Active Patient Participation Coding scale (APPC)
Developers: R.L. Street, Jr, B. Millay
Year of publication: 2001
Date of last revision: 21 October 2019
Setting in which the tool was originally developed/validated: general medicine
Restriction to setting(s): None
Target group: all clinicians and patients
Facilitative communication / stimulating patient activation
Patient participation / patient engagement (patient)
Patients: asking questions, expressing concerns, and assertive acts (introducing topics, making decisions, making requests, stating preferences.
Physicians: partnership-building and supportive talk
Types of data required to use the tool: Video recordings, Audio recordings, Transcripts
Intended application: Education, Research
Reference(s) to development/validation paper(s):
Street RL, Jr., Millay B. Analyzing patient participation in medical encounters. Health Communication 13(1):61-73. 2001.
Street RL, Jr., Gordon HS, Ward MM, Krupat E, Kravitz RL. Patient participation in medical consultations: why some patients are more involved than others. Med Care. 2005;43:960-969.
Tool/manual available: Yes.
Tool description by the author:
Some training is needed. About 3 hour to learn system, then as many practice hours as needed to achieve cider consistency. The tool is descriptive in nature. Codes only select communicative actions, not the entire conversation; thus, may be more efficient than more comprehensive systems
Additional information on copyright or other matters: not copyrighted and no need to ask permission. I am available to help with training trainers or coders.
Contact: Richard Street