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Patient resistance as a resource: candidate obstacles in diabetes consultations
Author(s) -
Barton Josh,
Dew Kevin,
Dowell Anthony,
Sheridan Nicolette,
Kenealy Timothy,
Macdonald Lindsay,
Docherty Barbara,
Tester Rachel,
Raphael Debbie,
Gray Lesley,
Stubbe Maria
Publication year - 2016
Publication title -
sociology of health and illness
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 97
eISSN - 1467-9566
pISSN - 0141-9889
DOI - 10.1111/1467-9566.12447
Subject(s) - conversation , resistance (ecology) , health professionals , conversation analysis , medicine , advice (programming) , health promotion , space (punctuation) , resource (disambiguation) , compliance (psychology) , nursing , family medicine , health care , psychology , medical education , public health , computer science , communication , social psychology , political science , ecology , computer network , operating system , biology , programming language , law
This study uses conversation analysis to explore ‘candidate obstacles’, a practice observed in sequences of patient resistance to lifestyle advice within health professional consultations. This article presents illustrative analyses of selected data excerpts drawn from audio‐visual recordings of 116 tracked consultations between health professionals and 34 patients newly diagnosed with type 2 diabetes mellitus in New Zealand. The analysis shows that in consultations where health promotion activities are central, patient resistance can provide space for patients to identify obstacles to their compliance with lifestyle advice. Identifying candidate obstacles provides opportunities for health professionals to align advice with concerns of patients and potentially improve patient outcomes.