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Earning trust and losing it: adolescents' views on trusting physicians
Brenda K Klostermann1, Gail B Slap, Dawn M Nebrig
1Illinois Education Research Council, Southern Illinois University, Box 1064, Edwardsville, IL 62026-1064 USA. breklos@siue.edu
The Journal of Family Practice
|August 3, 2005
Summary
Adolescents value physician trust similarly to adults but prioritize confidentiality and parental involvement differently. Specific behaviors like active listening and open communication can enhance patient-physician relationships.
Area of Science:
- Adolescent Health
- Patient-Physician Relationships
- Qualitative Research
Background:
- Patient-physician trust is crucial for effective healthcare, particularly for adolescents.
- Understanding adolescent perspectives on trust is essential for improving health outcomes.
- Chronic illness can influence how adolescents perceive and experience healthcare interactions.
Purpose of the Study:
- To explore adolescent perceptions of patient-physician trust, comparing those with and without chronic illnesses.
- To identify specific physician behaviors that foster trust among adolescent patients.
- To inform strategies for enhancing adolescent healthcare through improved trust.
Main Methods:
- Qualitative study involving 54 adolescents (healthy and chronically ill) in 12 focus groups.
- Participants were stratified by age (11-14, 15-19 years), gender, and health status.
- Thematic analysis was used to derive key themes regarding physician characteristics and trust.
Main Results:
- Adolescents' views on trust align with adult models (fidelity, confidentiality, competency, honesty).
- Younger adolescents prioritize confidentiality; chronically ill adolescents desire greater parental involvement.
- Key trust-building behaviors include seeking adolescent opinions, maintaining confidentiality, and engaging in small talk.
Conclusions:
- Adolescent trust in physicians is multifaceted and influenced by age and health status.
- Physicians can improve relationships by adopting specific, adolescent-centered communication strategies.
- Listening to adolescents' perspectives on trust is vital for optimizing their healthcare experiences.
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