@article{ref1,
title="Youth friendly communication in a transition clinic aimed at adolescents with chronic illness",
journal="International journal of adolescent medicine and health",
year="2017",
author="Hanghøj, Signe and Boisen, Kirsten A. and Schmiegelow, Kjeld and Hølge-Hazelton, Bibi",
volume="32",
number="1",
pages="/j/ijamh.2020.32.issue-1/ijamh",
abstract="Background Good communication skills are considered a cornerstone in a &quot;youth friendly approach&quot;. However, research in the field as well as transition guidelines only sparsely explain what doctor-patient communication involves. Furthermore, only few guidelines exist regarding concrete communication skills for health professionals who want to apply a youth friendly communication approach to their practice. <br><br>OBJECTIVE To examine how health professionals trained in adolescent medicine practise a youth friendly approach when communicating with adolescents with chronic illness. <br><br>METHODS Data from 10 non-participation observations of transition consultations with adolescents with juvenile idiopathic arthritis (JIA) were analysed using a qualitative positioning analysis approach focusing on the health professionals' reflexive and interactive positionings as well as the décor of the consultation room. <br><br>RESULTS The health professionals in the transition clinic positioned the adolescent patients as independent interlocutors, children, and adolescents, and they positioned themselves as imperfect/untraditional, appreciative and non-judgmental. The positionings were based on a number of linguistic tools such as affirmation, recognition, examples, asking for the adolescents' own expert knowledge and the décor. The health professionals actively negotiated power. <br><br>CONCLUSION Positionings and linguistic tools were inspired by youth friendly tools including the HEADS (Home Education/Eating Activities Drugs Sex/Safety/Self harm) interview, motivational interviewing, and an adolescent medicine practice. A central component was negotiating of power. Limitations of the study include a risk of too positive interpretations of data, i.e. because of the presence of the observer, who could have affected the health professionals' positionings.<p /><p>Language: en</p>",
language="en",
issn="0334-0139",
doi="10.1515/ijamh-2017-0083",
url="http://dx.doi.org/10.1515/ijamh-2017-0083"
}