• Chantelle Nobile Hart, Dennis Drotar, Abdulla Gori, and Linda Lewin.
• Department of Psychology, Case University Medical School & Rainbow Babies & Children's Hospital, USA. Chantelle_Hart@brown.edu
• Patient Educ Couns. 2006 Oct 1;63(1-2):38-46.

ObjectiveTo address the need for interventions to enhance parent-provider communication, the present study evaluated the effectiveness of a brief intervention to enhance interpersonal communication skills by pediatric and internal medicine/pediatric residents with parents of children seen in ambulatory practice.MethodsIn a within-subjects, repeated measures research design, residents (N=28) participated in a 1-112h intervention designed to increase the use of effective communication skills with their patients' families (N=92). Three pediatric visits (one prior to and two following the intervention) were audio-taped and coded using Roter's Interaction Analysis System. Parents' perceptions of residents' communication skills and satisfaction with care were gathered.ResultsResidents used more effective interpersonal communication skills following the intervention (p<.05). Parent satisfaction with care also increased (p<.01) with parents reporting greater satisfaction with distress relief (p=.01) and communication following the intervention (p=.05). However, parents' perceptions of resident communication did not change over time.ConclusionThese findings suggest that a relatively brief intervention shows promise in improving the quality of care provided within a pediatric ambulatory care setting.Practice ImplicationsTraining residents to increase their use of praise, empathy, and collaboration with families can be done within a brief intervention and may be associated with increased parental satisfaction with care.

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