What is it about?

This study explored the perceptions and perspectives of parents and children regarding the use of otoendoscope images in outpatient ENT consultations. The use of real-time imaging and photographs and engagement in dialogue with clinicians was found to support children's agency, health literacy and inform decision-making. The clinicians' communication skills and ability to create a non-intimidating environment facilitated children's participation. Parents and children valued the real-time images and photographs as these contributed to attention, comprehension, recall, and adherence. The study concluded that using images supported understanding and decision-making but was not the only factor involved.

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Why is it important?

The research is important because it explores the perceptions, perspectives, and satisfaction of parents and children regarding the use of otoendoscope images in outpatient ENT consultations. The study emphasizes the value of otoendoscopy images in strengthening parents and children's understanding and decision-making in a paediatric ENT clinic. Key Takeaways: 1. Health literacy of both parents and children is crucial for understanding, meaning-making, and making informed decisions. 2. Real-time otoendoscopic imaging and photographs contribute to engagement, participation, and health literacy agency in paediatric ENT consultations. 3. The use of real-time visual images facilitates attention, comprehension, recall, and adherence, and this ultimately supports decision-making. 4. While the images are valuable, clinicians' expertise in tailoring communication plays a core role in the success of consultations. 5. The study highlights the importance of grounding perceptions and deepening engagement through real-time imaging, providing a boundary to the imagination and showing the reality of the child's condition.

Perspectives

This study was generated by the ENT clinicians who wanted to examine the value of using real-time images in their clinics. They suspected that these images could help children and parents make decisions about any treatment and also provide clarity about what their child's eardrum looked like and provide reassurance when the eardrum was healthy and no action needed to be taken. This study is the first of its kind to explore the views of children and parents about real-time otoendoscope images and it provides isights into the value of real-time images as scaffolding for clinical explanations in other settings.

Professor Bernie Carter
Edge Hill University

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This page is a summary of: Grounding perceptions: the value of otoendoscopy images in strengthening parents and children's understanding and decision making in a pediatric ENT clinic, Frontiers in Communication, September 2023, Frontiers,
DOI: 10.3389/fcomm.2023.1215262.
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