Client participation and provider communication in family planning counseling: Transcript analysis in Kenya

被引:40
作者
Kim, YM
Odallo, D
Thuo, M
Kols, A
机构
[1] Johns Hopkins Univ, Sch Hyg & Publ Hlth, Ctr Commun Programs, Baltimore, MD 21202 USA
[2] UN Populat Fund, Africa Country Support Team, Addis Ababa, Ethiopia
关键词
D O I
10.1207/s15327027hc1101_1
中图分类号
G2 [信息与知识传播];
学科分类号
05 ; 0503 ;
摘要
To examine how much and in what ways clients participate in family planning consultations, and how providers influence their behavior, investigators analyzed transcripts of 178 counseling sessions with female clients in Kenya and developed coding guides that focus on client participation. The results show that providers dominate most counseling sessions, and clients rarely take an active role. The most common way for clients to participate is by volunteering additional information when they respond to providers' questions. Providers may encourage clients to play a more active role by building a sense of rapport, by relating contraceptive information specific to each client's personal situation, and by rewarding clients' attempts to participate.
引用
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页码:1 / 19
页数:19
相关论文
共 31 条
[1]  
ABDELTAWAB N, 1995, THESIS J HOPKINS U B
[2]  
Bertakis K D, 1993, Fam Med, V25, P530
[3]  
BERTAKIS KD, 1991, J FAM PRACTICE, V32, P175
[4]   THE PATIENTS ROLE IN CLINICAL DECISION-MAKING [J].
BRODY, DS .
ANNALS OF INTERNAL MEDICINE, 1980, 93 (05) :718-722
[5]   FUNDAMENTAL ELEMENTS OF THE QUALITY OF CARE - A SIMPLE FRAMEWORK [J].
BRUCE, J .
STUDIES IN FAMILY PLANNING, 1990, 21 (02) :61-91
[6]  
CLEARY PD, 1988, INQUIRY-J HEALTH CAR, V25, P25
[7]   PHYSICIANS CHARACTERISTICS INFLUENCE PATIENTS ADHERENCE TO MEDICAL-TREATMENT - RESULTS FROM THE MEDICAL OUTCOMES STUDY [J].
DIMATTEO, MR ;
SHERBOURNE, CD ;
HAYS, RD ;
ORDWAY, L ;
KRAVITZ, RL ;
MCGLYNN, EA ;
KAPLAN, S ;
ROGERS, WH .
HEALTH PSYCHOLOGY, 1993, 12 (02) :93-102
[8]  
ELGEBALY H, 1996, ANN M NAT C INT HLTH
[9]  
Fleiss JL, 1981, STAT METHODS RATES P
[10]   IMPROVING THE PSYCHIATRIC SKILLS OF THE GENERAL-PRACTICE TRAINEE - AN EVALUATION OF A GROUP TRAINING COURSE [J].
GASK, L ;
GOLDBERG, D ;
LESSER, AL ;
MILLAR, T .
MEDICAL EDUCATION, 1988, 22 (02) :132-138