Communicating psychosocial problems in German well-child visits. What facilitates, what impedes pediatric exploration? A qualitative study.

Abstract:

OBJECTIVE:To examine whether, and if so, how psychosocial topics are discussed between parents and pediatricians. METHODS:Thirty well-child visits at eight pediatricians' practices in southwest Germany were video recorded. Conversations were analyzed. RESULTS:Although psychosocial topics were frequently touched upon, they were rarely thoroughly explored. Pediatricians pursued a rather reserved conversation style. Especially when parents withdraw and psychosocial stressors are less baby-related, pediatricians hardly explore the psychosocial situation. CONCLUSION:In summary, the pediatrician's conversation style, the nature of the stressors and the parents' openness are paramount in determining the depth of psychosocial exploration. PRACTICE IMPLICATIONS:In order to ensure a good and fair quality of care to all parents, pediatricians should be provided with tailored communicative skills training allowing them to create a climate in which parents may open up and build trust toward their pediatrician.

journal_name

Patient Educ Couns

authors

Krippeit L,Belzer F,Martens-Le Bouar H,Mall V,Barth M

doi

10.1016/j.pec.2014.07.032

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

188-94

issue

2

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(14)00306-1

journal_volume

97

pub_type

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