Introducing an Observational Rating System for Studying Concordance in Patient–Physician Relationships
Bibliographic Data
We developed the System for Observing Medical Alliances (SOMA) to study relationships between medical providers and patients with medically unexplained symptoms (MUS). Based on literature in health psychology, medicine, and the psychotherapeutic alliance, the SOMA operationalizes three medical alliance dimensions: Engagement in the Consultation Process, Trust in the Provider, and Concordance of Illness Beliefs and Treatment Recommendations. Specific behavioral indicators, tallied as observed by trained judges, are used as the basis for rating each dimension. In a sample of 33 medical consultations with veterans who had MUS, interrater reliabilities ranged from .79 to .94. Notably, the other dimension ratings accounted for 40% of the variability in Concordance, with Trust in the Provider contributing unique variance. In addition to research, psychologists in integrated health settings can use the SOMA to consult and train medical providers on communication skills that enhance concordance
Alliance · Concordance · Developmental psychology · Dimension (graph theory · Inter-rater reliability · Observational study · Rating scale · Applied Psychology · Clinical Psychology · Clinical Reasoning and Diagnostic Skills · Medicine · Patient-Provider Communication in Healthcare · Psychology · Psychosomatic Disorders and Their Treatments
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A Gulf of Difference
| Citations per year | 0.29 |
|---|---|
| Citation span | 2019 - 2019 (1) |
| Highly cited | No |