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Validating nonverbal cues for assessing physician empathy in telemedicine

A Delphi study

Bibliographic Data

ID15327985
AuthorsAnnisa Ristya Rahmanti (0000-0001-9478-6267, Universitas Gadjah Mada), Hsuan‐Chia Yang (0000-0001-9198-0697, Taipei Medical University), Chih‐Wei Huang (0000-0002-2551-6199, Taipei Medical University), Ching-Tzu Huang (Taipei Medical University), Lutfan Lazuardi (0000-0001-5146-8162, Universitas Gadjah Mada), Che‐Wei Lin (0000-0002-8564-5793, corresponding author), Che-Wei Lin (0000-0002-9650-5251, Taipei Medical University, corresponding author), Yu‐Chuan Li (0000-0001-6497-4232, Taipei Medical University, corresponding author)
Year2025
Volume30
Issue1
Pages2497328-2497328
Publication date2025-05-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Education Online (JOURNAL)
Journal identifiersISSN: 1087-2981 • E-ISSN: 1087-2981
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/10872981.2025.2497328
PMID40338675
OpenAlexW4410192517
LanguageEN
Citations received1
References cited46

Nonverbal communication is essential in physician-patient interaction, especially in telemedicine where verbal cues may be limited. This study aimed to identify and validate key nonverbal cues for assessing physician empathy in telemedicine consultations through a Delphi method. A three-round Delphi study was conducted from June to November 2022, involving various experts, including academics, healthcare professionals, AI/telemedicine researchers, industry professionals, and patients. Experts evaluated the importance, validity, and reliability of potential nonverbal cues. Consensus was determined based on median responses and expert scoring percentages, with statistical agreement and stability assessed using Kendall's coefficient of concordance (Kendall's W) and Wilcoxon signed-rank test. Analyses were conducted using SPSS, version 23.0 with significance set at p p p p < 0.001). This study highlights the importance of specific nonverbal cues in telemedicine, particularly facial expression, eye contact, and tone of voice. It provides a validated foundation for developing tools to enhance physician-patient interactions and potentially improve health outcomes in telemedicine

Delphi · Delphi method · Empathy · Health care · Medical education · MEDLINE · Nonverbal communication · Telemedicine · Applied Psychology · Clinical Reasoning and Diagnostic Skills · Communication · Computer Science · Empathy and Medical Education · Medicine · Patient-Provider Communication in Healthcare · Psychology · Social Psychology · Artificial Intelligence

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    Dariya Ovsyannikova, Ruth Brickman et al.•Social Work with Groups•2026

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    Open Access•Sung Soo Kim, Stan A Kaplowitz et al.•Evaluation & the Health Professions•2004

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  • Facial mimicry, empathy, and emotion recognition

    Open Access•Alison C Holland, Garret O’Connell et al.•Cognition & Emotion•2021

  • The Delphi technique in health sciences education research

    Marietjie de Villiers, Marietjie R de Villiers et al.•Medical Teacher•2005

  • Is There a Consensus on Consensus Methodology? Descriptions and Recommendations for Future Consensus Research

    Jane Waggoner, Jan D Carline et al.•Academic Medicine•2016

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    Tanja Bänziger, Didier Grandjean et al.•Emotion•2009

  • Empathic Validation in Physician-Patient Communication

    Open Access•Caroline K Tietbohl•Qualitative Health Research•2022

  • Body-oriented gestures as a practitioner's window into interpreted communication

    Open Access•Jennifer Gerwing, Shuangyu Li•Social Science & Medicine•2019

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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