Development of the Verona coding definitions of emotional sequences to code health providers' responses (VR-CoDES-P) to patient cues and concerns

Lidia Del Piccolo, Hanneke de Haes, Cathy Heaven, Jesse Jansen, William Verheul, Jozien Bensing, Svein Bergvik, Myriam Deveugele, Hilde Eide, Ian Fletcher, Claudia Goss, Gerald Michael Humphris, Young-Mi Kim, Wolf Langewitz, Maria Angela Mazzi, Trond Mjaaland, Francesca Moretti, Matthias Nuebling, Michela Rimondini, Peter SalmonTonje Sibbern, Ingunn Skre, Sandra van Dulmen, Larry Wissow, Bridget Young, Linda Zandbelt, Christa Zimmermann, Arnstein Finset

Research output: Contribution to journalArticlepeer-review

123 Citations (Scopus)


Objective: To present a method to classify health provider responses to patient cues and concerns according to the VR-CoDES-CC (Del Piccolo et al. (2009) [2] and Zimmermann et al. (submitted for publication) [3]). The system permits sequence analysis and a detailed description of how providers handle patient's expressions of emotion.

Methods: The Verona-CoDES-P system has been developed based on consensus views within the "Verona Network of Sequence Analysis". The different phases of the creation process are described in detail. A reliability study has been conducted on 20 interviews from a convenience sample of 104 psychiatric consultations.

Results: The VR-CoDES-P has two main classes of provider responses, corresponding to the degree of explicitness (yes/no) and space (yes/no) that is given by the health provider to each cue/concern expressed by the patient. The system can be further subdivided into 17 individual categories. Statistical analyses showed that the VR-CoDES-P is reliable (agreement 92.86%, Cohen's kappa 0.90 (+/- 0.04) p < 0.0001).

Conclusion: Once validity and reliability are tested in different settings, the system should be applied to investigate the relationship between provider responses to patients' expression of emotions and outcome variables.

Practice implications: Research employing the VR-CoDES-P should be applied to develop research-based approaches to maximize appropriate responses to patients' indirect and overt expressions of emotional needs. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)149-155
Number of pages7
JournalPatient Education and Counseling
Issue number2
Publication statusPublished - Feb 2011


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