Evidence map›Paper›PMID 22046723›Full record

Trial reportHuman factors2011

Modeling eye gaze patterns in clinician-patient interaction with lag sequential analysis.

Enid Montague, Jie Xu, Ping-Yu Chen, Onur Asan, Bruce P Barrett, Betty Chewning

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Human factors, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
9.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Sequential Analysis of Livestock Herding Dog and Sheep Interactions.Animals : an open access journal from MDPI · 2020
    Article
  6. Article
  7. Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Laboratory Simulation Study.IISE transactions on occupational ergonomics and human factors · 2018
    Article
  8. Review
  9. The myth of standardized workflow in primary care.Journal of the American Medical Informatics Association : JAMIA · 2016
    Observational
  10. Article
  11. Article
  12. More screen time, less face time - implications for EHR design.Journal of evaluation in clinical practice · 2014
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Enid MontagueUniversity of Wisconsin-Madison, Madison, WI 53706, USA. emontague@wisc.edu
Jie Xu
Ping-Yu Chen
Onur Asan
Bruce P Barrett
Betty Chewning
University of Wisconsin–Madison · US

Funding

INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
Placebo: Physician or Pill? RCT in a commom cold modelR01AT001428 · NCCIH · UNIVERSITY OF WISCONSIN-MADISON · PI BARRETT, BRUCE P · 2003 to 2006
$1.2M
Mentoring and research in patient-oriented medicineK24AT006543 · NCCIH · UNIVERSITY OF WISCONSIN-MADISON · PI BARRETT, BRUCE P · 2012 to 2016
$818k
NCCIH NIH HHS K24 AT006543NCCIH NIH HHS R01 AT001428NCRR NIH HHS 1UL1RR025011NCRR NIH HHS UL1 RR025011
6 · The paper itself

Abstract

objectiveThe aim of this study was to examine whether lag sequential analysis could be used to describe eye gaze orientation between clinicians and patients in the medical encounter. This topic is particularly important as new technologies are implemented into multiuser health care settings in which trust is critical and nonverbal cues are integral to achieving trust. This analysis method could lead to design guidelines for technologies and more effective assessments of interventions.

backgroundNonverbal communication patterns are important aspects of clinician-patient interactions and may affect patient outcomes.

methodThe eye gaze behaviors of clinicians and patients in 110 videotaped medical encounters were analyzed using the lag sequential method to identify significant behavior sequences. Lag sequential analysis included both event-based lag and time-based lag.

resultsResults from event-based lag analysis showed that the patient's gaze followed that of the clinician, whereas the clinician's gaze did not follow the patient's. Time-based sequential analysis showed that responses from the patient usually occurred within 2 s after the initial behavior of the clinician.

conclusionOur data suggest that the clinician's gaze significantly affects the medical encounter but that the converse is not true. APPLICATION: Findings from this research have implications for the design of clinical work systems and modeling interactions. Similar research methods could be used to identify different behavior patterns in clinical settings (physical layout, technology, etc.) to facilitate and evaluate clinical work system designs.

Indexed as

Eye MovementsPhysician-Patient RelationsAdolescentAdultAgedChildCommunicationFemaleHumansMaleMiddle AgedYoung Adult

Identifiers

PMID22046723
PMCPMC3211102
OpenAlexW2038227415

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.