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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.