Patient resistance as a resource: candidate obstacles in diabetes consultations.
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.
School of Social and Cultural Studies, Victoria University of Wellington.
Josh
J
Barton
School of Social and Cultural Studies, Victoria University of Wellington.
Kevin
K
Dew
Department of Primary Health Care and General Practice, University of Otago.
Anthony
A
Dowell
Faculty of Medical and Health Sciences, The University of Auckland.
Nicolette
N
Sheridan
Faculty of Medical and Health Sciences, The University of Auckland.
Timothy
T
Kenealy
Department of Primary Health Care and General Practice, University of Otago.
Lindsay
L
Macdonald
Faculty of Medical and Health Sciences, The University of Auckland.
Barbara
B
Docherty
Department of Primary Health Care and General Practice, University of Otago.
Rachel
R
Tester
Faculty of Medical and Health Sciences, The University of Auckland.
Debbie
D
Raphael
Department of Primary Health Care and General Practice, University of Otago.
Lesley
L
Gray
Department of Primary Health Care and General Practice, University of Otago.
Maria
M
Stubbe
D000328:Adult; D003142:Communication; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy*; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D009520:New Zealand; D010349:Patient Compliance; D036301:Qualitative Research; D012017:Referral and Consultation
conversation analysis (CA); diabetes; lifestyles