"Watchful Waiting" Advice for Pediatric Ear Infections. (June 2020)

• Record Type: Journal Article
• Authors: MacGeorge, Erina L.; Foley, Kasey A.; Firgens, Emily P. C.; Vanderbilt, Rachel R.; Worthington, Amber K.; Hackman, Nicole M.
• Other Names: MacGeorge Erina L. guest-editor.
• Is Part Of: Journal of language and social psychology. Volume 39:Number 3(2020)
• Page Start: 414
• Page End: 424
• Publication Date: 2020-06
• Subjects: advice -- ear infection -- acute otitis media -- watchful waiting -- antibiotic stewardship -- provider–patient communication; Sociolinguistics -- Periodicals; Psycholinguistics -- Periodicals; 401.905
• DOI: 10.1177/0261927X20912292
• Languages: English
• ISSNs: 0261-927X

Abstract

To reduce antibiotic use, clinical guidelines recommend treating many pediatric ear infections with watchful waiting (WW), which entails parents managing children's symptoms while waiting to see if the infection will resolve without antibiotics. This study examines providers' WW advice in recorded medical visits ( n = 28), focusing on five communication elements specified by guidelines and consistent with advice response theory. Results suggest directions for improving providers' delivery of WW advice and are discussed with regard to theory.