SAVAGE AND ARMSTRONG (1990) MATERIALS, PROCEDURE

Question 1

What materials were used in the study?

Answer 1

• Questionnaires.
• Recording device.
• Set of cards

Question 2

Summarise the procedure of the study

Answer 2

1. Appointment system.
2. Random Number Generator.
3. Greeting.
4. Set of Cards.
5. Prompts.
6. Questionnaire.
7. Questionnaire 2.
8. Indepedent observer.

Question 3

Describe stage 1:
“The appointment system”

Answer 3

• The research was conducted by 1 GP during his surgery (across 4 month period).
• So, there was a full appointment system established. In which the patients were free to choose what DR they saw.

Question 4

Describe stage 2:
“Random Number Generator”

Answer 4

• A random number generator was used to select 4 patients for the study from each (surgery) appointment.

Question 5

Describe stage 3: Greeting

Answer 5

• A stopwatch was started as soon as the patient entered the room.
• The consultation opened with a standard greeting with the patient describing their problem.

Question 6

Describe stage 4:
“Set of cards”

Answer 6

• The GP was given a set of cards, that determined which style would be used.
• The set of cards were turned over, after the patient fully described their problem.

Question 7

Describe Stage 5:
“Prompts”

Answer 7

• The set of cards also had prompts on them, which covered the 5 main parts of the consultation that had to be discussed..
• JDTPF were given in the allocated style.

They set of cards had to be checked to ensure all the parts were covered propely.

Question 8

What were the 5 main parts of the consultation?

Answer 8

1. Judgment
2. Diagnosis
3. Treatment
4. Prognosis
5. Follow up and closue

Question 9

Describe stage 1:
The questionnaire (1)

Answer 9

• At the end of the consultation:
  1) The duration was noted.
  2) Patient asked to complete the questionnaire in the wating room and to bring it reception before leaving.

Question 10

Describe stage 6:
“Questionnaire (2)”

Answer 10

• A 2nd enveloped questionnaire with a stamped address and instructions
• Were given to the patients to send back after a week.

Question 11

Describe stage 8:
“Independent Obsever”

Answer 11

• An independent observer analysed 40 tape recordings of the consultations.
• To confirm all apsects were covered in the consultation,
• The intended style was indentified correctly in 39/40 recordings.

Question 12

What parts of the procedure was standardised?

Answer 12

• Ppt selection: Ppts were excluded if they were presented with life threatning conditions etc
• The prompts covered the same 5 parts of the consultation.