Partnerships Between Parents and Health Care Professionals to Improve Adolescent Health

ArticleinJournal of Adolescent Health 49(1):53-7 · July 2011with5 Reads
DOI: 10.1016/j.jadohealth.2010.10.004 · Source: PubMed
Abstract
Research on partnerships between parents and health care professionals (HCPs) to improve adolescent health is limited. In this study, we have developed an empirically derived framework to guide research in this particular area. We conducted a qualitative study using focus groups and in-depth semi-structured interviews. A total of 85 participants (51 HCPs, 17 mothers of patients of ages 12-18 years, and 17 adolescents) were recruited from three free-standing adolescent health clinics and five school-based health centers across North Carolina. We independently explored the perceptions of HCPs and mothers regarding the roles of parents, HCPs, and parent-HCP partnerships in preventing and addressing adolescent health problems. We then elicited feedback of adolescents on mother and HCP perceptions. We identified common and informative themes during content analysis using ATLAS.ti, and triangulated perspectives of HCPs, mothers, and adolescents to develop a framework for building parent-HCP partnerships to improve adolescent health. A general framework emerged that conceptualizes both direct and indirect strategies for building parent-HCP partnerships. Direct strategies involve strengthening relationships and/or communication between parents and HCPs in both practice and community settings. Indirect strategies involve opportunities for HCPs to influence parent-adolescent relationships and/or communication within the context of adolescent visits. For example, HCPs can discuss the importance of parental involvement and monitoring with adolescents, encourage and facilitate parent-adolescent communication, and deliver tailored parental guidance while also respecting adolescents' desires for confidential health care when appropriate. Interventions that directly strengthen parent-HCP relationships and/or communication, and those that indirectly support parent-HCP partnerships within the context of adolescent health care, should be designed targeting health outcomes.
    • "Parents and professionals may find their relationships are challenged as the balance of power shifts from a professionally dominated to a collaborative paradigm, although some may accomplish common ground during the practice of shared care (Smith, Cheater, Bekker, & Chatwin, 2013; Swallow et al., 2013). @BULLET Build trust, listen to parent concerns, value parents knowledge of their child (Fereday, et al. 2010; Ford, 2011) @BULLET Respecting and being sensitive to individual family's context (Raghavendra, et al. 2007) Supporting parents in their role as care giver @BULLET Provide opportunities for information sharing (Bruce, et al. 2002; Coyne, 2011; Coyne, 2013b; Holm, et al. 2003; Koller, 2006;) @BULLET Facilitate parents to be involved in the child care; clarify and negotiate roles (Coyne, 2011; Holm, et al. 2003; Hughes, 2007) @BULLET Professionals have and share specialised knowledge to support family (Davies, 2012) @BULLET Design services round the child and family needs (Bruce, et al. 2002) @BULLET Maintain contact and going support (Coyne & Cowley, 2007; Ford, 2011) @BULLET Mutual exchange of information about the child's specific health issues (Ford, 2011; Lam, et al. 2006; Lee, 2007) Incorporating parents' expertise into clinical and psychosocial care @BULLET Include and value parents contribution to the care team (Davies, 2012) @BULLET Clear roles and effective inter disciplinary collaboration (Coyne, 2011; MacKean et al. 2005) @BULLET Mutual agreement about roles (Coyne & Cowley, 2007) @BULLET Focus on problem-based communications by listening to the family, drawing on family expertise, responding to family concerns (M??enp???? et al. 2013) Involvement meant that nurses listened to and valued parents' experiences and involving them in diagnosis and treatment decisions was enabled by the actions and attitudes of health professionals (Hummelinck & Pollock, 2006). Effective involvement enables parents to express their opinions using active listening and responding to parents' concerns, building rapport with parents, valuing parents' knowledge and experiences with effective information exchange and mutual care planning. "
    [Show abstract] [Hide abstract] ABSTRACT: Background Fostering effective engagement, collaboration and empowerment are central to supporting parents caring for children with long-term conditions. Methods A concept synthesis was undertaken to identify the shared antecedents and attributes underpinning models of family-centred care and partnership-in-care. Results Thirty studies were reviewed; antecedents of models related to unclear roles, entrenched professional practices, and lack of guidelines supporting their implementation; with central attributes being building trust, listening to parent concerns and valuing parents’ knowledge of their child. Conclusion The key attributes are outlined in a practical framework of involvement which may promote parent-professional collaboration for families of children with long-term conditions.
    Full-text · Article · Oct 2014
    • "Promising interventions might involve building strong collaborations between healthcare providers and parents to achieve desired health outcomes among adolescents. (Ford, Davenport, Meier, & McRee, 2011). In addition, service providers should consider efforts to increase parental awareness of the need for preventive health visits during adolescence, because many parents do not recognize this need if immunizations or sports physicals are not required. "
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