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Applying the Verona Coding Definitions of Emotional Sequences (VR-CoDES) in the dental context involving patients with complex communication needs : an exploratory study

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Date
11/2014
Author
Zhou, Yuefang
Black, Rolf
Freeman, Ruth
Herron, Daniel
Humphris, Gerald Michael
Menzies, Rachel
Quinn, Sandra
Scott, Lesley
Waller, Annalu
Keywords
The VR-CoDES
Dental patients
Emotional distress
Intellectual disabilities
R Medicine
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Abstract
Objective The VR-CoDES has been previously applied in the dental context. However, we know little about how dental patients with intellectual disabilities (ID) and complex communication needs express their emotional distress during dental visits. This is the first study explored the applicability of the VR-CoDES to a dental context involving patients with ID. Methods Fourteen dental consultations were video recorded and coded using the VR-CoDES, assisted with the additional guidelines for the VR-CoDES in a dental context. Both inter- and intra-coder reliabilities were checked on the seven consultations where cues were observed. Results Sixteen cues (eight non-verbal) were identified within seven of the 14 consultations. Twenty responses were observed (12 reducing space) with four multiple responses. Cohen's Kappa were 0.76 (inter-coder) and 0.88 (intra-coder). Conclusion With the additional guidelines, cues and responses were reliably identified. Cue expression was exhibited by non-verbal expression of emotion with people with ID in the literature. Further guidance is needed to improve the coding accuracy on multiple providers’ responses and to investigate potential impacts of conflicting responses on patients. Practice implications The findings provided a useful initial step towards an ongoing exploration of how healthcare providers identify and manage emotional distress of patients with ID.
Citation
Zhou , Y , Black , R , Freeman , R , Herron , D , Humphris , G M , Menzies , R , Quinn , S , Scott , L & Waller , A 2014 , ' Applying the Verona Coding Definitions of Emotional Sequences (VR-CoDES) in the dental context involving patients with complex communication needs : an exploratory study ' , Patient Education and Counseling , vol. 97 , no. 2 , pp. 180-187 . https://doi.org/10.1016/j.pec.2014.07.023
Publication
Patient Education and Counseling
Status
Peer reviewed
DOI
https://doi.org/10.1016/j.pec.2014.07.023
ISSN
0738-3991
Type
Journal article
Rights
© 2014. Elsevier Ireland Ltd. All rights reserved. This is the author’s version of a work that was accepted for publication in Patient Education and Counseling. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Patient Education and Counseling, 97, 2, November 2014 DOI http://dx.doi.org/10.1016/j.pec.2014.07.023
Description
This study was conducted as part of a larger collaborative study funded by the EPSRC, between the University of St Andrews and the University of Dundee.
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  • University of St Andrews Research
URL
http://www.pec-journal.com/article/S0738-3991%2814%2900297-3/abstract
URI
http://hdl.handle.net/10023/7003

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