Adam Gyedu, Adamu Issaka, Anthony Baffour Appiah, Peter Donkor, Charles Mock
Care of Injured Children Compared to Adults at District and Regional Hospitals in Ghana and the Impact of a Trauma Intake Form: A Stepped-Wedge Cluster Randomized Trial
Journal of pediatric surgery
building therapeutic relationships social presence challenging digital services maybe even difficult written services despite difficulties inperson care may feasible accessible situations study aims categorize crisis counselors efforts build rapport written conversations using deidentified conversation transcripts text chat arms national child abuse hotline using categories identify common characteristics successful conversations defined success conversations helpseekers reported hotline good way seek help lot hopeful lot informed lot prepared address situation experiencing less stress reported helpseekers sample consisted transcripts 314 purposely selected conversations 1153 text chat conversations july 2020 hotline users answered preconversation survey ie demographics postconversation survey ie perceptions conversation used qualitative content analysis process conversations active listening skills including asking questions paraphrasing reflecting feelings interpreting situations commonly used counselors validation unconditional positive regard evaluationbased language praise apologies also often used compared less successful conversations successful conversations tended include fewer statements attend emotional dynamics qualitative differences counselors applied approaches generally crisis counselors positive conversations tended specific tailor comments situation building therapeutic relationships social presence essential digital interventions involving mental health professionals prior research demonstrates challenging develop written conversations work demonstrates characteristics associated successful conversations could adopted written helpseeking interventions