{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T09:38:09Z","timestamp":1792834689010,"version":"4.5.0"},"reference-count":67,"publisher":"American Academy of Pediatrics (AAP)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Family-centered rounds (FCR) offer opportunities to partner with families but can be inequitable with variable outcomes. Defining teachable communication practices associated with optimal FCR may improve family experience and engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To evaluate associations between clinician-team communication during FCR and caregiver outcomes in a racially and ethnically diverse population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We audio recorded and transcribed FCR. We double coded clinician-communication behaviors, assigned global communication ratings, and counted caregiver participatory behaviors (participation). Caregivers completed postrounds surveys, assessing comfort on rounds and understanding (correctly naming admission diagnosis). We assessed associations between clinician communication and caregiver participation using negative binomial regression. We assessed associations between clinician communication and caregiver-reported comfort and understanding using logistic regression. We adjusted for caregiver age, education, race, and ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Sixty-one caregivers participated (20 white, 20 Black, 19 Latino(a\/x), 2 multiracial). Caregiver participation was higher when clinicians used reflection (active listening) (incidence rate ratio [IRR], 1.95) or supportive talk (IRR, 1.55) or had higher concern ratings (IRR, 1.58). Greater caregiver comfort was associated with clinician reflection (odds ratio [OR], 5.31), information exchange (OR, 4.15), higher ratings of clinician flow (OR, 4.16), respect (OR, 6.25), and partnership (OR, 7.08). Caregiver understanding was higher with more clinician partnership-building (OR, 4.74), higher warmth (OR, 7.50), or partnership ratings (OR, 3.91). All P values were less than .05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Several clinician-communication practices were significantly associated with caregiver outcomes. Significant clinician ratings and behaviors clustered into 2 domains: collaborative communication and emotional connection. Many clinician behaviors occurred rarely, highlighting possible time-efficient targets to improve family experience and engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/hpeds.2025-009106","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T01:49:39Z","timestamp":1783302579000},"page":"671-682","source":"Crossref","is-referenced-by-count":0,"title":["Medical Team Communication on Family-Centered Rounds and Caregiver Outcomes"],"prefix":"10.1542","volume":"16","author":[{"given":"Reilly","family":"Dever","sequence":"first","affiliation":[{"name":"1Department of Pediatrics, School of Medicine, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn I.","family":"Pollak","sequence":"additional","affiliation":[{"name":"2Department of Population Health Sciences, School of Medicine, Duke University, Durham, North Carolina"},{"name":"3Cancer Prevention and Control, Duke Cancer Institute, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadley W.","family":"Reid","sequence":"additional","affiliation":[{"name":"4Department of Obstetrics and Gynecology, Massachusetts General\/Brigham Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly S.","family":"Johnson","sequence":"additional","affiliation":[{"name":"5Department of Medicine, Division of Geriatrics, School of Medicine, Duke University, Durham, North Carolina"},{"name":"6Center for Aging and Human Development, School of Medicine, Duke University, Durham, North Carolina"},{"name":"7Geriatrics Research Education and Clinical Center, Durham Veterans Affairs Medical Center, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura P.","family":"Svetkey","sequence":"additional","affiliation":[{"name":"8Department of Medicine, Division of Nephrology, School of Medicine, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Sooy-Mossey","sequence":"additional","affiliation":[{"name":"9East Carolina Heart Institute, East Carolina University, Greenville, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Kelly","family":"Davis","sequence":"additional","affiliation":[{"name":"10Fuqua School of Business, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria M.","family":"Parente","sequence":"additional","affiliation":[{"name":"11Department of Pediatrics, Division of Hospital Medicine, School of Medicine, Duke University, Durham, North Carolina"},{"name":"12School of Medicine, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"issue":"3","key":"2026102404520993500_r1","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1207\/S15327027HC1603_6","article-title":"Perceptions of health care providers\u2019 communication: relationships between patient-centered communication and satisfaction","volume":"16","author":"Wanzer","year":"2004","journal-title":"Health 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