Dealing with parental concerns: A study of GPs' practice
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Dealing with parental concerns : A study of GPs' practice. / Poulsen, Caroline Dorothea; Wilson, Philip; Graungaard, Anette Hauskov; Overbeck, Gritt.
I: Patient Education and Counseling, Bind 103, Nr. 12, 2020, s. 2430-2436.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Dealing with parental concerns
T2 - A study of GPs' practice
AU - Poulsen, Caroline Dorothea
AU - Wilson, Philip
AU - Graungaard, Anette Hauskov
AU - Overbeck, Gritt
PY - 2020
Y1 - 2020
N2 - Objective: To investigate patterns of GPs' exploration and termination of dialogues about parental concerns in preventive child health assessments.Methods: Interactional microanalysis of video recordings of 32 preventive child health assessments using conversation analysis.Results: The GPs asked parents about concerns, but most concerns disclosed by parents were still left unexplored at the end of the consultation. Termination of dialogues about concerns could be achieved effectively by GPs through letting the biomedical agenda dominate or addressing the child directly. The parents generally cooperated with the various approaches to handling concerns.Conclusion: GPs displayed initial attentiveness towards emotional concerns but did not always follow through with subsequent exploration; many concerns raised were left unexplored. However, the same GP could employ both non-exploratory and exploratory practice within individual consultations.Practice implications: Preventive child heath assessments offer an opportunity for parents to raise concerns about their children's development. Improved understanding of the conversational mechanisms through which concerns are examined or sidelined could allow clinicians to maximise the effectiveness of their preventive consultations. (C) 2020 Elsevier B.V. All rights reserved.
AB - Objective: To investigate patterns of GPs' exploration and termination of dialogues about parental concerns in preventive child health assessments.Methods: Interactional microanalysis of video recordings of 32 preventive child health assessments using conversation analysis.Results: The GPs asked parents about concerns, but most concerns disclosed by parents were still left unexplored at the end of the consultation. Termination of dialogues about concerns could be achieved effectively by GPs through letting the biomedical agenda dominate or addressing the child directly. The parents generally cooperated with the various approaches to handling concerns.Conclusion: GPs displayed initial attentiveness towards emotional concerns but did not always follow through with subsequent exploration; many concerns raised were left unexplored. However, the same GP could employ both non-exploratory and exploratory practice within individual consultations.Practice implications: Preventive child heath assessments offer an opportunity for parents to raise concerns about their children's development. Improved understanding of the conversational mechanisms through which concerns are examined or sidelined could allow clinicians to maximise the effectiveness of their preventive consultations. (C) 2020 Elsevier B.V. All rights reserved.
KW - Child health services
KW - Preventive health services
KW - Parent-provider communication
KW - Conversation analysis
KW - Psychosocial well-being
KW - PSYCHOSOCIAL PROBLEMS
KW - PRIMARY-CARE
KW - CHILD
KW - COMMUNICATION
KW - TALK
KW - CONSULTATIONS
KW - SEQUENCES
KW - BEHAVIOR
KW - SEEKING
U2 - 10.1016/j.pec.2020.04.028
DO - 10.1016/j.pec.2020.04.028
M3 - Journal article
C2 - 32507713
VL - 103
SP - 2430
EP - 2436
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 12
ER -
ID: 252764723