Jeffrey D Robinson

Jeffrey D Robinson
Portland State University | PSU · Department of Communication

Ph.D.

About

71
Publications
17,101
Reads
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5,309
Citations
Citations since 2016
20 Research Items
3210 Citations
20162017201820192020202120220100200300400500
20162017201820192020202120220100200300400500
20162017201820192020202120220100200300400500
20162017201820192020202120220100200300400500
Additional affiliations
August 2009 - present
Portland State University
Position
  • Professor (Full)
August 2004 - August 2009
Rutgers, The State University of New Jersey
Position
  • Professor (Associate)
Education
September 1992 - August 1999
September 1990 - August 1992
University of Southern California
Field of study
  • Communication
September 1986 - August 1990
University of California, Santa Barbara
Field of study
  • Communication

Publications

Publications (71)
Article
Objective: To understand the influence of a novel infectious disease epidemic on parent general attitudes about childhood vaccines. Methods: We conducted a natural experiment utilizing cross-sectional survey data from parents of infants in Washington and Colorado participating in a larger trial that began on September 27, 2019. At enrollment, pa...
Article
Sacks, Schegloff, and Jefferson argued that the rules for turn taking for conversation involve a confluence of pressures that bias turn size toward single turn constructional units (TCUs), which leads to an empirical prediction that turns are more likely to be composed of single (vs. multiple) TCUs. We directly test and confirm this “single-TCU bia...
Article
Objective To evaluate communication training content fidelity included in a multifaceted intervention known to reduce antibiotic over-prescribing for pediatric acute respiratory illnesses (ARTIs), by examining the degree to which clinicians implemented the intended communication behavior changes. Methods Parents were surveyed regarding clinician c...
Article
Full-text available
We conducted a qualitative study from 2018 to 2019 to update the reasons why US parents’ refuse or delay vaccines. Four focus groups and 4 semi-structured interviews involving 33 primary care pediatric providers were conducted in Washington and Colorado. A thematic analysis was conducted to identify themes related to reasons for parental refusal or...
Article
There is little doubt that Sacks’s notion of the “preference for agreement” is generally valid. However, that it is valid does not tell us how it is valid. This article further unpacks the preference for agreement by conversation-analytically grounding one of its many underlying mechanisms. Specifically, this article examines the practice of format...
Article
This study uses data from a shoe-repair shop, supplemented by data from medical and mundane contexts, to analyze three progressively minimal grammatical formats used to implement offers and requests in interaction (i.e. do you want…? , you want … ? , and want…? ). We argue that this cline of minimality reflects a cline of the action-initiator's sta...
Article
Much of the corpus-based research on medical discourse has focused on “involved” language (e.g., 1st person pronouns, discourse markers) and its importance in creating patient rapport ( Adolphs, Brown, Carter, Crawford, & Sahota, 2004 ; Skelton & Hobbes, 1999 ; Staples, 2016 ). However, in the broader literature on health care interactions, provide...
Article
Full-text available
Background: One-third of outpatient antibiotic prescriptions for pediatric acute respiratory tract infections (ARTIs) are inappropriate. We evaluated a distance learning program's effectiveness for reducing outpatient antibiotic prescribing for ARTI visits. Methods: In this stepped-wedge clinical trial run from November 2015 to June 2018, we ran...
Article
Full-text available
Introduction A key contributor to underimmunisation is parental refusal or delay of vaccines due to vaccine concerns. Many clinicians lack confidence in communicating with vaccine-hesitant parents (VHP) and perceive that their discussions will do little to change parents’ minds. Improving clinician communication with VHPs is critical to increasing...
Article
Quantitative studies applying conversation analysis to the study of the timing of answers to sequence-initiating actions expose anomalies in terms of what is known about preference organization. After briefly describing preference organization, anomalies in answer-timing research, and one explanation for such anomalies, this article presents one qu...
Article
In the context of the 2016 U.S. Republican primary election debates, the qualitative method of Conversation Analysis is used to describe a discourse/rhetorical strategy candidates use to control the agenda when answering questions. By prefacing answers with First of all, First, or First off, candidates claim that the immediately next talk will cons...
Article
Audit studies suggest that racial discrimination disadvantages black individuals in educational/professional advancement. We hypothesized that prospective black male doctoral students would experience greater disparity in responses when seeking access to National Cancer Institute (NCI)-funded principal investigators (PI) compared with prospective w...
Article
Research continues to delineate and clarify specific communication behaviors associated with improved patient outcomes. In the context of breast cancer surgery, this exploratory study examined the effect of breast surgeon information provision on the immediate post-visit outcomes of patients’ anxious preoccupation, intention to adhere to treatment...
Article
Objective: Presumptive formats to initiate childhood vaccine discussions (e.g. "Well we have to do some shots.") have been associated with increased vaccine acceptance after one visit compared to participatory formats (e.g. "How do you feel about vaccines?"). We characterize discussion format patterns over time and the impact of their repeated use...
Article
Full-text available
We examine I know as a responding action, showing that it claims to accept the grounds of the initiating action, but either resists that action as unnecessary or endorses it, depending on the epistemic environment created by the initiating action. First, in responding to actions that presume an unknowing addressee (e.g., correcting, advising), spea...
Article
Objective: To examine how clinicians communicate with parents about influenza vaccination and the effect of these communication behaviors on parental vaccine decision-making. Study design: We performed a secondary analysis of data obtained from a cross-sectional observational study in which health supervision visits between pediatric clinicians...
Article
Background: Despite data on breast cancer patients' information needs and their association with patient outcomes, there are currently no data on what U.S. patients actually ask surgeons during primary consultations. Methods: Working from transcripts of videotaped, treatment decision making consultations between breast cancer patients and surgeo...
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Full-text available
In the more than 1 billion primary-care visits each year in the United States, the majority of patients bring more than one distinct concern, yet many leave with "unmet" concerns (i.e., ones not addressed during visits). Unmet concerns have potentially negative consequences for patients' health, and may pose utilization-based financial burdens to h...
Article
Full-text available
This study examined relationships between provider communication practices, antibiotic prescribing, and parent care ratings during pediatric visits for acute respiratory tract infection (ARTI). A cross-sectional study was conducted of 1,285 pediatric visits motivated by ARTI symptoms. Children were seen by 1 of 28 pediatric providers representing 1...
Article
Full-text available
We investigated how provider vaccine communication behaviors influence parental vaccination acceptance and visit experience. In a cross-sectional observational study, we videotaped provider-parent vaccine discussions (n = 111). We coded visits for the format providers used for initiating the vaccine discussion (participatory vs presumptive), parent...
Article
Full-text available
In the context of breast-cancer care, there is extremely little research on the association between observed (i.e., taped and coded) communication behaviors and patients' health outcomes, especially those other than satisfaction. In the context of presurgical consultations between female breast cancer patients and a surgeon, the aim of this explora...
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Full-text available
In this article, we discuss the notion of a ‘conversation analytic intervention,’ focusing on the role of conversation analysis in the major stages of intervention research, epitomized by the randomized controlled trial, the gold standard for intervention in the medical sciences. These stages embrace development, feasibility and piloting, evaluatio...
Article
When studying how conversationalists assess mutual understanding, research has focused on one type of evidence: next-turn talk. This article identifies another, antecedent type of evidence involving how talk is produced by reference to repair-opportunity spaces that are systematically provided for by conversation’s generic organization of repair. A...
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Objective: To characterize provider-parent vaccine communication and determine the influence of specific provider communication practices on parent resistance to vaccine recommendations. Methods: We conducted a cross-sectional observational study in which we videotaped provider-parent vaccine discussions during health supervision visits. Parents...
Article
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Research has found a negative association between patient question asking and aspects of their satisfaction. In the context of surgical oncology, the aim of this exploratory study was to test the association between patient question asking and 3 indices of their satisfaction. Participants included 51 women who were newly diagnosed with breast cance...
Chapter
In this forthcoming book, this chapter outlines the approach and uses of Conversation Analysis for studying the interactional dynamics of provider-patient communication in actual medical settings.
Article
PURPOSEPatient-centered communication (PCC) affects psychosocial health outcomes of patients. However, these effects are rarely direct, and our understanding of such effects are largely based on self-report (v observational) data. More information is needed on the pathways by which concrete PCC behaviors affect specific psychosocial outcomes in can...
Article
Introduction Activity The Overall Structural Organization of Entire, Single Occasions of Interaction Future Directions
Article
Full-text available
This article describes an adjacency-pair organized course of action in the institutional context of customers calling an electronics repair facility to request the status of equipment they have previously sent in for repair. Relative to the majority of adjacency-pair sequences described in previous research, this course of action is rare in that it...
Article
An important rule of turn taking is that, once a person gains the right to speak they are normally entitled to produce a single unit of talk, such as a single word, phrase, clause, or sentence. Conversation analysis has long recognized that, and attempted to describe how, this normal entitlement can be modified by pragmatic exigencies. Along these...
Article
This article investigates the action of directly soliciting accounts with why-interrogatives (e.g., Why did you do that?). Using conversation analysis, this article argues that why-interrogatives are Janus-faced. On one hand, as types of questions, they index an epistemic gap between questioners and answerers and thus the possibility that answerers...
Chapter
In this chapter we reconsider the design, implementation and dissemination of an NIH-funded study of unmet patient concerns that we conducted in 2005–6 and published in 2007 (Heritage et al., 2007). The study took an aspect of preference organisation that has, to our knowledge, never been systematically studied, and applied it to a well-known probl...
Article
Full-text available
This investigation focused on the information-seeking behaviors of parents (N = 38) whose newborn had received a positive screening result for cystic fibrosis. Roughly half of the participants actively sought information about their child's potential disease prior to the clinic visit. The most common sources of information were the Internet, pediat...
Article
Full-text available
This article extends prior conversation analytic research on the preference organization of sequence-initiating actions. Across two languages (English and Russian), this article examines one such action: explicitly soliciting an account for human conduct (predominantly with why-type interrogatives). Prior work demonstrates that this action conveys...
Article
Full-text available
This article is a conversation-analytic investigation of a previously undescribed practice of other-initiation of repair designed to locate an entire action as the repairable. This practice is implemented by a full, virtually identical, final-rising-intoned repeat of a sentential turn-constructional unit (a full repeat). This article focuses on how...
Article
In the context of patients visiting cancer specialists, the objective is to test the association between both patient-centered communication (including Affective Behavior and Participation Behavior) and Instrumental Behavior and patients' post-visit satisfaction with a variety of visit phenomena. Meta-analysis of 25 articles representing 10 distinc...
Article
This article is a conversation-analytic examination of situations where one speaker responds to another in a way that publicly exposes that the two speakers hold an incompatible position on a same matter, and in a way that claims that the respondent holds epistemic authority over the matter. These types of responsive actions (i.e., counterinforming...
Article
Languages provide speakers with resources for both referencing and repairing. While referencing is crucial for sustaining intersubjectivity, repairing is crucial for re-establishing intersubjectivity (Auer 1984; Schegloff 1992a; Schegloff et al. 1977). This chapter describes a repair-initiation action that claims that a particular aspect of the pri...
Article
Full-text available
According to social judgment theory, patients' pre-visit global satisfaction with medical care should be positively associated with patients' post-visit satisfaction with physicians' communication. Data were collected from 171 patients visiting 26 primary-care physicians. The aforementioned association was tested with one multiple linear regression...
Article
Full-text available
In primary, acute-care visits, patients frequently present with more than 1 concern. Various visit factors prevent additional concerns from being articulated and addressed. To test an intervention to reduce patients' unmet concerns. Cross-sectional comparison of 2 experimental questions, with videotaping of office visits and pre and postvisit surve...
Article
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This article investigates two types of preference organization in interaction: in response to a question that selects a next speaker in multi-party interaction, the preference for answers over non-answer responses as a category of a response; and the preference for selected next speakers to respond. It is asserted that the turn allocation rule...
Article
Using conversation analysis, this article focuses on other-initiation of repair (e.g., What?, I'm sorry?) of trouble speaking, hearing, and understanding. This article shows that the act of managing relationships is an essential feature of other-initiation of repair, and that different practices of repair-initiation can constitute different relatio...
Article
Full-text available
To determine the association between the format of physicians' opening questions that solicit patients' presenting concerns and patients' post-visit evaluations of (i.e., satisfaction with) the affective-relational dimension of physicians' communication. Videotape and questionnaire data were collected from visits between 28 primary-care physicians...
Article
Full-text available
This article uses conversation analysis to develop a typology of questions that physicians use to solicit patients' problems and then tests question-format effects on patients' subsequent problem presentations. Data are videotapes of 302 primary-, acute-, and outpatient-care visits involving 77 physicians in 41 urban and rural clinics, as well as p...
Article
Although patients may have multiple concerns, their visits with primary care physicians are typically arranged for, and organized around, particular reasons. These reasons are referred to as patients’ chief complaints or presenting concerns. After visits are opened (Heath 1981; Robinson 1998),1physicians typically solicit patients’ presenting conce...
Chapter
It is a well-established principle of social psychology that, in presenting a description of some state of affairs, a person is simultaneously engaged in a presentation of self. The central aim of this chapter is to apply this observation to the medical visit, focusing on how patients’ descriptions of their medical problems are designed to manage t...
Article
This article uses conversation analysis to investigate the problem-presentation phase of 302 visits between primary-care physicians and patients with acute problems. It analyzes the social-interactional organization of problem presentation, focusing on how participants recognize and negotiate its completion. It argues that physicians and patients m...
Article
In this article, I use the method of conversation analysis and data from American- and British-English conversation to analyze the sequential organization of "explicit" apologies (e.g., I'm sorry, and I must apologize). I demonstrate that (a) apologies can occupy a number of different sequential positions, with different ramifications for the organ...
Article
This investigation assesses interobserver agreement on conversation analytic (CA) transcription. Four professional CA transcribers spent a maximum of 3 hours transcribing 2.5 minutes of a previously unknown, naturally occurring, mundane telephone call. Researchers unitized transcripts into words, sounds, silences, inbreaths, outbreaths, and laugh t...
Article
This study aims to determine whether healthcare providers' (HCPs') communication dealing with sun-protection (i.e., counseling) is associated with clients' skin-cancer-related prevention practices, detection self-efficacy, and knowledge. Secondary analysis of two surveys of 1,469 randomly sampled farmers and soccer participants from southeast and c...
Article
This article reviews the relation between social support and elder health, the social-support dimensions of religion, the relation between church attendance and elder health, the place of religion in the biopsychosocial model of medicine, and medical education's position on physician-patient communication about religion. It then examines the emerge...
Article
Within the context of primary-care, physician-patient visits, researchers have documented both patients' low levels of communicative participation (e.g., question asking) and the advantages of such participation to healthcare (e.g., improved physical health and satisfaction). Prior research has offered a variety of partial, non-exclusive explanatio...
Article
Full-text available
This pilot study examined the covariation of patients' self-reports of instrumental and affective aspects of communication during physician-patient visits with 2 other sources of data: medical chart records and audio/videotapes. Participants were 17 community-based (nonuniversity) primary-care physicians and 77 of their patients, ages 50 to 80. Pat...
Article
When patients visit primary-care physicians, they frequently have more than one concern. Patients' first concerns are solicited by physicians at the beginnings of encounters. A challenge to health care is how to get patients' additional concerns raised as topics of discussion. If patients' additional concerns are addressed, it tends to occur at the...
Article
Full-text available
This article examines how physicians and patients interactionally accomplish the transition from the activity of history taking to that of physical examination. Prior research focuses on participants' reliance on overt verbal resources (e.g., physicians' requests for permission to examine patients or explanations that foreshadow examination). Using...
Article
This article examines how physicians and patients interactionally accomplish the transition from the activity of history taking to that of physical examination. Prior research focuses on participants' reliance on overt verbal resources (e.g., physicians' requests for permission to examine patients or explanations that foreshadow examination). Using...
Conference Paper
This article examines how physicians and patients interactionally accomplish the transition from the activity of history taking to that of physical examination. Prior research focuses on participants' reliance on overt verbal resources (e.g., physicians' requests for permission to examine patients or explanations that foreshadow examination). Using...
Article
This article deals with one form of interactional asymmetry in doctor-patient consultations, that of initiative: Doctors primarily initiate actions and solicit responses, whereas patients primarily respond to doctors' initiatives. This article argues that the variable of initiative actually contains two dimensions: speaker initiative and utterance...
Article
This study examines the openings of British general-practice medical consultations. The authors use conversation analysis to analyze how doctors' and patients' practices of gaze and body orientation organize interaction such that doctors routinely initiate the sequence wherein patients disclose their chief complaint. Gaze and body orientation commu...
Article
Institutional discourse typically involves a dialectic between institutional (e.g. medical) frames and socio-relational frames for talk. The paper draws on audio-recorded data from a geriatric outpatients clinic in the UK to show how doctors and elderly patients collaborate in and negotiate the work of entering an apparently medical frame of talk....
Article
Full-text available
Since its introduction by Malinowski in the 1920s, “phatic communion” has often been appealed to as a concept in sociolinguistics, semantics, stylistics, and communication, typically taken to designate a conventionalized and desemanticized discourse mode or “type.” But a negotiation perspective, following the conversation analysis tradition of rese...
Article
Vita. Thesis (Ph. D.)--University of California, Los Angeles, 1999. Bibliographic references (leaves 460-500). Ch. 2. Opening primary care consultations -- 3. The relationship between doctors' question formats and types of patients' presenting concerns -- 4. A conversation-analytic phase model of a medical project: solving patients' new medical pro...

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