Cited by 177Patient-Provider Communication in HealthcareAdolescent and Pediatric HealthcareEthics and Legal Issues in Pediatric Healthcare

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Increasing Patient Knowledge, Satisfaction, and Involvement: Randomized Trial of a Communication Intervention

Lewis, Catherine C., Pantell, Robert H., Sharp, Lee·1991·PEDIATRICS

DOI 10.1542/peds.88.2.351

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Abstract

A brief educational intervention to promote effective communication between physicians, children, and parents during pediatric office visits was designed and tested. A randomized clinical trial involving 141 children (5- to 15-year-olds) tested the effectiveness of the intervention to improve the process and outcome of medical care. The intervention was contained in three brief videotapes (one each for parents, physicians, and patients) and in accompanying written materials. Materials were designed to build skills and motivation for increased child competence and participation during pediatric medical visits. Control subjects saw health education videotapes and received materials comparable in length with those of experimental subjects. Postintervention medical visit process was analyzed using videotapes of visits. Visit outcomes, assessed with standardized instruments and interviews, included children's rapport with physicians, children's anxiety, children's preference for an active health role, children's recall of information, parents' satisfaction with the medical visit, and physician satisfaction. Results indicated that physicians in the intervention group, compared with their counterparts in the control group, more often included children in discussions of medical recommendations (50% vs 29%, t = 2.39, P less than .05); that children in the intervention group, compared with control children, recalled more medication recommendations (77% vs 47%, P less than .01) and reported greater satisfaction and preference for an active health role; and that the intervention and control groups did not differ in parent satisfaction, physician satisfaction, or child anxiety. The results suggest that a brief educational intervention administered during waiting room time can positively impact physician-child rapport and children's preference for an active role in health and their acquisition of medical information.

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Authors: Lewis, C. C., Pantell, R. H., & Sharp, L.
Affiliations: University of California, San Francisco (US)
Venue: PEDIATRICS
Publisher: American Academy of Pediatrics (AAP)
Published: 1991-08-01
Volume: 88
Issue: 2
Pages: 351-358
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.88.2.351
OpenAlex: W1876224639
Cited by: 176
References: 0
Citations by year: 2025: 2 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 5 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 7 · 2015: 5 · 2014: 3 · 2013: 3 · 2012: 7
FWCI: 3.85
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Funders: Agency for Healthcare Research and Quality (5 R01 HS 05408-03)
Topics: Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
Keywords: physician-patient communication, pediatric office visits, patient education intervention, childhood anxiety, drug recall, patient satisfaction, parental satisfaction, physician satisfaction
MeSH terms: Adult, Child, Psychology, Child, Communication, Female, Humans, Male, Office Visits, Parents, Patient Participation, Pediatrics, Physician-Patient Relations, Mental Recall

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Increasing Patient Knowledge, Satisfaction, and Involvement: Randomized Trial of a Communication Intervention

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