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Table 3 Examples of physician and patient visit dialogue characteristics

From: In-office communication about excessive daytime sleepiness associated with treated obstructive sleep apnea: insights from an ethnographic study of physician-patient visits

Dialogue Characteristic

Dialogue Example

Physician discussing EDS within the context of PAP therapy

Physician: Did the use of the [CPAP] machine make you feel better during the day? Did you have more energy? Were you less sleepy?

—visit with a PCP and a 47-year-old male

Physician providing education related to EDS

Physician: In terms of the daytime, there are medications to help during the daytime if you’re really sleepy.

—visit with a sleep specialist and a 44-year-old female

Physician asking an open-ended question related to EDS

Physician: How sleepy are you these days?

—visit with a sleep specialist and a 55-year-old male

Physician asking about potential impacts of EDS on QoL

Physician: How about drowsy driving? Has that been an issue at all?

—visit with a sleep specialist and a 65-year-old male

Patient reporting EDS symptoms during the visit

Physician: And during the day you’re not tired or sleepy?

Patient: Umm, around 2:00 I do. I get sleepy.

—visit with a pulmonologist and a 54-year-old female

Patient reporting EDS symptoms during the visit

Physician: Then, do you end up taking a nap in the daytime, or no?

Patient: Yes. Almost…

Physician: Every day?

Patient: Not every day, but probably 70%.

—visit with a PCP and a 73-year-old male

Patient relating EDS symptoms to another factor

Physician: But you peter out during the day sometimes?

Patient: But I think people my age [do].

—visit with a pulmonologist and a 79-year-old male

  1. Abbreviations: CPAP Continuous positive airway pressure, EDS Excessive daytime sleepiness, PAP Positive airway pressure, PCP Primary care physician, QoL Quality of life