Abstract：
OBJECTIVES:The ecological validity of video-vignettes design investigating patient-provider communication hinges on the engagement of analogue patients (APs) with the vignette. The present study aimed to compare engagement in two commonly utilized groups of APs, patients and disease-naïve individuals. Engagement was assessed by self-report and in the form of physiological arousal. METHODS:Cancer patients (N=22) and disease-naïve individuals (N=24) were recruited as APs. APs completed the Video Engagement Scale after watching a vignette of a oncologic bad news consultation. Electrodermal and cardiovascular activity were assessed continuously during watching the vignette, and cortisol levels were assessed in four saliva samples. RESULTS:Patients reported higher engagement with the vignette than disease-naïve individuals (t=2.46, p<0.05) and showed a larger blood pressure response (systolic: F=5.87, p<0.01 and diastolic: F=4.00, p<0.05). However, these differences disappeared after adjusting for age. No group differences were found on other psychophysiological parameters. CONCLUSIONS:Our results suggest that patients and disease-naïve individuals are equally engaged when viewing video vignettes. When group differences were found, older age turned out to be a more prominent predictor of engagement. PRACTICE IMPLICATIONS:Researchers may consider other arguments besides APs' disease history when selecting an AP group.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Visser LN,Tollenaar MS,Bosch JA,van Doornen LJ,de Haes HC,Smets EMdoi
10.1016/j.pec.2016.04.012subject
Has Abstractpub_date
2016-10-01 00:00:00pages
1724-32issue
10eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30186-0journal_volume
99pub_type
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