Co-constructing the Video Consultation-competent patient

Authors

  • Ann Merrit Rikke Nielsen University of Copenhagen

DOI:

https://doi.org/10.7146/si.v3i3.122708

Keywords:

video consultation, geriatric patients, co-construction, multimodality, rehabilitation, healthcare, VC-competences, video mediation, telepresence robot, participation framework

Abstract

Through detailed multimodal EMCA analysis, this paper explores consultations between a geriatric patient in a residential rehabilitation facility, his local caregivers, his relative, and his GP, who is present via telepresence robot. The analysis focuses on a) the patient’s interaction with the telepresence robot and the other participants in the opening sequences, including the establishment of joint attention, as a mutual accomplishment; b) how the role of “the competent Video Consultation (VC)-patient” is negotiated and co-constructed (Goodwin, 2013; Jacoby & Ochs, 1995) over time; and c) how the patient displays increasing VC-competences and develops practices associated with a situational identity as “tech-savvy patient”  (Suchman, 2009; Zimmerman, 2008).

References

Arminen, I., Licoppe, C., & Spagnolli, A. (2016). Respecifying Mediated Interaction. Research on Language and Social Interaction, 49(4), 290–309. https://doi.org/10.1080/08351813.2016.1234614

Brouwer, C. E., & Wagner, J. (2004). Developmental issues in second language conversation. Journal of Applied Linguistics, 1(1), 29–47. https://doi.org/10.1558/japl.1.1.29.55873

Deppermann, A. (2013). Turn-design at turn-beginnings: Multimodal resources to deal with tasks of turn-construction in German. Journal of Pragmatics, 46(1), 91–121. https://doi.org/10.1016/j.pragma.2012.07.010

Doehler, S. P. (2010). Conceptual Changes and Methodological Challenges: On Language and Learning from a Conversation Analytic Perspective on SLA. In P. Seedhouse, S. Walsh, & C. Jenks (Eds.), Conceptualising ‘Learning’ in Applied Linguistics (pp. 105–126). London: Palgrave Macmillan. https://doi.org/10.1057/9780230289772_7

Due, B. (forth). RoboDoc: Semiotic resources for achieving face-to-screenface formation with a telepresence robot. Semiotica.

Esterle, L., & Mathieu-Fritz, A. (2013). Teleconsultation in geriatrics: Impact on professional practice. International Journal of Medical Informatics, 82(8), 684–695. https://doi.org/10.1016/j.ijmedinf.2013.04.006

Geoffroy, O., Acar, P., Caillet, D., Edmar, A., Crepin, D., Salvodelli, M., Dulac, Y., & Paranon, S. (2008). Videoconference pediatric and congenital cardiology consultations: A new application in telemedicine. Archives of Cardiovascular Diseases, 101(2), 89–93. https://doi.org/10.1016/S1875-2136(08)70264-X

Goffman, E. (1981). Forms of Talk. Philadelphia: University of Pennsylvania Press.

Goodwin, C. (1979). The Interactive Construction of a Sentence in Natural Conversation. In G. Psathas (Ed.), Everyday Language: Studies in Ethnomethodology (pp. 97–121). New York: Irvington Publishers.

Goodwin, C. (1981). Conversational organization: Interaction between speakers and hearers. New York: Academic Press.

Goodwin, C. (2000). Action and embodiment within situated human interaction. Journal of Pragmatics, 32(10), 1489–1522. https://doi.org/10.1016/S0378-2166(99)00096-X

Goodwin, C. (2007). Participation, stance and affect in the organization of activities. Discourse & Society, 18(1), 53–73. https://doi.org/10.1177/0957926507069457

Goodwin, C. (2013). The co-operative, transformative organization of human action and knowledge. Journal of Pragmatics, 46(1), 8–23. https://doi.org/10.1016/j.pragma.2012.09.003

Goodwin, C. (2018). Why Multimodality? Why Co-Operative Action? (transcribed by J. Philipsen). Social Interaction. Video-Based Studies of Human Sociality, 1(2). https://doi.org/10.7146/si.v1i2.110039

Greenhalgh, T., Vijayaraghavan, S., Wherton, J., Shaw, S., Byrne, E., Campbell-Richards, D., Bhattacharya, S., Hanson, P., Ramoutar, S., Gutteridge, C., Hodkinson, I., Collard, A., & Morris, J. (2016). Virtual online consultations: Advantages and limitations (VOCAL) study. BMJ Open, 6(1), e009388. https://doi.org/10.1136/bmjopen-2015-009388

Greer, T. (2016). Learner initiative in action: Post-expansion sequences in a novice ESL survey interview task. Linguistics and Education, 35, 78–87. https://doi.org/10.1016/j.linged.2016.06.004

Greer, T. (2018). Learning to say grace. Social Interaction. Video-Based Studies of Human Sociality, 1(1). https://doi.org/10.7146/si.v1i1.105499

Hall, J. K., Hellermann, J., & Pekarek Doehler, S. (2011). L2 Interactional Competence and Development. Channel View Publications. http://ebookcentral.proquest.com/lib/kbdk/detail.action?docID=837799

Hassert, Liv Otto; Nielsen,Mie Femø; Nielsen, Ann Merrit Rikke. (2016). Møder via video, web eller telefon. In Kommunikation i internationale virksomheder (Vol. 1, pp. 173–202). Copenhagen: Samfundslitteratur.

Have, P. ten. (1989). 6. The Consultation as a Genre. In Text and talk as social practice. Discourse difference and division in speech and writing (Reprint 2016, Vol. 2). Den Haag: De Gruyter Mouton. https://doi.org/10.1515/9783111684369-008

Heath, C. (1981). The opening sequence in doctor-patient interaction. In P. Atkinson & C. Heath (Eds.), Medical work: Realities and routines (pp. 71–90). Gower: Farnborough.

Heath, C. (Ed.). (1986). Forms of participation. In Body Movement and Speech in Medical Interaction (pp. 76–98). Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511628221.006

Hellermann, J. (2007). The Development of Practices for Action in Classroom Dyadic Interaction: Focus on Task Openings. The Modern Language Journal, 91(1), 83–96. JSTOR. https://www.jstor.org/stable/4127089

Heritage, J., & Maynard, D. W. (2006). Introduction: Analyzing interaction between doctors and patients in primary care encounters. In Heritage, J. & Maynard, D. W. (eds): Communication in medical care, interaction between primary care physicians and patients (p. 21). Cambridge: Cambridge University Press.

Jacoby, S., & Ochs, E. (1995). Co-Construction: An Introduction. Research on Language and Social Interaction, 28(3), 171–183. https://doi.org/10.1207/s15327973rlsi2803_1

Jefferson, G. (2004). Glossary of transcript symbols with an introduction. In G. H. Lerner (Ed.), Conversation Analysis: Studies from the first generation (pp. 13–31). Amsterdam/Philadelphia: John Benjamins Publishing Co.

Kidwell, M., & Zimmerman, D. H. (2007). Joint attention as action. Journal of Pragmatics, 39(3), 592–611. https://doi.org/10.1016/j.pragma.2006.07.012

Lee, Y.-A., & Hellermann, J. (2014). Tracing Developmental Changes Through Conversation Analysis: Cross-Sectional and Longitudinal Analysis. TESOL Quarterly, 48(4), 763–788. JSTOR. https://www.jstor.org/stable/43268016

Levinson, S. C. (1988). Putting linguistics on a proper footing: Explorations in Goffman’s participation framework. In P. Drew & A. Wootton (Eds.), Goffman: Exploring the interaction order (pp. 161–227). Oxford: Polity Press.

Lundvoll Nilsen, L. (2011). Collaborative Work by Using Videoconferencing: Opportunities for Learning in Daily Medical Practice. Qualitative Health Research, 21(8), 1147–1158. https://doi.org/10.1177/1049732311405683

Markee, N. (2008). Toward a Learning Behavior Tracking Methodology for CA-for-SLA. Applied Linguistics, 29(3), 404–427. https://doi.org/10.1093/applin/amm052

Martin, C., & Sahlström, F. (2010). Learning as Longitudinal Interactional Change: From Other-Repair to Self-Repair in Physiotherapy Treatment. Discourse Processes, 47(8), 668–697. https://doi.org/10.1080/01638531003628965

Maynard, D. W., & Heritage, J. (2005). Conversation analysis, doctor–patient interaction and medical communication. Medical Education, 39(4), 428–435. https://doi.org/10.1111/j.1365-2929.2005.02111.x

Melander, H., & Sahlström, F. (2009). Learning to Fly—The Progressive Development of Situation Awareness. Scandinavian Journal of Educational Research, 53(2), 151–166. https://doi.org/10.1080/00313830902757576

Mlynář, J., González-Martínez, E., & Lalanne, D. (2018). Situated organization of video-mediated interaction: A review of ethnomethodological and conversation analytic studies. Interacting with Computers, 30(2), 73–84. Scopus. https://doi.org/10.1093/iwc/iwx019

Mondada, L. (2007). Multimodal resources for turn-taking: Pointing and the emergence of possible next speakers. Discourse Studies, 9(2), 194–225. https://doi.org/10.1177/1461445607075346

Mondada, L. (2015). Ouverture et préouverture des réunions visiophoniques. Reseaux, n° 194(6), 39–84. https://www.cairn.info/revue-reseaux-2015-6-page-39.htm

Nguyen, H. thi. (2012). Introduction. In H. thi Nguyen (Ed.), Developing Interactional Competence: A Conversation-Analytic Study of Patient Consultations in Pharmacy (pp. 1–13). Palgrave Macmillan UK. https://doi.org/10.1057/9780230319660_1

Nguyen, H. thi. (2017). Toward a Conversation Analytic Framework for Tracking Interactional Competence Development from School to Work. In S. Pekarek Doehler, A. Bangerter, G. de Weck, L. Filliettaz, E. González-Martínez, & C. Petitjean (Eds.), Interactional Competences in Institutional Settings: From School to the Workplace (pp. 197–225). Springer International Publishing. https://doi.org/10.1007/978-3-319-46867-9_8

Nielsen, L. O., Krebs, H. J., Albert, N. M., Anderson, N., Catz, S., Hale, T. M., Hansen, J., Hounsgaard, L., Kim, T. Y., Lindeman, D., Spindler, H., Marcin, J. P., Nesbitt, T., Young, H. M., & Dinesen, B. (2017). Telemedicine in Greenland: Citizens’ Perspectives. Telemedicine and E-Health, 23(5), 441–447. https://doi.org/10.1089/tmj.2016.0134

PAconsulting. (2018). Analyse af skærmbesøg og virtuelle konsultationer (p. 83). Digitaliseringsstyrelssen.

Pappas, Y., & Seale, C. (2009). The opening phase of telemedicine consultations: An analysis of interaction. Social Science & Medicine, 68(7), 1229–1237. https://doi.org/10.1016/j.socscimed.2009.01.011

Pekarek Doehler, S., & Petitjean, C. (2017). Introduction: Interactional Competences in Institutional Settings – Young People Between School and Work. In S. Pekarek Doehler, A. Bangerter, G. de Weck, L. Filliettaz, E. González-Martínez, & C. Petitjean (Eds.), Interactional Competences in Institutional Settings: From School to the Workplace (pp. 1–26). Springer International Publishing. https://doi.org/10.1007/978-3-319-46867-9_1

Pekarek Doehler, S., Wagner, J., & González-Martínez, E. (2018). Longitudinal Studies on the Organization of Social Interaction. Palgrave Macmillan Limited. http://ebookcentral.proquest.com/lib/kbdk/detail.action?docID=5316909

Petersen, M. S., Morris, D. J., & Nielsen, M. F. (2016). A pilot study of telehealth and face-to-face consultations in diagnostic audiology. CIRCD Working papers in social interaction, 1(3), 1-38. Centre of Interaction Research and Communication Design, University of Copenhagen ISBN 978-87-93300-10-1

Rasmussen, G. (2016). Repeated use of request for confirmation in atypical interaction. Clinical Linguistics & Phonetics, 30(10), 849–870. https://doi.org/10.1080/02699206.2016.1209244

Raudaskoski, P. L. (1999). The Use of Communicative Resources in Language Technology Environments: A Conversation Analytic Approach to Semiosis at Computer Media. Oulu: Åbo Akademis Tryckeri. https://vbn.aau.dk/en/publications/the-use-of-communicative-resources-in-language-technology-environ

Robinson, Jeffrey D., & Heritage, J. (2005). The structure of patients’ presenting concerns: The completion relevance of current symptoms. Social Science & Medicine, 61(2), 481–493. https://doi.org/10.1016/j.socscimed.2004.12.004

Robinson, Jeffrey David. (1998). Getting Down to Business Talk, Gaze, and Body Orientation During Openings of Doctor-Patient Consultations. Human Communication Research, 25(1), 97–123. https://doi.org/10.1111/j.1468-2958.1998.tb00438.x

Rossano, F., Brown, P., & Levinson, S. C. (2009). Gaze, questioning, and culture. In J. Sidnell (Ed.), Conversation Analysis: Comparative Perspectives (pp. 187–249). Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511635670.008

Sacks, H. (1984). On doing “being ordinary.” In J. M. Atkinson & J. Heritage (Eds.), Structures of Social Action: Studies in Conversation Analysis (pp. 413–429). Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511665868.024

Sacks, H., Schegloff, E. A., & Jefferson, G. (1974). A Simplest Systematics for the Organization of Turn-Taking for Conversation. Language, 50(4), 696. https://doi.org/10.2307/412243

Sävenstedt, S., Zingmark, K., & Sandman, P.-O. (2004). Being Present in a Distant Room: Aspects of Teleconsultations with Older People in a Nursing Home. Qualitative Health Research, 14(8), 1046–1057. https://doi.org/10.1177/1049732304267754

Schegloff, E. A. (1979). Identification and Recognition in Telephone Conversation Openings. In G. Psathas (ed.) Everyday Language: Studies in Ethnomethodology, pp. 23–78. New York: Irvington .

Schegloff, E. A. (1985). On some gestures’ relation to talk. In J. M. Atkinson (Ed.), Structures of Social Action (pp. 266–296). Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511665868.018

Schegloff, E. A., Jefferson, G., & Sacks, H. (1977). The Preference for Self-Correction in the Organization of Repair in Conversation. Language, 53(2), 361. https://doi.org/10.2307/413107

Suchman, L. (2009). Human-machine reconfigurations: Plans and situated actions / (2. ed., reprint.). Cambridge: Cambridge University Press.

van den Berg, N., Schumann, M., Kraft, K., & Hoffmann, W. (2012). Telemedicine and telecare for older patients—A systematic review. Maturitas, 73(2), 94–114. https://doi.org/10.1016/j.maturitas.2012.06.010

Wagner, J., Pekarek Doehler, S., & González-Martínez, E. (2018). Longitudinal Research on the Organization of Social Interaction: Current Developments and Methodological Challenges. In S. Pekarek Doehler, J. Wagner, & E. González-Martínez (Eds.), Longitudinal Studies on the Organization of Social Interaction. Palgrave Macmillan Limited.

Webb, H., Lehn, D. vom, Heath, C., Gibson, W., & Evans, B. J. W. (2013). The Problem With “Problems”: The Case of Openings in Optometry Consultations. Research on Language and Social Interaction, 46(1), 65–83. https://doi.org/10.1080/08351813.2012.753724

Zimmerman, D. H. (2008). Identity, Context and Interaction. In Identities in Talk (pp. 88–106). London: SAGE Publications Ltd. https://doi.org/10.4135/9781446216958.n6

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Published

2020-11-09

How to Cite

Nielsen, A. M. R. (2020). Co-constructing the Video Consultation-competent patient. Social Interaction. Video-Based Studies of Human Sociality, 3(3). https://doi.org/10.7146/si.v3i3.122708