Research Article

Development and Validation of Online Textual Pediatrician-Parent Communication Instrument Based on the SEGUE Framework

Table 1

Dimensions and items of the OPPC instrument and the incidence of OPPC items.

DimensionsOPPC itemsCategory Incidence rate (%) or mean

Set the stage1. Parent’s explanation of initiation of symptoms or disease36
2. Parent’s explanation of symptoms or disease duration36
3. Parent’s explanation of disease progression39

Elicit information4. Pediatrician asks parent how health problems affect the child’s life21
5. Discuss how health problems affect the child’s life29
6. Pediatrician asks about physical/physiological factors31
7. Discuss physical/physiological factors41
8. Pediatrician asks about how the child’s lifestyle affects health problems22
9. Discuss the child’s lifestyle relevant to health problems with parent32

Give information10. Pediatrician educates parents about the child’s health according to physical examination results57
11. Parent gives information about physical examination results56
12. Pediatrician gives information about the child’s health status68

Understand the patient’s perspective13. Parent acknowledges pediatrician’s effort71
14. Frequencies of social talks (pediatrician)2.18
15. Frequencies of social talks (parent)1.91

The overall incidence rate of parent-dominated and cooperative items46.9
The overall incidence rate of pediatrician-dominated items39.6

  ① parent-dominated item, ② pediatrician-dominated item, and ③ cooperative item.
Calculated by the number of “YES” of the item/490.
Calculated by the sum of the frequencies of social talks/490.
Calculated by the sum of the numbers of “YES” of parent-dominated and cooperative items/ (the number of parent-dominated and cooperative items 490).
Calculated by the sum of the numbers of “YES” of pediatrician-dominated items/ (the number of pediatrician-dominated items 490).