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Listening carefully. Improving communication about behavior and development. Recognizing parental concerns

E G Triggs1, E C Perrin

  • 1Department of Pediatrics, Vanderbilt University, Nashville, Tennessee.

Clinical Pediatrics
|April 1, 1989
PubMed

Insights

A parent-completed checklist significantly improved pediatrician-parent communication regarding child behavior and development. This tool facilitated discussion of more parental concerns during health supervision visits.

Area of Science:

  • Pediatrics
  • Child Development
  • Health Communication

Background:

  • Effective communication between parents and pediatricians is crucial for addressing behavioral and developmental concerns.
  • Current health supervision visits may not adequately cover all parental concerns.
  • Pediatrician-parent communication can be enhanced through structured tools.

Purpose of the Study:

  • To evaluate the efficacy of a parent-completed checklist in improving communication during pediatric health supervision.
  • To determine if the checklist increases the discussion of parental concerns about child behavior and development.

Main Methods:

  • A simple checklist was developed for parents to complete before pediatrician visits.
  • The study compared the number of discussed parental concerns with and without the use of the checklist.
  • Pediatricians' awareness of the completed checklist was also assessed.

Main Results:

  • The checklist significantly increased the discussion of parental concerns compared to no checklist (30% discussed).
  • With the checklist, more overall items and parent-specific concerns were discussed (p < 0.05).
  • Discussion rates increased from 43% when checklists were unseen to 53% when seen by pediatricians.

Conclusions:

  • A parent-completed checklist is an effective and efficient method to enhance pediatrician-parent communication.
  • The checklist facilitates the discussion of behavioral and developmental issues, including family life and stress-related concerns.
  • Implementation of this tool can lead to more comprehensive child health supervision.

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