This aforementioned ventriloquist parental role described above often comes from a real need to ensure that the doctor knows everything that has gone on at home and the strong belief that something will be missed if the young person is allowed to speak for themselves. One strategy to address this is to encourage the parent to prepare for each visit. A simple exercise is detailed in Table 2 to aid such discussions and is based on templates used in the OnTrac program at the Children's Hospital in Vancouver (32) and the adolescent rheumatology transition program described by McDonagh et al. (33).
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