Poison control center communication and impact on patient adherence

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
William N. Dudley, Professor Public Health Education (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/

Abstract: Objective. This project explored the communication processes associated with poison control center calls. Methods. In this preliminary study, we adapted the Roter Interaction Analysis System to capture staff-caller dialogue. This involved case selection, wherein adherence and non-adherence cases were selected; call linkage to medical records, where case records were linked with voice recordings; and application of Roter Interaction Analysis System to calls. Results. Results indicate that communications are predominantly provider- driven, Patient age and percentage of staff partnership statements were significantly associated with adherence at the 0.05 level. Increases in age were associated with decreases in adherence to recommendations (p < 0.001). Increases in percentage of staff partnership statements (over all staff talk) were associated with increases in adherence (p = 0.013). Conclusion. This line of research could lead to evidence- based guidelines for effective staff-caller communication, increased adherence rates, and improved health outcomes.

Additional Information

Clinical toxicology, 46(2),105-109
Language: English
Date: 2008
Communication, Adherence, Poison control center, Roter Interaction Analysis System (RIAS)

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