To reduce antibiotic use, clinical guidelines recommend treating many pediatric ear infections with watchful waiting (WW), which entails parents managing children’s symptoms while waiting to see if the infection will resolve without antibiotics. This study examines providers’ WW advice in recorded medical visits (n = 28), focusing on five communication elements specified by guidelines and consistent with advice response theory. Results suggest directions for improving providers’ delivery of WW advice and are discussed with regard to theory.

中文翻译：

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小儿耳部感染的“警惕等待”建议

为了减少抗生素的使用，临床指南建议通过观察等待 (WW) 治疗许多小儿耳部感染，这需要父母在等待观察感染是否会在没有抗生素的情况下解决的同时控制孩子的症状。本研究在记录的医疗访问（n = 28）中检查提供者的 WW 建议，重点关注指南指定的五个沟通要素，并与建议响应理论一致。结果提出了改进提供者提供 WW 建议的方向，并就理论进行了讨论。