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Table 9 Techniques of VSR compared with area of research and data used for triangulation

From: Getting under the skin of the primary care consultation using video stimulated recall: a systematic review

Ref

Area of research

Sample sizea

Interval between consultation and interview

Nature of stimulus

Initiation of recall

Procedural structure

Data used in analysis

Participant (P)

Researcher (R)

[19]

Decision making

26(26)C

Not stated

Selected clips only

P (clips by researcher)

‘Think aloud’ technique

Pre-consultation interview

9GP

Transcripts from previous interview

Individual topic guides for interviews ‘designed to promote reflection’

Consultations

9Ptb

  

Immediate post consultation interview

   

VSR interview GP

   

VSR interview Pt

[14]

Decision making

162(86)C

Immediately post

More than one video consultation

Video not stopped

Video shown first, semi structured interview following. Consultations selected for VSR chosen to reflect different discussions regarding smoking

VSR Interview GP

39GP

(consultations analysed in other paper)

[18]

Decision making

72C

‘shortly after’

Video

P and R

Asked to stop video whenever wanted to comment generally or about preventative service plus semi structured interview

Pt VSR interview

36Pt

GP VSR interview

18GP

 

[36]

Shared decision making

22(18)C

Within 2 weeks

video

P

P asked to stop when identified thoughts, feelings or behaviours associated with decision-making, followed by semi-structured interview

Pt VSR interview

10GP

GP VSR interview

18Pt

Consultations

[21]

Impact of computer on doctor patient relationship

39(39)C

1 week

Video

P and R

Interview guided by video analysis

Consultations

12Pt

Pt VSR interview

5GP

GP VSR interview

[39, 40]

Impact of computer on doctor patient relationship

29C

Not stated

Video

Not stopped

Separate interview and video viewing. GP completed questionnaire when viewing the video

GP post consultation interviews

6GP

GP questionnaire completed when watching video

Consultation

Observations at 4 sites [39]

Pt interviews

[16, 29]

Describe self-management interactions

86(40)C

1 week

video

P and R

Semi structured interview and prompts during playback

Patient post consultation interviews

Impact of computer

11GP

6 VSR interviews (Nurses)

Consultations (CA [16])

GP VSR interview

[17, 2228]

Evaluation of SR method [22]

46C

About 1 week

Video, shown more than once

P

No interview. P asked to say what thinking. Neutral prompts if no response.

Pt VSR comments [17, 2224, 26]

Difficult consultations [24, 25, 28]

46Pt

GP asked to comment if unsure how to proceed

GP VSR comments [17, 22, 2528]

Doctor patient relationship [23, 26, 27] Health promotion [17]

12GP

Pt and GP questionnaire post viewing (effect of video on behaviour and satisfaction with consultation) [22]

Consultation [17, 23, 25]

(8C, 5GP, 8Pt)

[30]

Doctor patient relationship

32C

Immediately

Video

P

Asked to say stop when they recalled thought or feeling

Satisfaction questionnaire

16GP

(post consultation)

32 Pt

GP VSR comments

Pt VSR comments

[32]

Doctor-patient relationship

30C

Not stated

Video

P

P asked to comment on effective communication, things that were new, significant, unusual or important

Pt VSR comments and GP VSR comments edited in to original consultation tape for analysis

15GP

30Pt

[38]

Doctor patient relationship

1C

Not stated

Video

P

P asked to identify problems and concerns

Consultation

1GP 1Pt

Medical record

Pt VSR comments

GP VSR comments

[15]

Communication

78(31)C

Not stated

Video

P and R

P asked to stop if any comment, particularly about HIV. R stopped tape after HIV discussion

Consultation

Doctor patient relationship

26Pt

Semi structured interview after viewing

Pt VSR interview

Difficult consultations

17GP

 

GP VSR interview

[34, 35]

Communication

24C

Not stated

Video

P and R

R stopped for ‘key moments’, when interpreter did anything other than translate. Semi-structured interview

GP VSR interviews [34]

24GP

Interpreters VSR interviews [35]

22C

 

15 Inter-preters

 

[20]

Cross cultural communication

25C

As soon as possible

Video

Video not stopped

Structured Interview post viewing

Pt VSR interview

25P

(consultation analysed in other paper)

[33]

Cross cultural communication

U

P immediately

Video

P

Questioned first about recall, then asked to stop tape at any point

Pt VSR interview

44pts

GP not stated

GP VSR interview

UGP

 

Consultations

[13]

Cross cultural communication

24(24)C

Within 2 weeks

Video

P and R

R stopped for ‘key moments’ around cross cultural communication

Pt VSR interview

12GP

Semi-structured interview

GP VSR interview

24Pt

[31]

Patients covert agenda

121C

Within 8 days

Video

P

3 phases: unprompted recall of consultation; asked to comment on any topic during video; then prompted by transcript of consultation

Pt VSR interview

18Pt

Written transcript of consultation

[37]

Clinician-patient relationship and team working

24Pt

One week

Video

P

Asked to stop tape and comment spontaneously

Pt VSR comments

3GPc

GP VSR comments

Other team members VSR comments

  1. aNumber of consultations collected (analysed) (C); Number of GPs undergoing VSR (GP); Number of patients undergoing VSR (Pt).
  2. bPrimary care data only, study included 14 other health professionals and 11 other patients.
  3. cUnclear how many consultations as the 24 patients saw more than one member of the team.