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 -