Analyzing dialogue moves in chronic care communication
Dialogical intentions and customization of recommendations for the assessment of medical deliberation
Fabrizio Macagno | Universidade Nova de Lisboa
Sarah Bigi | Università Cattolica del Sacro Cuore
Dialogue moves are a pragmatic instrument that captures the most important categories of “dialogical intentions.”
This paper adapts this tool to the conversational setting of chronic care communication, characterized by the general goal of
making reasoned decisions concerning patients’ conditions, shared by the latter. Seven mutually exclusive and comprehensive
categories were identified, whose reliability was tested on an Italian corpus of provider-patient encounters in diabetes care. The
application of this method was illustrated through explorative analyses identifying possible correlations between the dialogical
structure of medical interviews and one of the indicators of personalized decision-making, namely the specificity of the
recommendations given by the provider (“customization”). The statistical analyses show a significant correlation between the
exchange of personal information and very specific and customized recommendations for change. It suggests how the creation of
common ground, exceeding the boundaries of the paternalistic or patient-centered models, can lead to highly effective
communication.
Keywords: argumentation, chronic care, decision making, dialogue, dialogue moves, discourse analysis, health communication, pragmatics
Published online: 28 October 2020
https://doi.org/10.1075/jaic.18044.mac
https://doi.org/10.1075/jaic.18044.mac
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