[The Verona Medical Interview Classification System/Patient (VR-MICS/P): the tool and its reliability].
OBJECTIVE
To assess the reliability and to describe the categories and the procedure to apply the VR-MICS/P (Verona-Medical Interview Classification System/Patient).


METHODS
The interviews used for the reliability study were audiotaped. Five general practitioners (GPs) working in two general practices in South-Verona recorded their consultations.


METHODS
50 interviews selected randomly from 120, 10 for each GP. The selection criterion for the participating patients was a GHQ-12 score of 3 and the consultation for a new illness episode.


METHODS
The VR-MICS/P classifies patients' verbal behaviours into 21 categories, 15 of them are defined by form (cue or statement) and content.


METHODS
Two trained raters classified 50 interviews. Before applying the classification system each interview is divided into units which are numbered to define doctor's and patient's sequence of speech.


RESULTS
The reliability of VR-MICS/P was satisfactory (Kappa 0.85). Similarity Index (Dice, 1945) for categories varied between 0.71 and 0.94. Reliability for form and content classification was satisfactory too (Similarity Index between 0.81 and 0.89 and between 0.84 and 0.94, respectively).


CONCLUSIONS
The VR-MICS/P is a reliable measure for describing patients' verbal behaviours during medical interviews. It can be used together with the VR-MICS/D (Verona-Medical Interview Classification System/Doctor; Saltini et al., 1998) to describe the medical interview, the quality of doctor-patient interview and can be used as a measure of patient centredness.
Del Piccolo
L
L
Dipartimento di Medicina e Sanità Pubblica, Università di Verona, Verona. Lidia@borgoroma.univr.it
Benpensanti
M G
MG
Bonini
P
P
Cellerino
P
P
Saltini
A
A
Zimmermann
C
C
D006801:Humans; D007406:Interview, Psychological / Q000379:methods*; D001523:Mental Disorders / Q000175:diagnosis*