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Published on: June 12, 2020
Improving communication with adolescents.
1General and Adolescent Paediatric Unit, UCL Institute of Child Health, 30 Guilford Street, London, Greater London WC1N 1EH, UK.
Summary
Effective communication strategies are crucial for engaging young people (YP) in healthcare. Learning these skills can improve health outcomes by addressing key issues like confidentiality and psychosocial factors in adolescent consultations.
Area of Science:
- Adolescent Health
- Clinical Communication
- Behavioral Science
Background:
- Communicating effectively with young people (YP) presents unique challenges in healthcare settings.
- Evidence from randomized clinical trials indicates that communication skills can be taught and learned.
- Improved communication is linked to better health outcomes for adolescents.
Purpose of the Study:
- To outline key considerations for effective communication with young people.
- To present pragmatic techniques for enhancing communication and promoting behavior change in busy clinical settings.
- To emphasize the importance of patient-centered communication in adolescent healthcare.
Main Methods:
- Review of key issues in communicating with young people.
- Discussion of conditional confidentiality and its impact on disclosure rates.
- Exploration of techniques for managing ambivalence and facilitating behavior change.
- Emphasis on incorporating psychosocial history, including resilience and risk factors.
Main Results:
- Patient-centered communication, including dedicated time alone with the clinician, is essential.
- Discussing conditional confidentiality does not negatively impact disclosure rates.
- Techniques exist to help young people resolve ambivalence and adopt healthier behaviors.
- A comprehensive psychosocial history is a critical component of adolescent consultations.
Conclusions:
- Implementing specific communication strategies can significantly improve interactions with young people.
- These techniques are vital for promoting health behavior change and positive health outcomes in adolescents.
- Pragmatic approaches can be integrated into routine consultations to enhance care for young patients.
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