Conversation Analysis of Clients’ Active Resistance to Veterinarians’ Proposals for Long-Term Dietary Change in Companion Animal Practice in Ontario, Canada
The impact of nutrition on animal health requires effective diet-related treatment recommendations in veterinary medicine. Despite low reported rates of veterinary clients’ adherence with dietary recommendations, little is known about how clients’ resistance to nutritional proposals is managed in th...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-06-01
|
| Series: | Animals |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-2615/13/13/2150 |
| _version_ | 1797592217827672064 |
|---|---|
| author | Clare MacMartin Hannah Wheat Jason B. Coe |
| author_facet | Clare MacMartin Hannah Wheat Jason B. Coe |
| author_sort | Clare MacMartin |
| collection | DOAJ |
| description | The impact of nutrition on animal health requires effective diet-related treatment recommendations in veterinary medicine. Despite low reported rates of veterinary clients’ adherence with dietary recommendations, little is known about how clients’ resistance to nutritional proposals is managed in the talk of veterinary consultations. This conversation-analytic study investigated clients’ active resistance to veterinarians’ proposals for long-term changes to cats’ and dogs’ diets in 23 segments from 21 videotaped appointments in Ontario, Canada. Clients’ accounts suggested the proposals themselves or nutritional modifications were unnecessary, inappropriate, or unfeasible, most often based on patients’ food preferences, multi-pet feeding issues, current use of equivalent strategies, or current enactment of the proposed changes. Resistance arose when veterinarians constructed proposals without first gathering relevant diet- and patient-related information, soliciting clients’ perspectives, or educating them about the benefits of recommended changes. Veterinarians subsequently accommodated clients’ concerns more often when resistance involved patient- or client-related issues rather than clients’ lack of medical knowledge. The design of subsequent proposals accepted by clients frequently replaced dietary changes in the initial proposals with nutritional or non-nutritional alternatives and oriented to uncertainty about adherence. This study provides evidence-based findings for developing effective communication training and practice guidelines in nutritional assessment and shared decision-making. |
| first_indexed | 2024-03-11T01:48:21Z |
| format | Article |
| id | doaj.art-aa34706c313240c1bdf74b6b26722d44 |
| institution | Directory Open Access Journal |
| issn | 2076-2615 |
| language | English |
| last_indexed | 2024-03-11T01:48:21Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Animals |
| spelling | doaj.art-aa34706c313240c1bdf74b6b26722d442023-11-18T16:03:43ZengMDPI AGAnimals2076-26152023-06-011313215010.3390/ani13132150Conversation Analysis of Clients’ Active Resistance to Veterinarians’ Proposals for Long-Term Dietary Change in Companion Animal Practice in Ontario, CanadaClare MacMartin0Hannah Wheat1Jason B. Coe2Department of Family Relations and Applied Nutrition, University of Guelph, 50 Stone Road East, Guelph, ON N1G 2W1, CanadaCommunity and Primary Care Research Group, Faculty of Health, University of Plymouth, Plymouth PL4 8AA, Devon, UKDepartment of Population Medicine, University of Guelph, 50 Stone Road East, Guelph, ON N1G 2W1, CanadaThe impact of nutrition on animal health requires effective diet-related treatment recommendations in veterinary medicine. Despite low reported rates of veterinary clients’ adherence with dietary recommendations, little is known about how clients’ resistance to nutritional proposals is managed in the talk of veterinary consultations. This conversation-analytic study investigated clients’ active resistance to veterinarians’ proposals for long-term changes to cats’ and dogs’ diets in 23 segments from 21 videotaped appointments in Ontario, Canada. Clients’ accounts suggested the proposals themselves or nutritional modifications were unnecessary, inappropriate, or unfeasible, most often based on patients’ food preferences, multi-pet feeding issues, current use of equivalent strategies, or current enactment of the proposed changes. Resistance arose when veterinarians constructed proposals without first gathering relevant diet- and patient-related information, soliciting clients’ perspectives, or educating them about the benefits of recommended changes. Veterinarians subsequently accommodated clients’ concerns more often when resistance involved patient- or client-related issues rather than clients’ lack of medical knowledge. The design of subsequent proposals accepted by clients frequently replaced dietary changes in the initial proposals with nutritional or non-nutritional alternatives and oriented to uncertainty about adherence. This study provides evidence-based findings for developing effective communication training and practice guidelines in nutritional assessment and shared decision-making.https://www.mdpi.com/2076-2615/13/13/2150adherencecommunicationcomplianceconversation analysisdecision-makingtreatment recommendations |
| spellingShingle | Clare MacMartin Hannah Wheat Jason B. Coe Conversation Analysis of Clients’ Active Resistance to Veterinarians’ Proposals for Long-Term Dietary Change in Companion Animal Practice in Ontario, Canada Animals adherence communication compliance conversation analysis decision-making treatment recommendations |
| title | Conversation Analysis of Clients’ Active Resistance to Veterinarians’ Proposals for Long-Term Dietary Change in Companion Animal Practice in Ontario, Canada |
| title_full | Conversation Analysis of Clients’ Active Resistance to Veterinarians’ Proposals for Long-Term Dietary Change in Companion Animal Practice in Ontario, Canada |
| title_fullStr | Conversation Analysis of Clients’ Active Resistance to Veterinarians’ Proposals for Long-Term Dietary Change in Companion Animal Practice in Ontario, Canada |
| title_full_unstemmed | Conversation Analysis of Clients’ Active Resistance to Veterinarians’ Proposals for Long-Term Dietary Change in Companion Animal Practice in Ontario, Canada |
| title_short | Conversation Analysis of Clients’ Active Resistance to Veterinarians’ Proposals for Long-Term Dietary Change in Companion Animal Practice in Ontario, Canada |
| title_sort | conversation analysis of clients active resistance to veterinarians proposals for long term dietary change in companion animal practice in ontario canada |
| topic | adherence communication compliance conversation analysis decision-making treatment recommendations |
| url | https://www.mdpi.com/2076-2615/13/13/2150 |
| work_keys_str_mv | AT claremacmartin conversationanalysisofclientsactiveresistancetoveterinariansproposalsforlongtermdietarychangeincompanionanimalpracticeinontariocanada AT hannahwheat conversationanalysisofclientsactiveresistancetoveterinariansproposalsforlongtermdietarychangeincompanionanimalpracticeinontariocanada AT jasonbcoe conversationanalysisofclientsactiveresistancetoveterinariansproposalsforlongtermdietarychangeincompanionanimalpracticeinontariocanada |