research-article

"It's good to know you're not a stranger every time": Communication about Values Between Patients with Multiple Chronic Conditions and Healthcare Providers

Authors:

Andrew BL Berry,

Catherine Y. Lim,

Andrea L. Hartzler,

Edward H. Wagner,

James D. RalstonAuthors Info & Claims

Proceedings of the ACM on Human-Computer Interaction, Volume 1, Issue CSCW

Article No.: 23, Pages 1 - 20

https://doi.org/10.1145/3134658

Published: 06 December 2017 Publication History

Abstract

When patients' decisions about health care priorities conflict with those of their health care providers, patients' health outcomes suffer. Patients' values for health and well-being influence their healthcare priorities, but recent work suggests that the values discussed in clinical settings do not reflect the full breadth of patients' values. To address an evidence gap regarding how discussions about values occur in clinical settings, we conducted a field study with patients with multiple chronic conditions and their health care providers, including clinical observations, interviews, and home visits. We report on the extent to which certain categories of patients' values identified in prior research were discussed in clinic visits. We then discuss how patients and providers coordinated their perspectives to establish connections among patients' values and health concerns. These findings have implications for the design of systems to support patient-provider communication to incorporate patients' values and promote concordant priorities for health care.

References

[1]

Rikke Aarhus, Stinne Aaløkke Ballegaard, and Thomas Riisgaard Hansen. 2009. The eDiary: Bridging home and hospital through healthcare technology. In ECSCW 2009, 63--83.

[2]

Tariq Andersen, Jorgen Bansler, Finn Kensing, Jonas Moll, and Karen Dam Nielsen. 2014. Alignment of Concerns: A Design Rationale for Patient Participation in eHealth. In 2014 47th Hawaii International Conference on System Sciences.

Digital Library

[3]

Tariq Andersen, Pernille Bjørn, Finn Kensing, and Jonas Moll. 2011. Designing for collaborative interpretation in telemonitoring: Re-introducing patients as diagnostic agents. Int. J. Med. Inf. 80, 8 (August 2011), e112--e126.

[4]

Gerard F Anderson. 2010. Chronic care: making the case for ongoing care. Robert Wood Johnson Foundation, Princeton, NJ.

[5]

Elizabeth A Bayliss, John F Steiner, Douglas H Fernald, Lori A Crane, and Deborah S Main. 2003. Descriptions of Barriers to Self-Care by Persons with Comorbid Chronic Diseases. Ann. Fam. Med. 1, 1 (May 2003), 15--21.

[6]

B. Berger, J. W. Hopp, and V. Raettig. 1975. Values Clarification and the Cardiac Patient. Health Educ. Behav. 3, 2 (January 1975), 191--199.

[7]

Andrew BL Berry, Catherine Lim, Andrea L Hartzler, Tad Hirsch, Evette Ludman, Edward H Wagner, and James D Ralston. In press. Eliciting Values of Patients with Multiple Chronic Conditions: Evaluation of a Patient-centered Framework. In AMIA Annual Symposium Proceedings.

[8]

Andrew BL Berry, Catherine Lim, Andrea L Hartzler, Tad Hirsch, Evette Ludman, Edward H Wagner, and James D Ralston. 2017. Creating Conditions for Patients' Values to Emerge in Clinical Conversations: Perspectives of Health Care Team Members. In ACM Conference on Designing Interactive Systems.

Digital Library

[9]

Andrew BL Berry, Catherine Lim, Andrea L Hartzler, Tad Hirsch, Edward H Wagner, Evette Ludman, and James D Ralston. 2017. How Values Shape Collaboration Between Patients with Multiple Chronic Conditions and Spousal Caregivers. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems.

Digital Library

[10]

Liana Rada Borza, Cristina Gavrilovici, and René Stockman. 2014. Ethical Models Of Physician--Patient Relationship Revisited With Regard To Patient Autonomy, Values And Patient Education. Rev. Med. Chir. Soc. Med. Nat. Iasi 119, 2 (2014), 496--501.

[11]

Virginia Braun and Victoria Clarke. 2006. Using thematic analysis in psychology. Qual. Res. Psychol. 3, 2 (January 2006), 77--101.

[12]

Patti Brennan and Wendy Swanberg. 2013. Listening in the moment. interactions 20, 5 (September 2013), 22--25.

Digital Library

[13]

Maggie Breslin, Rebecca J. Mullan, and Victor M. Montori. 2008. The design of a decision aid about diabetes medications for use during the consultation with patients with type 2 diabetes. Patient Educ. Couns. 73, 3 (December 2008), 465--472.

[14]

Ayşe G. Büyüktür and Mark S. Ackerman. 2017. Information Work in Bone Marrow Transplant: Reducing Misalignment of Perspectives. In Proceedings of the 2017 ACM Conference on Computer Supported Cooperative Work and Social Computing - CSCW '17.

Digital Library

[15]

Yunan Chen, Karen Cheng, Charlotte Tang, Katie A. Siek, and Jakob E. Bardram. 2013. Is my doctor listening to me? In CHI '13 Extended Abstracts on Human Factors in Computing Systems on - CHI EA '13.

[16]

Yunan Chen, Victor Ngo, Sidney Harrison, and Victoria Duong. 2011. Unpacking exam-room computing. In Proceedings of the 2011 annual conference on Human factors in computing systems - CHI '11.

Digital Library

[17]

Christopher AKY Chong, Ing-je Chen, Gary Naglie, and Murray D. Krahn. 2009. How Well Do Guidelines Incorporate Evidence on Patient Preferences? J. Gen. Intern. Med. 24, 8 (April 2009), 977--982.

[18]

Chia-Fang Chung, Jonathan Cook, Elizabeth Bales, Jasmine Zia, and Sean A Munson. 2015. More than telemonitoring: Health provider use and nonuse of life-log data in irritable bowel syndrome and weight management. J. Med. Internet Res. 17, 8 (2015), e203.

[19]

Deborah Cohen and Benjamin Crabtree. 2006. Qualitative research guidelines project. Retrieved from http://www.qualres.org/index.html

[20]

Juliet Corbin and Anselm Strauss. 1985. Managing chronic illness at home: three lines of work. Qual. Sociol. 8, 3 (1985), 224--247.

[21]

Benjamin F Crabtree and William F Miller. 1992. A template approach to text analysis: developing and using codebooks. (1992).

[22]

Bich N. Dang, Robert A. Westbrook, Sarah M. Njue, and Thomas P. Giordano. 2017. Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC Med. Educ. 17, 1 (February 2017).

[23]

Norman K Denzin. 1978. Sociological methods: A sourcebook. McGraw-Hill Companies.

[24]

Ronald M. Epstein and Ellen Peters. 2009. Beyond Information. JAMA 302, 2 (July 2009), 195.

[25]

Terri R. Fried, Mary Tinetti, Joe Agostini, Lynne Iannone, and Virginia Towle. 2011. Health outcome prioritization to elicit preferences of older persons with multiple health conditions. Patient Educ. Couns. 83, 2 (May 2011), 278--282.

[26]

Terri R. Fried, Mary E. Tinetti, and Lynne Iannone. 2010. Primary Care Clinicians' Experiences With Treatment Decision Making for Older Persons With Multiple Conditions. Arch. Intern. Med. 171, 1 (September 2010).

[27]

Batya Friedman, Peter H Kahn Jr, Alan Borning, and Alina Huldtgren. 2013. Value Sensitive Design and Information Systems. In Philosophy of Engineering and Technology. Springer, 55--95.

[28]

Richard W Grant, Alyce S Adams, Elizabeth A Bayliss, and Michele Heisler. 2013. Establishing visit priorities for complex patients: A summary of the literature and conceptual model to guide innovative interventions. In Healthcare, 117--122.

[29]

Richard William Grant, Andrea Altschuler, Connie Si Uratsu, Gabriela Sanchez, Julie Ann Schmittdiel, Alyce Sophia Adams, and Michele Heisler. 2016. Primary care visit preparation and communication for patients with poorly controlled diabetes: A qualitative study of patients and physicians. Prim. Care Diabetes (December 2016).

[30]

Greg Guest, Kathleen MacQueen, and Emily Namey. 2012. Applied Thematic Analysis. SAGE Publications, Inc.

[31]

Lara Houston, Steven J Jackson, Daniela K Rosner, Syed Ishtiaque Ahmed, Meg Young, and Laewoo Kang. 2016. Values in Repair. In Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems, 1403--1414.

Digital Library

[32]

Jina Huh and Mark S. Ackerman. 2012. Collaborative Help in Chronic Disease Management: Supporting Individualized Problems. In Proceedings of the ACM 2012 conference on Computer Supported Cooperative Work - CSCW 2012.

Digital Library

[33]

Institute of Medicine. 2001. Crossing the Quality Chasm: A New Health System for the 21st Century. The National Academies Press, Washington, DC. Retrieved August 1, 2016 from

[34]

Michele J. Karel, Elizabeth A. Mulligan, Annette Walder, Lindsey A. Martin, Jennifer Moye, and Aanand D. Naik. 2015. Valued life abilities among veteran cancer survivors. Health Expect. 19, 3 (January 2015), 679--690.

[35]

Wayne J. Katon, Elizabeth H. B. Lin, Michael Von Korff, Paul Ciechanowski, Evette J. Ludman, Bessie Young, Do Peterson, Carolyn M. Rutter, Mary McGregor, and David McCulloch. 2010. Collaborative Care for Patients with Depression and Chronic Illnesses. N. Engl. J. Med. 363, 27 (December 2010), 2611--2620.

[36]

Elizabeth Kaziunas, Mark S. Ackerman, and Tiffany C.E. Veinot. 2013. Localizing chronic disease management: Information work and health translations. Proc. Am. Soc. Inf. Sci. Technol. 50, 1 (2013), 1--10.

Digital Library

[37]

Murray Krahn. 2010. 'New' Evidence for Clinical Practice Guidelines. Patient Patient-Centered Outcomes Res. 3, 2 (June 2010), 71--77.

[38]

Christopher A Le Dantec, Erika Shehan Poole, and Susan P Wyche. 2009. Values as lived experience: evolving value sensitive design in support of value discovery. In Proceedings of the 27th international conference on Human factors in computing systems.

Digital Library

[39]

Jane Li, Leila Alem, Marlien Varnfield, and Branko Celler. 2014. A study on the implementation of large-scale home telemonitoring service. In Proceedings of the companion publication of the 17th ACM conference on Computer supported cooperative work & social computing - CSCW Companion '14.

Digital Library

[40]

Catherine Lim, Andrew BL Berry, Tad Hirsch, Andrea Hartzler, Edward H Wagner, Evette Ludman, and James D Ralston. 2016. "It just seems outside my health:" How Patients with Chronic Conditions Perceive Communication Boundaries with Providers. In ACM Conference on Designing Interactive Systems.

Digital Library

[41]

Catherine Y. Lim, Andrew B. L. Berry, Tad Hirsch, Andrea L. Hartzler, Edward H. Wagner, Evette J. Ludman, and James D. Ralston. 2017. Understanding What Is Most Important to Individuals with Multiple Chronic Conditions: A Qualitative Study of Patients' Perspectives. J. Gen. Intern. Med. (August 2017).

[42]

Courtney R. Lyles, Andrea Altschuler, Neetu Chawla, Christine Kowalski, Deanna McQuillan, Elizabeth Bayliss, Michele Heisler, and Richard W. Grant. 2016. User-Centered Design of a Tablet Waiting Room Tool for Complex Patients to Prioritize Discussion Topics for Primary Care Visits. JMIR MHealth UHealth 4, 3 (September 2016), e108.

[43]

Annemarie Mol. 2008. The logic of care: Health and the problem of patient choice. Routledge.

[44]

Mary Ann Murray, Janice Bissonnette, Jennifer Kryworuchko, Wendy Gifford, and Sharon Calverley. 2013. Whose choice is it? Shared decision making in nephrology care. In Seminars in dialysis, 169--174.

[45]

Aanand D. Naik, Lindsey A. Martin, Jennifer Moye, and Michele J. Karel. 2016. Health Values and Treatment Goals of Older, Multimorbid Adults Facing Life-Threatening Illness. J. Am. Geriatr. Soc. 64, 3 (March 2016), 625--631.

[46]

Aisling Ann O'Kane and Helena Mentis. 2012. Sharing medical data vs. health knowledge in chronic illness care. In Proceedings of the 2012 ACM annual conference extended abstracts on Human Factors in Computing Systems Extended Abstracts - CHI EA '12.

Digital Library

[47]

Carolyn E Pang, Carman Neustaedter, Bernhard E Riecke, Erick Oduor, and Serena Hillman. 2013. Technology preferences and routines for sharing health information during the treatment of a chronic illness. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 1759--1768.

Digital Library

[48]

Michael Quinn Patton. 1999. Enhancing the quality and credibility of qualitative analysis. Health Serv. Res. 34, 5 Pt 2 (1999), 1189.

[49]

Jeannette Pols. 2012. Care at a distance: on the closeness of technology. Amsterdam University Press.

[50]

Nancy E Schoenberg, Corinne Leach, and William Edwards. 2009. "It's a toss up between my hearing, my heart, and my hip": Prioritizing and Accommodating Multiple Morbidities by Vulnerable Older Adults. J. Health Care Poor Underserved 20, 1 (2009), 134--151.

[51]

Thomas O. Staiger, Jeffrey G. Jarvik, Richard A. Deyo, Brook Martin, and Clarence H. Braddock. 2005. Brief report: Patient-physician agreement as a predictor of outcomes. J. Gen. Intern. Med. 20, 10 (October 2005), 935--937.

[52]

Si Sun, Xiaomu Zhou, Joshua C. Denny, Trent S. Rosenbloom, and Hua Xu. 2013. Messaging to your doctors. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems.

Digital Library

[53]

Andrea Taylor, Jeni Lennox, Alasdair Mort, David Heaney, Sarah-Anne Muñoz, Margaret Currie, Gill Hubbard, Kenny Steele, and Jeremy Keen. 2013. Developing hospice care over a distance in highland Scotland. In CHI '13 Extended Abstracts on Human Factors in Computing Systems on - CHI EA '13.

Digital Library

[54]

S Kay Toombs. 1993. The Meaning of Illness: A Phenomenological Account of the Different Perspectives of Physician and Patient. Springer Science & Business Media.

[55]

Kenton T Unruh, Meredith Skeels, Andrea Civan-Hartzler, and Wanda Pratt. 2010. Transforming clinic environments into information workspaces for patients. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 183--192.

Digital Library

[56]

Isabel Voigt, Jennifer Wrede, Heike Diederichs-Egidi, Marie-Luise Dierks, and Ulrike Junius-Walker. 2010. Priority setting in general practice: health priorities of older patients differ from treatment priorities of their physicians. Croat. Med. J. 51, 6 (2010), 483--492.

[57]

Ana-Maria Vranceanu, Cynthia Cooper, and David Ring. 2009. Integrating Patient Values into Evidence-Based Practice: Effective Communication for Shared Decision-Making. Hand Clin. 25, 1 (2009), 83--96.

[58]

Carlos O Weiss, Cynthia M Boyd, Qilu Yu, Jennifer L Wolff, and Bruce Leff. 2007. Patterns of Prevalent Major Chronic Disease Among Older Adults in the United States. J. Am. Med. Assoc. 298, 10 (September 2007), 1160--1162.

[59]

Lauren Wilcox, Rupa Patel, Yunan Chen, and Aviv Shachak. 2013. Human factors in computing systems: Focus on patient-centered health communication at the ACM SIGCHI conference. Patient Educ. Couns. 93, 3 (December 2013), 532--534.

[60]

Holly O Witteman, Laura D Scherer, Teresa Gavaruzzi, Arwen H Pieterse, Andrea Fuhrel-Forbis, Selma Chipenda Dansokho, Nicole Exe, Valerie C Kahn, Deb Feldman-Stewart, Nananda F Col, Turgeon, Alexis F, and Fagerlin, Angela. 2016. Design Features of Explicit Values Clarification Methods A Systematic Review. Med. Decis. Making 36, 4 (2016), 453--471.

[61]

Donna M. Zulman, Eve A. Kerr, Timothy P. Hofer, Michele Heisler, and Brian J. Zikmund-Fisher. 2010. Patient-Provider Concordance in the Prioritization of Health Conditions Among Hypertensive Diabetes Patients. J. Gen. Intern. Med. 25, 5 (February 2010), 408--414.

[62]

2012. Guiding Principles for the Care of Older Adults with Multimorbidity: An Approach for Clinicians. J. Am. Geriatr. Soc. 60, 10 (September 2012), E1--E25.

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Index Terms

"It's good to know you're not a stranger every time": Communication about Values Between Patients with Multiple Chronic Conditions and Healthcare Providers
1. Applied computing
  1. Life and medical sciences
    1. Consumer health
    2. Health care information systems
2. Human-centered computing
  1. Collaborative and social computing
    1. Collaborative and social computing theory, concepts and paradigms
      1. Computer supported cooperative work
    2. Empirical studies in collaborative and social computing

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Published In

cover image Proceedings of the ACM on Human-Computer Interaction

Proceedings of the ACM on Human-Computer Interaction Volume 1, Issue CSCW

November 2017

2095 pages

EISSN:2573-0142

DOI:10.1145/3171581

Editors:
Clifford Lampe
University of Michigan
,
Jeff Nichols
Google
,
Karrie Karahalios
University of Illinois Urbana-Champaign
,
Geraldine Fitzpatrick
Vienna University of Technology
,
Uichin Lee
KAIST
,
Andres Monroy-Hernandez
Snap Inc.
,
Wolfgang Stuerzlinger
Simon Fraser University

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Copyright © 2017 ACM.

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Published: 06 December 2017

Published in PACMHCI Volume 1, Issue CSCW

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https://dl.acm.org/doi/10.1145/3613904.3642334
Liu ZXiao L(2023)Toward a Value-Based Therapy Recommendation ModelHealthcare10.3390/healthcare1116236211:16(2362)Online publication date: 21-Aug-2023
https://doi.org/10.3390/healthcare11162362
Sepehri KHolsti LNiasati SChan VMaclean K(2023)Beyond the Bulging Binder: Family-Centered Design of a Digital Health Information Management System for Caregivers of Children Living with Health ComplexityProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3581459(1-19)Online publication date: 19-Apr-2023
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Meyerhoff JKornfield RLattie EKnapp AKruzan KJacobs MStamatis CTaple BBeltzer MBerry AReddy MMohr DGraham A(2023)From formative design to service-ready therapeutic: A pragmatic approach to designing digital mental health interventions across domainsInternet Interventions10.1016/j.invent.2023.10067734(100677)Online publication date: Dec-2023
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