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Research ArticleOriginal Research

Clarifying Parents' and Pediatricians' Views of Partnership

Richard C. Rapp and John Pascoe
The Journal of the American Board of Family Medicine September 2016, 29 (5) 563-571; DOI: https://doi.org/10.3122/jabfm.2016.05.160052
Richard C. Rapp
From the Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH.
PhD
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John Pascoe
From the Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH.
MD, MPH
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  • Article
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Article Figures & Data

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    Table 1.

    Comparison of Parents and Children at 2 Pediatric Practices

    CharacteristicsSuburban Practice (n = 90)Health Center (n = 101)Total (N = 191)Significance (P Value)
    Female sex*87.6% (78)71.4% (70)79.1% (148).029
    African American ethnicity4.4% (4)9.9% (10)7.3% (14)n.s.
    Child health (excellent/very good)82.2% (74)75.2% (76)78.5% (150)n.s.
    Insurance (Medicaid)0.0% (0)54.5% (55)28.8% (55).000
    Child on special learning plan in school*16.5% (13)34.9% (30)26.1% (43).006
    Parent education (more than high school)87.8% (79)56.4% (57)71.2% (136).000
    Household income ≥$50,00075.6% (68)21.8% (22)47.1% (90).000
    Parent marital status (married)76.7% (69)40.6% (41)57.6% (110).000
    No. of people to count on (n)8.3 (4.6)7.4 (3.9)7.8 (4.3)n.s.
    Score on family dysfunction scale8.7 (2.0)7.6 (2.5)8.1 (2.4).001
    Domestic violence (yes)1.1% (1)15.8% (16)8.9% (17).000
    No. of symptoms of depression7.8% (7)10.9% (11)9.4% (18)n.s.
    Drinks in the past 3 months (n)
        ≥5 (men)36.4% (4)61.5% (16)54.1% (20)n.s.
        ≥4 (women)16.0% (12)40.9% (27)27.7% (39).001
    • ↵* Sample sizes on these concepts varied because of missing data.

    • n.s., not significant.

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    Table 2.

    “Mutually Identified” Partnership Concepts with Probability Scores of ≥80.00% for All Three Groups

    Concept/Statement*Pediatricians (n = 24)Parents
    Suburban Practice (n = 90)Health Center (n = 101)All (n = 191)
    1. Providing parent with skills or information to help parent's child succeed100.00100.00100.00100.00
    2. Showing nonverbal attentiveness1595.5099.8391.3996.52
    3. Protecting family's privacy1693.64100.00100.00100.00
    4. Reviewing long-term therapeutic plan298.57100.0096.8199.56
    5. Providing friendly administrative staff97.1895.1199.1297.55
    6. Making sure that parent has easy access to office99.4299.2394.7797.25
    7. Understanding parent's/youth's main reason for coming to the pediatrician98.57100.0092.5898.59
    8. Being honest with parent, even when there is bad news100.00100.00100.00100.00
    9. Understanding parent's/youth's emotional needs97.1899.1599.9999.84
    10. Making it easy to schedule an appointment97.1899.8394.5797.88
    11. Treating child and parent with dignity16100.00100.00100.00100.00
    12. Showing respect for parents alternative values and beliefs493.6490.88100.0097.97
    13. Being friendly and approachable1597.1899.60100.0099.96
    14. Having nonjudgmental attitude toward parent and child1695.50100.00100.00100.00
    15. Being interested in what parent/youth want to know98.5799.1599.9499.73
    16. Clearly explaining what the treatment is100.00100.00100.00100.00
    17. Making sure parent/youth understand plan100.00100.00100.00100.00
    18. Responding to worries/concerns299.9410098.6699.88
    19. Giving parent/youth opportunity to ask questions99.94100.00100.00100.00
    20. Explaining problem and treatment in terms parent/youth can understand100.00100.00100.00100.00
    21. Understanding the overall situation of the parent/youth95.599.9994.4998.47
    22. Discussing the problem with parent/youth99.52100.0099.79100.00
    23. Ensuring the family is satisfied4100.0099.85100.00100.00
    24. Making sure the parent/youth really understand the problem/treatment100.00100.00100.00100.00
    25. Listening to everything the parent/youth have to say about youth's problem83.6299.899.9999.99
    26. Exploring parent's confidence in a treatment plan95.593.1987.8690.45
    • ↵* Concepts with references were inspired by peer-reviewed articles regarding partnership as it applied to parents and children.

    • View popup
    Table 3.

    Parent-Identified, Suburban Practice/Pediatrician–Endorsed Partnership Concepts with Probability Scores <80.00% for Any Group, and Dropped Partnership Concepts

    Concept/Statement*Pediatricians (n = 24)Parents
    Suburban Practice (n = 90)Health Center (n = 101)All (n = 191)
    Parent identified
        27. Being available any time of day or night344.8285.0899.9494.89
        28. Discussing child's care with other professionals60.5494.1280.3886.85
        29. Spending as much time as possible with parent/child374.2688.7687.5088.12
        30. Avoiding legal issues interfering with pediatrician relationship with parent and child61.8696.7799.5198.55
        31. Agreeing with physician on treatment plan65.9695.9096.3396.21
    Identified by suburban practice/pediatricians
        32. Making recommendations about a course of treatment99.9490.3051.0767.72
        33. Involving parent in defining the problem99.5298.7566.6181.32
        34. Including the child in a discussion of his/her condition1691.6979.6040.6057.36
        35. Including an age-appropriate child in planning a course of treatment1698.3598.5369.4782.71
        36. Giving specific reassuring information95.0198.1567.1181.69
        37. Including parent's recommendations about what should be included in treatment plan89.6985.8365.5174.92
        38. Giving advice on how to stay healthy in future91.69100.0067.6183.62
    Identified as negative
        39. Engaging in social talk1539.6839.6122.7330.69
        40. Pediatrician sharing personal information about self15.8822.3026.6124.77
    No defined trend
        41. Asking parent's opinion about child's treatment91.6982.7771.4976.50
        42. Involving parent in deciding how to manage child's condition97.1899.6075.6387.44
        43. Giving verbal praise278.2162.8486.4974.83
        44. Giving advice on how to reduce risk of future illness93.04100.0073.4487.62
        45. Giving nonverbal encouragement (Cox et al, 2007)87.6672.9276.5374.92
    • ↵* Concepts with references were inspired by peer-reviewed articles regarding partnership as it applied to parents and children.

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The Journal of the American Board of Family     Medicine: 29 (5)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 5
September-October 2016
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Clarifying Parents' and Pediatricians' Views of Partnership
Richard C. Rapp, John Pascoe
The Journal of the American Board of Family Medicine Sep 2016, 29 (5) 563-571; DOI: 10.3122/jabfm.2016.05.160052

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Clarifying Parents' and Pediatricians' Views of Partnership
Richard C. Rapp, John Pascoe
The Journal of the American Board of Family Medicine Sep 2016, 29 (5) 563-571; DOI: 10.3122/jabfm.2016.05.160052
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