Psychometric characteristics of Roter interaction analysis system (RIAS) in the context of health education in a Moroccan school

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Abstract

Objective

The Roter Interaction Analysis System (RIAS) is widely used to assess communication in clinical settings but has not yet been applied in educational contexts. This study explores the psychometric properties of RIAS in Moroccan school health education, assessing its feasibility, reliability, and validity while examining its potential to improve communication strategies between health educators and students.

Methods

A cross-sectional study was conducted with 36 Moroccan primary school students. Health education session were recorded and analyzed using RIAS to evaluate communication patterns. Two trained raters independently coded the interactions into eight communication behavior categories. Psychometric analyses, including assessments of feasibility (coding versus session duration), inter-rater reliability (using correlation coefficients), and content validity (based on category usage), were conducted to evaluate RIAS's reliability and validity.

Results

RIAS demonstrated feasibility with extended coding times reflecting its comprehensive nature. High inter-rater reliability (ρ = 0.96–1.00, p < 0.01) validated its consistent application. Content validity confirmed adaptability, though challenges with social-emotional utterances and low-frequency categories suggest refinement to align with health education's unique dynamics.

Conclusion: This pilot study demonstrates the feasibility, reliability, and validity of RIAS in Moroccan school health education, highlighting its potential to enhance educator-student communication and improve health education outcomes in diverse cultural settings.

Innovation

This study pioneers the application of RIAS in Moroccan school health education, extending its use beyond clinical contexts. It highlights RIAS's adaptability to diverse, non-Western settings, bridging a gap in communication analysis. Findings provide a foundation for refining RIAS to align with health education and global health promotion strategies.

Highlights

•

First application of RIAS in school health education to evaluate educator-student communication.
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Cultural and linguistic adaptation of RIAS in Moroccan schools demonstrates its cross-cultural validity.
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Findings highlight RIAS's potential to improve communication strategies in health education interventions.
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Study offers a replicable framework for using standardized communication tools in diverse educational settings.
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Insights contribute to advancing global health education through innovative communication analysis.

Related collections

Most cited references 17

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Abukari Kwame, Pammla Petrucka (2021)

Providing healthcare services that respect and meet patients’ and caregivers’ needs are essential in promoting positive care outcomes and perceptions of quality of care, thereby fulfilling a significant aspect of patient-centered care requirement. Effective communication between patients and healthcare providers is crucial for the provision of patient care and recovery. Hence, patient-centered communication is fundamental to ensuring optimal health outcomes, reflecting long-held nursing values that care must be individualized and responsive to patient health concerns, beliefs, and contextual variables. Achieving patient-centered care and communication in nurse-patient clinical interactions is complex as there are always institutional, communication, environmental, and personal/behavioural related barriers. To promote patient-centered care, healthcare professionals must identify these barriers and facitators of both patient-centered care and communication, given their interconnections in clinical interactions. A person-centered care and communication continuum (PC4 Model) is thus proposed to orient healthcare professionals to care practices, discourse contexts, and communication contents and forms that can enhance or impede the acheivement of patient-centered care in clinical practice.

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The Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions.

Debra Roter, Susan Larson (2002)

The Roter interaction analysis system (RIAS), a method for coding medical dialogue, is widely used in the US and Europe and has been applied to medical exchanges in Asia, Africa, and Latin America. Contributing to its rapid dissemination and adoption is the system's ability to provide reasonable depth, sensitivity, and breadth while maintaining practicality, functional specificity, flexibility, reliability, and predictive validity to a variety of patient and provider outcomes. The purpose of this essay is two-fold. First, to broadly overview the RIAS and to present key capabilities and coding conventions, and secondly to address the extent to which the RIAS is consistent with, or complementary to, linguistic-based techniques of communication analysis.

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Author and article information

Contributors

Khadija Daoudi

Khaoula Jounaidi

Abdellah Gantare

Journal

Journal ID (nlm-ta): PEC Innov

Journal ID (iso-abbrev): PEC Innov

Title: PEC Innovation

Publisher: Elsevier

ISSN (Electronic): 2772-6282

Publication date PMC-release: 15 May 2025

Publication date Collection: June 2025

Publication date (Electronic): 15 May 2025

Volume: 6

Electronic Location Identifier: 100403

Affiliations

Sciences and Engineering of Biomedicals, Biophysics and Health Laboratory, Higher Institute of Health Sciences, Hassan First University, Settat, Morocco

Author notes

[* ]Corresponding author at: University Complex, Casablanca Road B.P 555, Settat, Morocco. k.daoudi@ 123456uhp.ac.ma

Article

Publisher Item ID: S2772-6282(25)00032-9 Publisher ID: 100403

DOI: 10.1016/j.pecinn.2025.100403

PMC ID: 12158514

PubMed ID: 40502437

SO-VID: df2c048f-4d74-46a1-aef3-6c58e3785ff1

License:

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

History

Date received : 6 October 2024

Date revision received : 3 February 2025

Date accepted : 14 May 2025