Modification of Calgary-Cambridge Observation Guide, a more simplified and practical communication guide for daily consultation practice

Herqutanto Herqutanto

Abstract


Latar belakang: The Calgary-Cambridge Observation Guides (CCOG) adalah panduan yang telah digunakan di banyak negara untuk menilai keterampilan Komunikasi Dokter-Pasien. Panduan terdiri dari 56 poin yang terbagi dalam enam kategori dan menggambarkan proses konsultasi rutin, ditambah 15 poin opsional dalam memberikan penjelasan dan perencanaan. Karena panduan ini terdiri atas poin yang jumlahnya cukup banyak, sangat tidak praktis untuk menggunakannya dalam praktik konsultasi sehari-hari. Oleh karena itu, versi yang lebih sederhana dan praktis akan memberikan manfaat yang lebih besar.

Metode: Tujuh orang ahli dari berbagai latar belakang kepakaran klinis dan komunikasi dokter pasien diminta mengevaluasi dan menganalisis 56 poin CCOG berdasarkan tingkat kepentingan dalam praktik sehari-hari. Dua putaran Delphy digunakan dalam penelitian ini, putaran pertama untuk mengevaluasi tingkat kepentingan, dan putaran kedua untuk mengevaluasi poin-poin yang memiliki kesamaan makna sehingga dapat digabungkan. Hasil dari dua putaran itu kemudian disirkulasikan kembali kepada semua anggota tim ahli untuk mendapatkan konfirmasi versi modifikasi akhir dari CCOG tersebut.

Hasil: Versi modifikasi terakhir dari CCOG yang terdiri dari 35 titik telah terbentuk. Langkah pertama proses konsultasi yaitu Memulai sesi terdiri dari 5 poin (awalnya 7 poin). Langkah Mengumpulkan Informasi terdiri dari 5 poin (awalnya 11 poin), Menyediakan Struktur 3 poin (awalnya 4 poin), Membangun Hubungan 7 poin (awalnya 10 poin), Penjelasan dan Perencanaan 11 poin (awalnya 20 poin), dan Menutup Sesi terdiri dari 4 poin. Versi CCOG yang dimodifikasi tetap komprehensif, namun lebih praktis untuk latihan sehari-hari.

Kesimpulan: Modifikasi versi CCOG dapat digunakan sebagai panduan praktis sederhana untuk menilai Komunikasi Pasien Dokter dalam praktik konsultasi sehari-hari.

Kata Kunci: The Calgary-Cambridge Observation Guide, Komunikasi Dokter Pasien, Modifikasi

 

Abstract

Background: The Calgary-Cambridge Observation Guides (CCOG) is a guide that is widely used to assess Doctor-Patient Communication. The guide consists of 56 points divided into 6 categories that describe a routine consultation process, plus 15 optional points in giving explanation and planning. Due to its quite numerous points, it is quite impractical to use the guide in daily consultation practice. Therefore, a more simplified and more practical version would be favourable.

Method: Seven experts from different background evaluated and analyzed the 56 points of CCOG based on the level of importance in daily practice. Two rounds of Delphy were used in the study, the first round to evaluate level of importance, and the second to obtain the possibilities to join items that may have similar meaning. The result of the two rounds was then recirculated to all members of the team for confirmation of the final modified version of CCOG.

Result: A final modified version of CCOG consisting of 35 points was formed. The first step of a consultation process, Initiating the session consists of 5 points (originally 7 points). Gathering information step consists of 5 points (originally 11 points), Providing structure of 3 points (originally 4 points), Building relationship of 7 points (originally 10 points), Explanation and Planning of 11 points (originally 20 points), and Closing the Session consisting of 4 points. The modified CCOG version is still comprehensive, yet more practical for daily practice.

Conclusion: Modified version of CCOG can be used as a simple, practical guide to assess Doctor Patient Communication in daily consultation practice.

Keywords: The Calgary-Cambridge Observation Guide, Doctor Patient Communication, Modification

 


References


Kurtz S, Silverman J, Draper J. Teaching and learning communication skills in medicine. 2nd ed. Oxon: Radcliffe Publishing Ltd; 2005.

Kurtz S, Silverman J, Draper J. Skills for communicating with patients. 2nd ed. Oxon: Radcliffe Publishing; 2005.

Stewart MA. Effective physician-patient communication and health outcomes: a review. Can Med Assoc J. 1995;152:1423-1433.

Makoul G. Essential elements of communication in medical encounters: the Kalamazoo consensus statement. Acad Med. 2001;76(4):390–393.

Makoul G. The SEGUE Framework for teaching and assessing communication skills. Patient Educ Couns. 2001 Oct;45(1):23-34.

Van Thiel J, Ram P, van Dalen J. MAAS-Global Manual 2000, guidelines to the rating of communication skills and clinical skills of doctors with the MAAS-Global. Maastricht: Maastricht University Netherland; 2003.

Waltz CF, Strickland OL, Lenz ER. Measurement in Nursing and health research. Springer Publishing Company; 2005.

Dambha H, GriffinS, Kinmonth AL. Patient-centred care in general practice. Downloaded from ino.sagepub.com on October 2, 2014. Available from: http://ino.sagepub.com/content/early/2014/08/07/1755738014544482

Hudon C, Fortin M, Haggerty JL, Lambert M, Poitras ME. Patient-centered care: a systematic review of tools for family medicine. Ann Fam Med. 2011;9:155-164.

Joyce BL, Steenbergh T, Scher E. Use of the Kalamazoo essential elements communication checklist (adapted) in an institutional interpersonal and communication skill curriculum. J Grad Med Educ. 2010 Jun;2(2):165–169.

Peterson EB1, Calhoun AW2, Rider EA3. The reliability of a modified Kalamazoo consensus statement checklist for assessing the communication skills of multidisciplinary clinicians in the simulated environment. Patient Educ Couns. 2014 Sep;96(3):411-8.

Hammersen F, Goetz K, Soennichsen A, Emcke T, Steinhaeuser J. Effects of communication training with the MAAS-Global-D instrument on the antibiotic prescribing for respiratory infection in primary care: study protocol of a randomized control trial. Nov 17, 2017. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818904/

Van Es JM1, Schrijver CJ, Oberink RH, Visser MR. Two-dimensional structure of the MAAS-Global rating list for consultation skills of doctors. Med Teach. 2012;34(12):e794-9.

von Fragstein M, Silverman J, Cushing A, Quilligan S, Salisbury H, Wiskin C. UK consensus statement on the content of communication curricula in undergraduate medical education. Medical Education. 2008:42:1100–1107.

Carvalho IP, Pais VG, Silva FR, Martins R, Figueiredo-Braga M, Pedrosa R, et al. Teaching communication skills in clinical setting: comparing two application of a comprehensive program with standardized and real patients. BMC Medical Education. 2014;14:92.


Full Text: PDF

Refbacks

  • There are currently no refbacks.


---

Health Science Journal of Indonesia

p-ISSN: 2087-7021
e-EISSN: 2338-3437

Published by : Badan Litbang Kesehatan, Kementerian Kesehatan RI

Visitor of HSJI: View HSJI Stats


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

 

Health Science Journal of Indonesia has been indexed by :