Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Department of Behavioral Sciences in Medicine, Institute of Basic Medical Science, Faculty of Medicine, University of Oslo, Oslo, Norway.
Patient Educ Couns. 2017 Dec;100(12):2303-2311. doi: 10.1016/j.pec.2017.06.026. Epub 2017 Jun 21.
To discuss the theoretical and empirical framework of VR-CoDES and potential future direction in research based on the coding system.
The paper is based on selective review of papers relevant to the construction and application of VR-CoDES.
VR-CoDES system is rooted in patient-centered and biopsychosocial model of healthcare consultations and on a functional approach to emotion theory. According to the VR-CoDES, emotional interaction is studied in terms of sequences consisting of an eliciting event, an emotional expression by the patient and the immediate response by the clinician. The rationale for the emphasis on sequences, on detailed classification of cues and concerns, and on the choices of explicit vs. non-explicit responses and providing vs. reducing room for further disclosure, as basic categories of the clinician responses, is described.
Results from research on VR-CoDES may help raise awareness of emotional sequences. Future directions in applying VR-CoDES in research may include studies on predicting patient and clinician behavior within the consultation, qualitative analyses of longer sequences including several VR-CoDES triads, and studies of effects of emotional communication on health outcomes.
VR-CoDES may be applied to develop interventions to promote good handling of patients' emotions in healthcare encounters.
基于 VR-CoDES 编码系统，讨论其理论和经验框架以及未来的研究方向。
本文基于对与 VR-CoDES 的构建和应用相关的论文进行选择性回顾。
VR-CoDES 系统根植于以患者为中心和生物心理社会医疗咨询模式以及情绪理论的功能方法。根据 VR-CoDES，情感互动是根据由诱发事件、患者的情感表达和临床医生的即时反应组成的序列来研究的。强调序列、详细分类线索和关注点、以及选择显式与非显式反应以及提供与减少进一步披露的空间作为临床医生反应的基本类别，其基本原理被描述。
VR-CoDES 研究的结果可能有助于提高对情感序列的认识。未来在研究中应用 VR-CoDES 的方向可能包括研究咨询中预测患者和临床医生行为、包括几个 VR-CoDES 三联体的更长序列的定性分析，以及研究情感交流对健康结果的影响。
VR-CoDES 可用于开发干预措施，以促进在医疗保健中妥善处理患者的情绪。
