SAVAGE AND ARMSTRONG CONCEPT

Question 1

Name 4 types of consultations styles practictioners can use with patients.

Answer 1

1. Doctor-centered style
2. Patient-centered style
3. Sharing style
4. Directing style

Question 2

What is a doctor centered style?

Answer 2

• A consultation style.
• The DR is authorative, Impersonal and dominating. (Whilst patient is passive)
• Focuses on establishing a link between symptoms and illness.

AIDS= Authoratative, Impersonal, Dominating

Question 3

What do doctor-centered styles typically feature?

Answer 3

• Closed questions (that prompt short replies, do not encourge discussion).

Question 3

What is a patient-centered style?

Answer 3

• A consultation style
• That is personal, less controlling and meaningful.
• Patient is an active part of the consultation

Question 4

What do patient-centered styles typically feature?

Answer 4

• Open questions
• Avoids jargon
• Shares decision making

Question 5

Research has shown that patients respond better and prefer….

Answer 5

• Different consulatation styles.

Question 6

These researchers suggest that a sharing style is best.

Answer 6

Katon and Klieman
(Patients more likely to follow advice)

Question 7

This researcher suggests that a directing style is best

Answer 7

Inglefinger (1980)
(Patient is more confident and reassured)

Question 8

What is the Aim of the study?

Answer 8

• To compare the effectiveness of different consultation styles
• Such as directing and sharing by GPS
• On patient’s satisfaction.

Question 9

What is the independent variable?

Answer 9

• Allocation to either a directing or sharing style consultation condition.

Question 10

What is the dependent variable?

Answer 10

• The patients satisfaction level
• Immidiately after the consultation and 1 week later.
• Measured by a questionnare

Question 11

Experimental design?

Answer 11

• Independent measures design
• A set of cards was used to randomly allocate ppts to the directing or sharing style conditions.

Question 12

When was the Savage and Armstrong study published?

Answer 12

1990

Question 13

What is a directing syle?

Answer 13

• When the doctor is authorative and dominating
• And tells the patient what is wrong and what they should do next.

Question 14

What is the sharing style?

Answer 14

• When the doctor dicusses with the patient
• What they think might be wrong
• And both agree on the best course of action.