If you are experiencing problems downloading PDF or HTML fulltext, our helpdesk recommend clearing your browser cache and trying again. If you need help in clearing your cache, please click here . Still need help? Email help@ingentaconnect.com

Parent–physician communication of psychosocial issues: are they talking about the same things?

$20.00 plus tax (Refund Policy)

Buy Article:


Background Effective communication between parents and physicians is critical for physician diagnosis and management of psychosocial problems in children. This study tested the hypothesis that physicians and parents perceive their communication differently, by evaluating the topics that both physicians and parents reported and their agreement about whether psychosocial issues were discussed during a paediatric primary care visit. These reports were compared to independently rated videotapes.

Methods Participants were parents of 54 children between the ages of 3 and 10 years, and their child's primary care physician. The exam was videotaped. Videotapes were rated by trained observers. Parents and physicians completed questionnaires about their discussion of psychosocial information.

Results Parents and physicians included different issues in their definition of psychosocial topics. Kappa statistics indicated that both parent–physician agreement and their agreement with independent ratings of videotapes was poor, with kappa of 0.09 and 0.20 for parent and physician agreement with independent ratings, respectively and 0.35 for parent–physician agreement about discussion of psychosocial issues.

Conclusions Definitions of psychosocial issues appeared to differ between parents and physicians. These findings suggest that asking specific questions about psychosocial functioning may improve communication and help physicians assess information of interest.


Document Type: Research Article

Publication date: September 1, 2005

More about this publication?
Related content



Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more