Evidence map›Paper›PMID 38760699›Full record

ArticleBMC primary care2024

They are my worries, so it's me the doctor should listen to-adolescent males' experiences of consultations with general practitioners.

Johanna Haraldsson, Linus Johnsson, Ylva Tindberg, Per Kristiansson, Lena Nordgren

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Johanna HaraldssonDepartment of Public Health and Caring Sciences/Family Medicine and Preventive Medicine, Uppsala University, Box 564, SE-751 22, Uppsala, Sweden. johanna.haraldsson@pubcare.uu.se.
Linus JohnssonCentre for Clinical Research Sörmland / Uppsala University, Mälarsjukhuset, SE-631 88, Eskilstuna, Sweden.
Ylva TindbergCentre for Clinical Research Sörmland / Uppsala University, Mälarsjukhuset, SE-631 88, Eskilstuna, Sweden.
Per KristianssonDepartment of Public Health and Caring Sciences/Family Medicine and Preventive Medicine, Uppsala University, Box 564, SE-751 22, Uppsala, Sweden.
Lena NordgrenDepartment of Public Health and Caring Sciences/Family Medicine and Preventive Medicine, Uppsala University, Box 564, SE-751 22, Uppsala, Sweden.

Funding

The Centre for Clinical Research Sörmland, Uppsala University, Sweden DLL-941666, DLL-969540 and DLL-981786.
6 · The paper itself

Abstract

backgroundMany adolescent males visit a general practitioner regularly, yet many report unmet health needs and negative experiences. This indicates a gap between provided healthcare and the needs of adolescent males. In order to improve adolescent males' possibilities to discuss their health concerns with general practitioners, the study's aim was to explore and describe how adolescent males understand and assign meaning to their experiences of consultations with general practitioners.

methodsThis qualitative study was conducted at two healthcare centres in mid-Sweden in 2022. Nine males 15 to 19 years old described their experiences in semi-structured interviews immediately after consulting a general practitioner, regardless of reason for the consultation and whether or not accompanied by a parent. The analysis was guided by thematic analysis according to Braun & Clarke and reflective lifeworld theory's concepts of openness and sensitivity.

resultsOne overarching theme, To be listened to, and three themes were developed: To handle insecurity and uneasiness, To be understood and cared for, and To get parental support on his terms. In a good appointment, the general practitioner cares about him, listens attentively, and takes him seriously. More importantly, the general practitioner's understanding permeates the consultation, so that all aspects of it is adapted to him. The adolescent males doubted their ability to express themselves and to understand what would happen in the consultation, and therefore feared being dismissed without receiving any help. Such difficulties may be due to unfinished neurocognitive development and inexperience. They struggled with embarrassment, partly due to notions of masculinity, and strived to balance their needs of parental support, privacy, and being the one that the doctor listens to.

conclusionsWe argue that adolescent males are particularly vulnerable due to on-going neurocognitive and emotional development, inexperience, and notions of masculinity. However, good experiences can be generated through rather simple means. Adolescent males need individual adaptations demonstrating that they are cared for, understood and taken seriously. Furthermore, they need an unhurried pace to facilitate understanding, verbal affirmations to mitigate embarrassment, and help in navigating parental involvement.

Indexed as

General PractitionersPhysician-Patient RelationsQualitative ResearchAdolescentHumansInterviews as TopicMaleReferral and ConsultationSwedenYoung AdultAdolescent medicineAdolescentsFamily practiceGeneral practitionersPhysician-patient relationsQualitative researchSweden

Identifiers

PMID38760699
PMCPMC11102250

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.