Priorities in the communication needs of adolescents with psychosocial problems and their parents

Jager, Margot; Winter, Andrea F. de; Metselaar, Janneke; Knorth, Erik J.; Reijneveld, Sijmen A.

doi:10.1111/hex.12259

Cited by 5 publications

(7 citation statements)

References 31 publications

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“…This stresses the importance placed on this aspect by clients in psychosocial care [23], which also holds true for other care settings [24,25]. Our study provides empirical evidence for the assumption that fostering a relationship is important in order to accomplish a productive care process in psychosocial care for children and adolescents [14,[26][27][28].…”

Section: Discussionmentioning

confidence: 55%

Discrepancies between adolescents’ attributed relevance and experiences regarding communication are associated with poorer client participation and learning processes in psychosocial care

Jager

Reijneveld

Metselaar

et al. 2014

Patient Education and Counseling

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Section: Discussionmentioning

confidence: 55%

Discrepancies between adolescents’ attributed relevance and experiences regarding communication are associated with poorer client participation and learning processes in psychosocial care

Jager

Reijneveld

Metselaar

et al. 2014

Patient Education and Counseling

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“…This was unexpected because affective quality of the communication is considered by adolescents in psychosocial care to be the most important communication domain [33], and these needs are often not met [18]. A reason for our finding may be that affective quality has its highest impact on outcomes in the first stage of the care process.…”

Section: Discussionmentioning

confidence: 89%

“…Although patient-centered communication may have a positive effect on health outcomes, evidence as to these associations is very limited [31, 32]. One reason may be that most studies adopt a ‘one way fits all’ approach that fails to take individual patients’ needs into account, whereas we know that not all patients want the same thing [33]. This study used a tailoring approach in measuring patient-centered communication by combining patients’ attributed relevance to communication at the start of treatment and their actual communication experiences during treatment; this may explain our findings.…”

Section: Discussionmentioning

confidence: 99%

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Less reduction of psychosocial problems among adolescents with unmet communication needs

Jager

Reijneveld

Almansa

et al. 2016

Eur Child Adolesc Psychiatry

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Patient-professional communication has been suggested to be a major determinant of treatment outcomes in psychosocial care for children and adolescents. However, the mechanisms involved are largely unknown and no longitudinal studies have been performed. Our aim was, therefore, to assess over the course of 1 year, the impact of patient-centered communication on psychosocial problems of adolescents in psychosocial care, including the routes mediating this impact. We obtained data on 315 adolescents, aged 12–18 years, enrolled in child and adolescent social or mental health care. We assessed patient-centered communication by comparing the needs and experiences of adolescents with regard to three aspects of communication: affective quality, information provision, and shared decision-making. Changes in psychosocial problems comprised those reported by adolescents and their parents between baseline and 1 year thereafter. Potential mediators were treatment adherence, improvement of understanding, and improvement in self-confidence. We found a relationship between unmet needs for affective quality, information provision, and shared decision-making and less reduction of psychosocial problems. The association between the unmet need to share in decision-making and less reduction of psychosocial problems were partially mediated by less improvement in self-confidence (30 %). We found no mediators regarding affective quality and information provision. Our findings confirm that patient-centered communication is a major determinant of treatment outcomes in psychosocial care for adolescents. Professionals should be aware that tailoring their communication to individual patients’ needs is vital to the effectiveness of psychosocial care.Electronic supplementary materialThe online version of this article (doi:10.1007/s00787-016-0901-y) contains supplementary material, which is available to authorized users.

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“…Moreover, previous studies have shown that families who had good, collaborative relationship with the care provider were more likely to be willing to engage in the treatment and remain longer in it ( Hawley and Weisz, 2005 ; Flicker et al, 2008 ). Adding to that, Nobile and Drotar (2003) showed that effective parent-provider communication was associated with parental satisfaction, and adherence to treatment and communication was perceived as the most important factor of care for both parents and adolescents ( Jager et al, 2015 ). Parental training may help to reach better parent-adolescent relationships ( Ozturk et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

The role of parents in the care for adolescents suffering from emotional and behavioral problems

et al. 2022

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BackgroundParents play an important role in the psychosocial care of their children. Previous research has primarily examined their role in care entry, whereas evidence on their role in other stages of the care process is scarce and lacking particularly in regard to the perspective of care providers. Our aim was therefore to examine how psychosocial care providers perceive the role of parents in the process of psychosocial care for adolescents.MethodsWe used data from 25 semi-structured interviews with psychosocial care providers on the roles of parents in the care process. We analyzed data using consensual qualitative research and thematic analysis.ResultsFour main themes were identified: (1) parents as a source of adolescents’ problems; (2) parents trying to escape from responsibility for adolescents with problems; (3) parents as an active part of the care for adolescents; and (4) parents as a barrier to effective care.ConclusionPsychosocial care providers should specifically address the role of the parents in psychosocial care to improve outcomes. Specific interventions are needed to support the involvement of parents in care, as their role is important. Moreover, professionals can be better trained in working with multi-problem families also to resolve some of the negative perceptions of these parents.

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Priorities in the communication needs of adolescents with psychosocial problems and their parents

Cited by 5 publications

References 31 publications

Discrepancies between adolescents’ attributed relevance and experiences regarding communication are associated with poorer client participation and learning processes in psychosocial care

Discrepancies between adolescents’ attributed relevance and experiences regarding communication are associated with poorer client participation and learning processes in psychosocial care

Less reduction of psychosocial problems among adolescents with unmet communication needs

The role of parents in the care for adolescents suffering from emotional and behavioral problems

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