Can Verona Coding Definitions of Emotional Sequences (VR-CoDES) be applied to standardized Chinese medical consultations? - A reliability and validity investigation

Lanyi Yin; Meng Yin; Qingyan Wang; Yaxin Yan; Qiuping Tang; Yunlong Deng; Xinchun Liu

doi:10.1016/j.pec.2019.03.025

Can Verona Coding Definitions of Emotional Sequences (VR-CoDES) be applied to standardized Chinese medical consultations? - A reliability and validity investigation

Patient Educ Couns. 2019 Aug;102(8):1460-1466. doi: 10.1016/j.pec.2019.03.025. Epub 2019 Apr 5.

Authors

Lanyi Yin¹, Meng Yin¹, Qingyan Wang¹, Yaxin Yan¹, Qiuping Tang¹, Yunlong Deng¹, Xinchun Liu²

Affiliations

¹ Third Xiangya Hospital of Central South University, Department of Psychology, 138 Tong Zi Po road, Changsha, United States.
² Third Xiangya Hospital of Central South University, Department of Psychology, 138 Tong Zi Po road, Changsha, United States. Electronic address: angelaliu23@sina.com.

PMID: 30981409
DOI: 10.1016/j.pec.2019.03.025

Abstract

Objective: To investigate the reliability and validity of the Chinese version of VR-CoDES.

Methods: The VR-CoDES was translated into Chinese, and a focus group was held to discuss its cultural adaptation. Video consultations between 75 fourth-year medical students and 2 standardized patients (SPs) were coded by two raters with the Chinese VR-CoDES. Inter-rater reliability was tested by using ICC. To obtain validity, the SPs reviewed the video consultations to confirm the cues and concerns.

Results: ICC was 0.79. Specificity and sensitivity were 0.99 and 0.96 respectively. The SPs expressed considerably more cues (mean = 7.00) than concerns (mean = 0.32). Half of the responses of medical students were explicit reducing space. Focus group participants raised some cultural considerations, and some interactions were difficult to code due to cultural differences.

Conclusion: The Chinese VR-CoDES obtained good reliability and validity. Due to differences in the expression of emotions and other differences such as different medical systems between China and Western countries, the Chinese VR-CoDES needs further cultural adaptation.

Practice implication: More consultations in real clinical settings need to be gathered to further support the Chinese VR-CoDES both on validation and cultural adaptation.

Keywords: Chinese translation; Doctor-patient communication; Medical students; Reliability and validity; Standardized patient; VR-CoDES.

Publication types

Research Support, Non-U.S. Gov't
Validation Study

MeSH terms

China
Cues
Cultural Characteristics
Emotions*
Female
Humans
Male
Medical History Taking / standards*
Patient Simulation
Physician-Patient Relations*
Psychometrics
Referral and Consultation*
Reproducibility of Results
Videotape Recording