Journal of Pediatric Psychology Advance Access published online on March 6, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp012
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Increasing Parent–Pediatrician Communication about Children's Psychosocial Problems
1University of Georgia and 2Children's Center for Digestive Healthcare, Children's Healthcare of Atlanta
All correspondence concerning this article should be addressed to Ronald L. Blount, PhD, Department of Psychology, Psychology Building, University of Georgia, Athens, GA 30602-3013, USA. E-mail: rlblount{at}uga.edu
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Objective To examine the differential effects of two scoring procedures for a parent-completed measure, the Pediatric Symptom Checklist (PSC), designed to assess children's behavioral and emotional functioning, on parent–pediatrician communication concerning psychosocial issues. Methods Prior to their medical appointment, 174 parents of children aged 4–16 were assigned to one of three experimental conditions: (1) typical medical care control, (2) Staff-Scored PSC administration, or (3) Parent-Scored PSC administration. Following the appointment, parent perception of parent–pediatrician communication was assessed. Results For children with more emotional and behavioral problems, participants in the Parent-Scored group and the Staff-Scored group had better parent–pediatrician communication scores than those in the control group. Conclusions Both the Staff-Scored and Parent-Scored administrations of the PSC improved parent–pediatrician communication on psychosocial issues. The Parent-Scored PSC removed the scoring burden on the medical personnel.
Key words: emotional and behavioral functioning; parent–physician communication; pediatric psychosocial screening; psychosocial problem detection..
Received July 15, 2008; revision received January 14, 2009; accepted February 7, 2009