; where they form online communities that are used as marketplaces for illegal materials, products and services. The trading of illicit goods drives an underground economy by providing services that facilitate almost any type of cyber crime. The challenge for law enforcement agencies is to know which individuals to focus their efforts on, in order to effectively disrupting the services provided by cyber criminals. This paper present our study to assess graph-based centrality measures’ performance for identifying important individuals within a criminal network. These measures has previously been used on small and Structured general social networks. In this study, we are testing the measures on a new dataset that is larger, loosely Structured and resembles a network within cyber criminal forums. Our result shows that well established measures have weaknesses when applied to this challenging dataset.

  • feasibility study of social network analysis on loosely Structured Communication networks
    International Conference on Conceptual Structures, 2017
    Co-Authors: Jan William Johnsen, Katrin Franke
    Abstract:

    Abstract Organised criminal groups are moving more of their activities from traditionally physical crime into the cyber domain; where they form online communities that are used as marketplaces for illegal materials, products and services. The trading of illicit goods drives an underground economy by providing services that facilitate almost any type of cyber crime. The challenge for law enforcement agencies is to know which individuals to focus their efforts on, in order to effectively disrupting the services provided by cyber criminals. This paper present our study to assess graph-based centrality measures’ performance for identifying important individuals within a criminal network. These measures has previously been used on small and Structured general social networks. In this study, we are testing the measures on a new dataset that is larger, loosely Structured and resembles a network within cyber criminal forums. Our result shows that well established measures have weaknesses when applied to this challenging dataset.

Kohei Honda - One of the best experts on this subject based on the ideXlab platform.

  • Structured Communication centred programming for web services
    European Symposium on Programming, 2007
    Co-Authors: Marco Carbone, Kohei Honda, Nobuko Yoshida
    Abstract:

    This paper relates two different paradigms of descriptions of Communication behaviour, one focussing on global message flows and another on end-point behaviours, using formal calculi based on session types. The global calculus, which originates from a web service description language (W3C WS-CDL), describes an interaction scenario from a vantage viewpoint; the end-point calculus, an applied typed π-calculus, precisely identifies a local behaviour of each participant. We explore a theory of end-point projection, by which we can map a global description to its end-point counterpart preserving types and dynamics. Three principles of well-Structured description and the type structures play a fundamental role in the theory.

  • ESOP - Structured Communication-centred programming for web services
    Programming Languages and Systems, 2007
    Co-Authors: Marco Carbone, Kohei Honda, Nobuko Yoshida
    Abstract:

    This paper relates two different paradigms of descriptions of Communication behaviour, one focussing on global message flows and another on end-point behaviours, using formal calculi based on session types. The global calculus, which originates from a web service description language (W3C WS-CDL), describes an interaction scenario from a vantage viewpoint; the end-point calculus, an applied typed π-calculus, precisely identifies a local behaviour of each participant. We explore a theory of end-point projection, by which we can map a global description to its end-point counterpart preserving types and dynamics. Three principles of well-Structured description and the type structures play a fundamental role in the theory.

  • ESOP - Language Primitives and Type Discipline for Structured Communication-Based Programming
    Programming Languages and Systems, 1998
    Co-Authors: Kohei Honda, Vasco T Vasconcelos, Makoto Kubo
    Abstract:

    We introduce basic language constructs and a type discipline as a foundation of Structured Communication-based concurrent programming. The constructs, which are easily translatable into the summation-less asynchronous π-calculus, allow programmers to organise programs as a combination of multiple flows of (possibly unbounded) reciprocal interactions in a simple and elegant way, subsuming the preceding Communication primitives such as method invocation and rendez-vous. The resulting syntactic structure is exploited by a type discipline a la ML, which offers a high-level type abstraction of interactive behaviours of programs as well as guaranteeing the compatibility of interaction patterns between processes in a well-typed program. After presenting the formal semantics, the use of language constructs is illustrated through examples, and the basic syntactic results of the type discipline are established. Implementation concerns are also addressed.

  • language primitives and type discipline for Structured Communication based programming
    European Symposium on Programming, 1998
    Co-Authors: Kohei Honda, Vasco T Vasconcelos, Makoto Kubo
    Abstract:

    We introduce basic language constructs and a type discipline as a foundation of Structured Communication-based concurrent programming. The constructs, which are easily translatable into the summation-less asynchronous π-calculus, allow programmers to organise programs as a combination of multiple flows of (possibly unbounded) reciprocal interactions in a simple and elegant way, subsuming the preceding Communication primitives such as method invocation and rendez-vous. The resulting syntactic structure is exploited by a type discipline a la ML, which offers a high-level type abstraction of interactive behaviours of programs as well as guaranteeing the compatibility of interaction patterns between processes in a well-typed program. After presenting the formal semantics, the use of language constructs is illustrated through examples, and the basic syntactic results of the type discipline are established. Implementation concerns are also addressed.

Kim Blake - One of the best experts on this subject based on the ideXlab platform.

  • Rating a Physician by Adolescents Using the Structured Communication Adolescent Guide (SCAG)
    2009
    Co-Authors: Matthew R. Kutcher, Susan Wakefield, Karen Mann, Jillian Maccuspie, Joseph Murphy, Kim Blake
    Abstract:

    The Structured Communication Adolescent Guide (SCAG) is a 29-item checklist used for teaching and assessing the adolescent clinical interview. The SCAG is divided into four sections (Getting Started, Gathering Information, Teen Alone [including lifestyles] and Wrap Up) each with a General Rating. The SCAG has been shown to be both reliable and valid when used by adolescents who have been trained in its use. We investigated the feasibility and reliability of the SCAG when used by Junior High School adolescents who had not been formally trained to use the SCAG. Methods: Participants (adolescents from three Junior High Schools) used the SCAG to score a physician in a videotaped interview with an adolescent and a mother standardized patient (SP) pair. Participants were asked to score the physician as if they were the adolescent in the video. Participants then completed a questionnaire about their experience using the SCAG. A Gold Standard SCAG score for the videotaped interview was created by a group of adolescent SP’s, a medical educator and a standardized patient trainer. Results: The Junior High School adolescents (N = 183, mean age = 13.40 years +/.51) included males (N = 94) and females (N = 89). No significant difference in SCAG scores were detected when analyzed across participant’s age, sex, and/or school. Reliability for the SCAG total scores (0.85) and General Ratings (0.73) were high. The Gold Standard scores agreed well with the participants’ scores. Participants also reported that the SCAG dealt with many issues that they felt were important to teen health and well being; and that the SCAG was clear and easy to use. Conclusion: The SCAG can be reliably used by Junior High School adolescents when watching a patient-physician interview. As these adolescents were untrained in using the SCAG and not SPs, the SCAG may be a useful tool to use on the wards, in outpatients or in a physician’s office with adolescent patients. This could provide an additional source of feedback for learners and practicing physicians.

  • a Structured Communication adolescent guide scag assessment of reliability and validity
    Medical Education, 2005
    Co-Authors: Kim Blake, Susan Wakefield, Karen Mann, Joseph Murphy, Nicolle Vincent, Matthew R. Kutcher
    Abstract:

    PURPOSE To assess the reliability and validity of aStructured Communication Adolescent Guide(SCAG) in an undergraduate medical education set-ting using trained adolescent raters.METHOD The SCAG is a 49-item, 6-section (A–F),protocol derived from the Calgary CambridgeObservation Guide that incorporates adolescent psy-chosocial data collection with the physician’s com-munication skills. Four trained female adolescentsscored 42 videotaped adolescent clinical encountersusing the SCAG; a trained psychologist’s rating foreach videotape was used as the gold standard.RESULTS Agreement among adolescent raters wasdetermined by calculating intraclass correlationcoefficients (ICC). The individual SCAG item scores,combined with the global ratings for each section,resulted in an overall ICC value of 0.93, indicatingvery strong agreement among the 4 raters. Theglobal rating scores for the sections (initiating thesession, initiating separation, once adolescent isalone ) lifestyle and closure) produced an ICCrange of 0.58–0.93. However, the ICC values for the2 remaining sections (how was information collec-ted and gathering information) global rating scoreswere below 0.30, signifying low agreement. Overallagreement between the adolescent raters and thegold standard resulted in an ICC value of 0.78. This isevidence of the SCAG’s criterion validity.CONCLUSION The SCAG is a reasonably valid toolfor use in guiding an encounter with an adolescentpatient. However, 2 sections require modificationsto improve their reliability and thus the SCAG’soverall performance. Our results suggest that theSCAG shows promise as a potentially useful teachingresource in undergraduate medical education inadolescent medical interviewing.KEYWORDS education, medical, undergraduate⁄*methods; *Communication; physician–patient rela-tions; data collection; videotape recording⁄ methods;reproducibility of results.Medical Education 2005; 39: 482–491

Douglas Macinnes - One of the best experts on this subject based on the ideXlab platform.

  • a pilot cluster randomised trial to assess the effect of a Structured Communication approach on quality of life in secure mental health settings the comquol study
    BMC Psychiatry, 2016
    Co-Authors: Douglas Macinnes, C. Kinane, Janet Parrott, Tom K. J. Craig, Sandra Eldridge, I. Marsh, Jacqueline Mansfield, Claire Chan, Natalia Hounsome, George Harrison
    Abstract:

    Background There is a lack of research in forensic settings examining therapeutic relationships. A Structured Communication approach, placing patients’ perspectives at the heart of discussions about their care, was used to improve patients’ quality of life in secure settings. The objectives were to: • Establish the feasibility of the trial design • Determine the variability of the outcomes of interest • Estimate the costs of the intervention • If necessary, refine the intervention

  • The Comquol Study: - a pilot cluster randomised trial looking at a Structured Communication intervention in secure mental health settings: outcomes and challenges
    2016
    Co-Authors: Douglas Macinnes, C. Kinane, Janet Parrott, Jacqueline Mansfield
    Abstract:

    There is limited research in forensic settings examining therapeutic relationships. A Structured Communication approach, placing patients’ perspectives at the heart of discussions about their care, has been developed and used to improve patients’ quality of life in secure settings. The objectives of the pilot study were to: • Establish the feasibility of the trial design • Determine the variability of the outcomes of interest • Estimate the costs of the intervention • If necessary, refine the intervention Methods A pilot study was conducted using a cluster randomised controlled trial design. Data was collected from July 2012 to January 2015 from participants in 6 medium secure in–patient services in London and Southern England. 55 patients and 47 nurses were recruited to the intervention group with 57 patients and 45 nurses recruited to the control group. The intervention consisted of two elements: A computer-mediated approach (DIALOG+) and Non-directive counselling based on SFT The focus was on employing a user centred approach promoting patients active participation in the intervention. 6 nurse-patient meetings were held over a 6 month period. Patients rated their satisfaction with a range of domains followed by discussions on improving patient identified problems. Assessments took place at baseline, 6 months, and 12 months. Participants were not blind to their allocated group. The primary outcome was self-reported quality of life collected by a researcher blind to participants’ allocation status. Aim and Objectives of Presentation The presentation aims to develop an awareness of the procedures required to undertake a study using trial methodology in a forensic mental health setting and gain an awareness of some of the main principles underpinning the Comquol study. Aby the end of the presentation attendees should be able to: • Understand the practicalities involved when undertaking a pilot trial in forensic settings • Be aware of using a computer- mediated Structured Communication approach to help collaborative decision making • Acknowledge the main the findings of the ComQuol study

  • Study to assess the effect of a Structured Communication approach on quality of life in secure mental health settings (Comquol): study protocol for a pilot cluster randomized trial.
    Trials, 2013
    Co-Authors: Douglas Macinnes, C. Kinane, Dominic Beer, Janet Parrott, Tom K. J. Craig, Sandra Eldridge, I. Marsh, Joanna Krotofil, Stefan Priebe
    Abstract:

    Background Forensic mental health services have largely ignored examining patients’ views on the nature of the services offered to them. A Structured Communication approach (DIALOG) has been developed with the aim of placing the patient’s perspective on their care at the heart of the discussions between patients and clinicians. The effectiveness of the Structured Communication approach in community mental health services has been demonstrated, but no trial has taken place in a secure psychiatric setting. This pilot study is evaluating a 6-month intervention combining DIALOG with principles of solution-focused therapy on quality of life in medium-secure settings.