Analyzing dialogue moves in chronic care communication: Dialogical intentions and customization of recommendations for the assessment of medical deliberation

Fabrizio Macagno, Sarah Bigi

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
3 Downloads (Pure)

Abstract

Dialogue moves are a pragmatic instrument that captures the most important categories of “dialogical intentions.” This paper adapts this tool to the conversational setting of chronic care communication, characterized by the general goal of making reasoned decisions concerning patients’ conditions, shared by the latter. 7 mutually exclusive and comprehensive categories were identified, whose reliability was tested on an Italian corpus of provider-patient encounters in diabetes care. The application of this method was illustrated through explorative analyses identifying possible correlations between the dialogical structure of medical interviews and one of the indicators of personalized decision-making, namely the specificity of the recommendations given by the provider (“customization”). The statistical analyses show a significant correlation between the exchange of personal information and very specific and customized recommendations for change. It suggests how the creation of common ground, exceeding the boundaries of the paternalistic or patient-centered models, can lead to highly effective communication.
Original languageEnglish
Pages (from-to)167 - 198
Number of pages32
JournalJournal of Argumentation in Context
Volume35
Issue number12
DOIs
Publication statusPublished - 2020

Keywords

  • chronic care
  • dialogue moves
  • dialogue
  • health communication
  • decision making
  • discourse analysis
  • pragmatics

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