Gerbert B, Johnston K, Bleecker T, Bronstone A, Flatt S, Allerton M, Caspers N
MD Comput. 1997 Jul-Aug;14(4):288-94.
We assessed the influence of a "video doctor's" affective communication style (warm vs. neutral) and of a preamble to questions about sexual activity on patients' disclosure of risky sexual behavior and injectable drug use. To isolate the effects of the independent variables, we created an interactive multimedia program for HIV risk assessment using a video doctor portrayed by an actor. Participants were assigned to one of four conditions: no preamble and a neutral physician, no preamble and a warm physician, a preamble and a neutral physician, or a preamble and a warm physician. Almost 60% of a convenience sample of 393 subjects reported engaging in two or more risky behaviors. Disclosure of risky behaviors was not significantly affected by the preamble. A warm communication style elicited more disclosure than a neutral style, suggesting that physicians' communication style is important in determining how much sensitive information patients are willing to reveal.
我们评估了“视频医生”的情感沟通风格（热情型与中立型）以及关于性行为问题的开场白对患者披露危险行为和注射吸毒情况的影响。为了分离自变量的影响，我们使用一名演员扮演的视频医生创建了一个用于艾滋病毒风险评估的交互式多媒体程序。参与者被分配到四种情况之一：无开场白且医生中立、无开场白且医生热情、有开场白且医生中立、有开场白且医生热情。在393名受试者的便利样本中，近60%的人报告有两种或更多的危险行为。开场白对危险行为的披露没有显著影响。热情的沟通风格比中立风格引发了更多的披露，这表明医生的沟通风格对于确定患者愿意透露多少敏感信息很重要。
