Clinic consultations with children and parents on the dietary management of cystic fibrosis

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dc.contributor.author Savage, Eileen
dc.contributor.author Callery, Peter
dc.date.accessioned 2012-11-20T16:39:43Z
dc.date.available 2012-11-20T16:39:43Z
dc.date.copyright 2007
dc.date.issued 2007
dc.identifier.citation Savage, E. & Callery, P. (2007). 'Clinic consultations with children and parents on the dietary management of cystic fibrosis'. Social Science & Medicine, 64, 363-374. http://dx.doi.org/10.1016/j.socscimed.2006.09.003 en
dc.identifier.volume 64 en
dc.identifier.issued 2 en
dc.identifier.startpage 363 en
dc.identifier.endpage 374 en
dc.identifier.issn 0277-9536
dc.identifier.uri http://hdl.handle.net/10468/789
dc.identifier.doi 10.1016/j.socscimed.2006.09.003
dc.description.abstract The aim of this paper is to examine clinic consultations on the dietary management of cystic fibrosis with particular consideration to the role of children.  The role of parents is also examined to determine how their involvement impacts on the role of children during consultations. The data are drawn from interviews with 32 Irish school aged children with cystic fibrosis and their parents, and participant observations during clinic consultations with a sub-group of 21 children. Data were analysed concurrently with data collection using a method of constant comparison, which involved comparing and contrasting incidents in the data to develop themes. Theoretical sampling was used to further explore and develop emergent themes. Discourse analysis was applied to clinic conversations. Children were seen to have little active involvement during consultations leaving them marginalised as conversations were directed at parents primarily and their accounts were privileged over those of children. A surveillance approach to consultations  involving interrogative style questioning and generally closed conversations  was seen to contribute to the marginalised position of children. In addition, dietary advice limited children s involvement because it was of little relevance to children s understandings of being healthy and to the dietary implications of these. The findings highlight a need to acknowledge children as active participants in their dietary care. Implications for developing a child-centred approach to dietary consultations are discussed including implications for working with children towards improved health outcomes of managing CF diet.     en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Elsevier en
dc.relation.uri http://www.sciencedirect.com/science/article/pii/S0277953606004692
dc.rights Copyright © 2007, Elsevier. NOTICE: this is the author’s version of a work that was accepted for publication in Social Science & Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Social Science & Medicine, [64, January 2007] http://dx.doi.org/10.1016/j.socscimed.2006.09.003 en
dc.subject Cystic fibrosis en
dc.subject Ireland en
dc.subject Diet en
dc.subject Partnerships en
dc.subject Role of children and parents en
dc.subject Clinic consultations en
dc.subject.lcsh Cystic fibrosis in children en
dc.title Clinic consultations with children and parents on the dietary management of cystic fibrosis en
dc.type Article (peer-reviewed) en
dc.internal.authorurl http://research.ucc.ie/profiles/C014/esavage en
dc.internal.authorcontactother Eileen Savage, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: e.savage@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2012-11-09T23:31:10Z
dc.description.version Accepted Version en
dc.internal.rssid 727794
dc.contributor.funder Nursing and Midwifery Board of Ireland en
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Social Science & Medicine en
dc.internal.copyrightchecked No en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress e.savage@ucc.ie en


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