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Responsibility to report symptoms: Pursuing symptom reports from children in pediatric encounters

Aleksandr Shirokov1

  • 1School of Communication and Information, Rutgers University, New Brunswick, USA.

Patient Education and Counseling
|December 25, 2023
PubMed

Insights

Pediatricians and parents use specific questioning strategies to confirm symptoms when children disconfirm them. These methods involve refining question design and focusing the topic to elicit medically relevant information from children.

Area of Science:

  • Linguistics
  • Pediatrics
  • Sociology

Background:

  • Children may disconfirm symptoms previously reported by parents during pediatric consultations.
  • Effective communication strategies are crucial for obtaining accurate medical information from children.

Purpose of the Study:

  • To analyze how doctors and parents elicit symptom confirmation from children who disconfirm initial reports.
  • To identify communication strategies used in pediatric consultations to overcome children's disconfirmation of symptoms.

Main Methods:

  • Conversation Analysis (CA) was used to examine 50 video recordings of Russian-language pediatric consultations.
  • The study involved 4 pediatricians and approximately 50 children.

Main Results:

  • Two primary strategies were identified for pursuing symptom confirmation: calibrating question design (format and topical agenda) and changing question format (content to polar) without altering the agenda.
  • Participants adjusted questions to specify expected information and narrowed the topical focus to elicit specific details.

Conclusions:

  • Engaging children in medical consultations can be challenging due to their differing orientation to patient responsibilities, such as reporting medically relevant information.
  • Employing polar questions about child-relevant activities and gradually narrowing the topical agenda can effectively secure medically relevant information.
Abstract

Keywords:
Children participationConversation analysisPediatric consultationsQualitativeQuestion design

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