Main research topics:
Sociolinguistics: communication in context (medical domain);
Semantics: keywords and frames in texts;
Argumentation theory: argumentation strategies in the medical context.
Ongoing project:
Doctor-Patient Communication Project,
https://sites.google.com/site/docpatcommpro/
Sociolinguistics: communication in context (medical domain);
Semantics: keywords and frames in texts;
Argumentation theory: argumentation strategies in the medical context.
Ongoing project:
Doctor-Patient Communication Project,
https://sites.google.com/site/docpatcommpro/
less
Interests
Uploads
Papers by Sarah Bigi
Communication is shown to be a pivotal means to improve patient self-efficacy and commitment, both fundamental components of engagement. In particular, the authors take a closer look at the process of decision making in chronic care settings, and propose a normative model to analyze and evaluate the quality of decision making in consultations. It is argued that the model can also be used as a blueprint to create training materials for clinicians.
communication with chronic patients is the
phase in which – after collecting the data regarding
the patient’s health – it is necessary
to make a decision regarding the best therapy
and behaviors the patient should adopt until
the next encounter. Although it is considered a
pivotal phase of shared decision making, there
remain a few open questions regarding its components
and its efficacy: What are the factors
that improve or impede agreement on treatment
goals and strategies?; What are the ‘success conditions’
of collaborative goal setting?; How can
physicians effectively help patients make their
preferences explicit and then co-construct with
them informed preferences to help them reach
their therapeutic goals? Using the theoretical
framework of dialogue types, an approach developed
in the field of Argumentation Theory, it
will be possible to formulate hypotheses on the
‘success conditions’ and effects on patient commitment
of collaborative goal setting.
behaviors and lifestyles, something which is particularly difficult for elderly patients, for whom changing life long habits can be extremely hard. However, the medical literature on the subject of communication in the chronic care encounter shows lack of theoretical models and methodological approaches that can
highlight which specific linguistic structures or elements in different communication styles favor or impede patient commitment, trust in the relationship and adherence to treatment. The contribution describes ongoing research on argumentative strategies in the encounter with diabetes patients. I describe one recently concluded research project on the argumentation phases of medical encounters in diabetes care, which highlighted critical areas in need of improvement. I also describe the design and aims of a new research project, aimed at testing the effectiveness and usability of certain argumentation schemes in the medical encounter.
reconstruction of the endoxical part of the material starting points. The proposed hypothesis on the linguistic activation of endoxa is illustrated through the analysis of a case of political debate. The theoretical hypothesis proposed in the article, set at the crossroads between the study of argumentation theory and linguistic semantics, is a first step towards the understanding of the connection between the linguistic and the inferential level in the structure of argument schemes.
Communication is shown to be a pivotal means to improve patient self-efficacy and commitment, both fundamental components of engagement. In particular, the authors take a closer look at the process of decision making in chronic care settings, and propose a normative model to analyze and evaluate the quality of decision making in consultations. It is argued that the model can also be used as a blueprint to create training materials for clinicians.
communication with chronic patients is the
phase in which – after collecting the data regarding
the patient’s health – it is necessary
to make a decision regarding the best therapy
and behaviors the patient should adopt until
the next encounter. Although it is considered a
pivotal phase of shared decision making, there
remain a few open questions regarding its components
and its efficacy: What are the factors
that improve or impede agreement on treatment
goals and strategies?; What are the ‘success conditions’
of collaborative goal setting?; How can
physicians effectively help patients make their
preferences explicit and then co-construct with
them informed preferences to help them reach
their therapeutic goals? Using the theoretical
framework of dialogue types, an approach developed
in the field of Argumentation Theory, it
will be possible to formulate hypotheses on the
‘success conditions’ and effects on patient commitment
of collaborative goal setting.
behaviors and lifestyles, something which is particularly difficult for elderly patients, for whom changing life long habits can be extremely hard. However, the medical literature on the subject of communication in the chronic care encounter shows lack of theoretical models and methodological approaches that can
highlight which specific linguistic structures or elements in different communication styles favor or impede patient commitment, trust in the relationship and adherence to treatment. The contribution describes ongoing research on argumentative strategies in the encounter with diabetes patients. I describe one recently concluded research project on the argumentation phases of medical encounters in diabetes care, which highlighted critical areas in need of improvement. I also describe the design and aims of a new research project, aimed at testing the effectiveness and usability of certain argumentation schemes in the medical encounter.
reconstruction of the endoxical part of the material starting points. The proposed hypothesis on the linguistic activation of endoxa is illustrated through the analysis of a case of political debate. The theoretical hypothesis proposed in the article, set at the crossroads between the study of argumentation theory and linguistic semantics, is a first step towards the understanding of the connection between the linguistic and the inferential level in the structure of argument schemes.
Well into the second decade of the 21st century, different issues need to be addressed. Aging populations and the spread of chronic diseases are challenging the sustainability of health care systems worldwide; increased awareness of health issues among the population and greater citizen participation seem to threaten clinicians’ authority. In this new scenario, it is acknowledged that the quality of verbal communication plays a crucial role, but it is still not clear how it impacts on the outcomes of care, which are its constitutive components and how it interacts with the institutional, cultural and social context of interactions.
This book suggests that the time is ripe for a fresh start in health communication studies. As Debra Roter points out in her foreword, this proposal “is ambitious in attempting to integrate perspectives derived from pragmatics and argumentation theory with those derived from quantitative methods of medical interaction analysis and its prediction of outcomes”. On the other hand, as Giovanni Gobber explains in his foreword, “health communication can profit from an application of a performance-oriented linguistic analysis that pays attention to the role of the various relevant context factors in speech events related to specific activity types”. In this way, the open questions regarding communication in medical encounters are considered under a new light. The answers provided open up novel lines of research and provide an original perspective to face the new challenges in medical care.
http://www.iospress.nl/book/communicating-with-care/
Relatori: Francesca Piazza (Università degli Studi di Palermo); Marina Sbisà e Paolo Labinaz (Università degli Studi di Trieste); Fabio Paglieri (ISTC-CNR, Roma); Elena Semino (Lancaster University); Alessandro Conte (FNOMCeO).
Partecipazione gratuita; iscrizioni (via e-mail) entro il 12 maggio 2019.