doctor, can you see my squats?: understanding bodily communication in video consultations for...

Doctor, Can you See My Squats? Understanding Bodily Communication in Video Consultations for Physiotherapy

Deepti AggarwalBernd Ploderer, Frank Vetere, Mark Bradford, Thuong Hoang

2

Increasing demands for healthcare

Video Consultations

Bodily Communication in Clinical Consultations

EXAMINE

FEEL

COMFORT

DIAGNOSE

Different use of Bodily Communication

Bodily Communication in Physiotherapy

Research Aims

Observational Study

2 physiotherapists & 5 patients with chronic pain Prescribed exercises: tip-toes, squats

FACE TO FACE (3) VIDEO (7)

FACE-TO-FACE VIDEO

1. OPENING2. COMPLAINT3. EXAMINATION4. DIAGNOSIS5. TREATMENT6. CLOSING

FACE-TO-FACE VIDEO

Appearance (Full body)

Posture

Movement (walking)

Orientation

Appearance (Upper torso)

Posture

Movement (walking)

Orientation

#1. OPENING

VIDEO

Quality of movements (depth,

range, & smoothness)

#2. HISTORY TAKING

Quality of movements (depth

and range, smoothness)

FACE-TO-FACE

Facial expressions (tears, red cheeks,

tensed eyes)

Facial expressions (tears, red cheeks,

tensed eyes)

Eye contact (for encouragement,

willingness to engage)

Eye contact (for encouragement,

willingness to engage)

VIDEO

Tactile feedback (body tightness,

inflammation, body temperature)

Response to touch (fear, protective

spasm, facial expression)

#3, 4. EXAMINATION & DIAGNOSIS

Tactile feedback (body tightness,

inflammation, body temperature)

Response to touch (fear, protective

spasm, facial expression)

Touch on patient’s body Touch on own body

FACE-TO-FACE

VIDEO

Full body posture

Efforts (fatigue, tremor)

Facial expressions

Tone of speech (pitch)

Touch on patient’s body

Full body posture

Efforts (fatigue, trmeor)

Facial expressions

Tone of speech (pitch)

Touch on own body

#5. TREATMENTFACE-TO-FACE

VIDEO

Body language

Facial expressions Facial expressions

Body language

#6. CLOSINGFACE-TO-FACE

Video limits a wide range of bodily cues

Best suitable for follow up consultations

Key Takeaways

17

Increasing demands for healthcare

Design Dimensions

Visual Acuity

Field-of-view

Deepti Aggarwal

Thank you.

22

Key references

Michael Argyle. 2013. Bodily communication. Routledge. Ann Blandford, Erik Berndt, Ken Catchpole, Dominic Furniss, Astrid Mayer, Helena Mentis, Aisling Ann O’Kane, Tom Owen, Atish Rajkomar, and Rebecca Randell. 2012. Experiencing Interactive Healthcare Technologies: embracing ‘the wild’on its own terms. Invited submission to ToCHI’s special issue on ‘The Turn to the Wild. Patrick Sarsfield Byrne and Long B. E. 1976. Doctors talking to patients. A study of the verbal behaviour of general practitioners consulting in their surgeries. Her Majesty's Stationery Office, London, England.Christian Heath.1986. Body movement and speech in medical interaction. Cambridge University Press.Christian Heath. 2002. Demonstrative Suffering: The Gestural (Re)embodiment of Symptoms.Journal of Communication, 52(3), 597-616.Helena M. Mentis, Rita Shewbridge, Sharon Powell, Melissa Armstrong, Paul Fishman, and Lisa Shulman, 2015. Co-Interpreting Movement With Sensors: Assessing Parkinson’s Patients’ Deep Brain Stimulation Programming. Human Computer Interaction 2015, 1-34.Edward Alan Miller. 2011. The continuing need to investigate the nature and content of Teleconsultation communication using interaction analysis techniques. Telemedicine and Telecare, 17(2): 55-64.