Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
School of Psychology, University of Sydney, Sydney, NSW, Australia.
Health Expect. 2018 Feb;21(1):288-299. doi: 10.1111/hex.12614. Epub 2017 Sep 22.
Many patients who require an interpreter have difficulty remembering information from their medical consultations. Memory aids such as consultation audio-recordings may be of benefit to these patients. However, there is no established means of measuring patients' memory of medical information.
This study aimed to develop a method for eliciting and coding recall of medical information in non-English-speaking patients.
This method, called Patient-Interpreter-Clinician coding (PICcode), was developed in the context of a phase II trial conducted in two outpatient oncology clinics in Melbourne, Australia, and was refined iteratively through consultation with an expert panel and piloting. Between-coder differences in early versions of the coding system were resolved through discussion and consensus resulting in refinements to PICcode.
The final version of PICcode involved transcribing, translating and coding of audio-recorded consultations and semi-structured interviews (SSI). The SSIs were designed to elicit patients' free-recall of medical information. Every unit of medical information in the consultation was identified and categorized in a coding tree. SSIs were coded to identify the extent to which information was recalled from the consultation.
The iterative changes involved in developing PICcode assisted in clarifying precise details of the process and produced a widely applicable coding system. PICcode is the most comprehensively described method of determining the amount of information that patients who use an interpreter recall from their medical consultations. PICcode can be adapted for English-speaking patients and other healthcare populations.
许多需要口译的患者在回忆医疗咨询信息时存在困难。咨询录音等记忆辅助工具可能对这些患者有益。然而，目前还没有确定的方法可以衡量患者对医疗信息的记忆。
本研究旨在开发一种用于引出和编码非英语患者对医疗信息的回忆的方法。
这种名为“患者-口译员-临床医生编码（PICcode）”的方法是在澳大利亚墨尔本的两个门诊肿瘤诊所进行的 II 期试验背景下开发的，并通过与专家小组咨询和试点进行迭代改进。编码系统早期版本的编码员之间的差异通过讨论和达成共识解决，从而改进了 PICcode。
PICcode 的最终版本涉及转录、翻译和编码录音咨询和半结构化访谈（SSI）。SSI 旨在引出患者对医疗信息的自由回忆。咨询中的每一条医疗信息都被确定并归类在一个编码树中。SSI 被编码以确定从咨询中回忆出的信息的程度。
开发 PICcode 中涉及的迭代变化有助于澄清该过程的精确细节，并产生了广泛适用的编码系统。PICcode 是确定使用口译的患者从医疗咨询中回忆出信息量的最全面描述方法。PICcode 可以适用于讲英语的患者和其他医疗人群。
