Poison control center communication and impact on patient adherence

Objective. This project explored the communication processes associated with poison control center calls. Methods. In this preliminary study, we adapted the Roter Interaction Analysis System to capture staff-caller dialogue. This involved case selection, wherein adherence and non-adherence cases wer...

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Bibliographic Details
Published in:Clinical toxicology (Philadelphia, Pa.) Pa.), 2008-02, Vol.46 (2), p.105-109
Main Authors: Ellington, Lee, Matwin, Sonia, Jasti, Srichand, Williamson, Jacquee, Crouch, Barbara, Caravati, Martin, Dudley, William
Format: Article
Language:English
Subjects:
Adherence
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Biological and medical sciences
Child
Child, Preschool
Communication
Evidence-Based Medicine
Female
Guideline Adherence - statistics & numerical data
Humans
Information Dissemination - methods
Intensive care medicine. Antipoison centers
Language
Male
Medical sciences
Middle Aged
Patient Compliance - psychology
Patient Compliance - statistics & numerical data
Poison control center
Poison Control Centers - standards
Poison Control Centers - utilization
Professional-Patient Relations
Remote Consultation - methods
Remote Consultation - statistics & numerical data
Roter Interaction Analysis System (RIAS)
Sex Factors
Telephone
Toxicology
Verbal Behavior
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Summary:Objective. This project explored the communication processes associated with poison control center calls. Methods. In this preliminary study, we adapted the Roter Interaction Analysis System to capture staff-caller dialogue. This involved case selection, wherein adherence and non-adherence cases were selected; call linkage to medical records, where case records were linked with voice recordings; and application of Roter Interaction Analysis System to calls. Results. Results indicate that communications are predominantly provider-driven. Patient age and percentage of staff partnership statements were significantly associated with adherence at the 0.05 level. Increases in age were associated with decreases in adherence to recommendations (p < 0.001). Increases in percentage of staff partnership statements (over all staff talk) were associated with increases in adherence (p = 0.013). Conclusion. This line of research could lead to evidence-based guidelines for effective staff-caller communication, increased adherence rates, and improved health outcomes.
ISSN:1556-3650
1556-9519
DOI:10.1080/15563650701338914