Non-antibiotic treatment recommendations: Delivery formats and implications for 
parent resistance

Stivers, Tanya

doi:10.1016/j.socscimed.2004.06.040

Item

ITEM ACTIONSEXPORT

Add to Basket

Local TagsRelease HistoryDetailsSummary

Released

Journal Article

Non-antibiotic treatment recommendations: Delivery formats and implications for parent resistance

MPS-Authors

/persons/resource/persons177

Stivers, Tanya
Language and Cognition Group, MPI for Psycholinguistics, Max Planck Society;
Multimodal Interaction, MPI for Psycholinguistics, Max Planck Society;

External Resource

No external resources are shared

Fulltext (restricted access)

There are currently no full texts shared for your IP range.

Fulltext (public)

Stivers_2005_non-antibiotic.pdf
(Publisher version), 611KB

Supplementary Material (public)

There is no public supplementary material available

Citation

Stivers, T. (2005). Non-antibiotic treatment recommendations: Delivery formats and implications for parent resistance. Social Science & Medicine, 60(5), 949-964. doi:10.1016/j.socscimed.2004.06.040.

Cite as: https://hdl.handle.net/11858/00-001M-0000-0013-1E49-7

Abstract

This study draws on a database of 570 community-based acute pediatric encounters in the USA and uses conversation analysis as a methodology to identify two formats physicians use to recommend non-antibiotic treatment in acute pediatric care (using a subset of 309 cases): recommendations for particular treatment (e.g., “I’m gonna give her some cough medicine.”) and recommendations against particular treatment (e.g., “She doesn’t need any antibiotics.”). The findings are that the presentation of a specific affirmative recommendation for treatment is less likely to engender parent resistance to a non-antibiotic treatment recommendation than a recommendation against particular treatment even if the physician later offers a recommendation for particular treatment. It is suggested that physicians who provide a specific positive treatment recommendation followed by a negative recommendation are most likely to attain parent alignment and acceptance when recommending a non-antibiotic treatment for a viral upper respiratory illness.