"They just say everything's a virus"-Parent's judgment of the credibility of clinician communication in primary care consultations for respiratory tract infections in children: A qualitative study

Christie Cabral*, Jenny Ingram, Alastair D. Hay, Jeremy Horwood, Andrew Lovering, Brendan Delaney, Hannah Christensen, Hannah Thornton, John Leeming, Margaret Fletcher, Matthew Thompson, Niamh Redmond, Patricia Lucas, Paul Little, Peter Blair, Peter Brindle, Peter Muir, Sandra Hollinghurst, Sue Mulvenna, Talley AndrewsTim Peters

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

74 Citations (Scopus)

Abstract

Objective: To investigate parents' experiences and views of clinician communication during primary care consultations for respiratory tract infections (RTIs) in children under 12. Methods: Semi-structured interviews with 30 parents who had recently consulted for RTI in their child. Purposive sampling was used to interview parents from a range of socio-economic areas. Results: Parents critically assess the credibility of primary care clinician diagnosis and treatment recommendations based on their perception of the medical evaluation and how well their concerns and expectations have been addressed. A "viral" diagnosis could be perceived as trivializing, particularly when contradicting the parent's perception of severity. Parents expected advice on symptomatic treatment and felt frustrated by 'no treatment' recommendations. Parents commonly reported safety netting advice which was too vague to be useful. Conclusion: Parents' perception of the credibility of the diagnosis and treatment recommendations is influenced both by their expectations and the effectiveness of clinician communication. Opportunities are being missed to inform parents about symptomatic care and when to consult for children with RTIs. Practice implications: Clinicians should tailor diagnostic explanations to parental expectations and concerns and address the symptoms of significance to parents. Clinicians should provide advice about symptom relief and more precise safety netting advice.

Original languageEnglish
Pages (from-to)248-253
Number of pages6
JournalPatient Education and Counseling
Volume95
Issue number2
DOIs
Publication statusPublished - 1 May 2014

Bibliographical note

Funding Information:
The TARGET Programme is funded by the National Institute for Health Research's Programme Grant for Applied Research Programme. This paper summarizes independent research funded by the National Institute for Health Research (NIHR) under its Programme Grant for Applied Research (Grant Reference Number RP-PG-0608-10018 ). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health.

Keywords

  • Antibiotic
  • Child health
  • Communication
  • Parent
  • Patient satisfaction
  • Primary care
  • Respiratory tract infections
  • Safety-netting

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