Table 4.

Supporting Quotations

	Parent	Physician
Treatment Decision Influences	“…I don’t like seeing them sick. So, I just think I just kind of jump into where I’m like, Doctor, just give me something for them.” “I think that it’ll get worse and they can lose their hearing and all kinds of stuff, so it’s better to get it started.” “…if they were also very expensive..I’ll probably wait a little bit longer… and see if she could clear the infection herself.” “I think it would really depend on the age of the child like if they were in daycare because I know a lot of facilities won’t even let you bring them back unless you get treatment regardless of what the doctor says.”	“Based on it’s gone on for a week…the child is clearly suffering from, you know, no sleep the other night and there’s evidence of inflammation in the ear.” “There’s also the social factor for the parent that they’re missing day after day of work and it produces an extremely hard financial stress on the family.” “Often kids in daycare whose parents work full time, they would like to do whatever they can do to fix this as quickly as possible.” “…..because my families don’t know how to access the health care system that well, so they don’t typically speak English. And so they can’t call me two days later….”
Reaction to Obesity Risk	“”…your child is still sick. You need something to get you better, whether you get obese or not.” “I would give them the medication because you can, I mean, prevent them from being obese.” “There’s the park, pool, gym, all kinds of sort of stuff, so I will still take [the antibiotic].” “I will change eating habits…and things like that so that we can counter the effects of [the antibiotic].” “…if you start to see signs that your son or daughter is starting to get obese, that’s where the parents take control.”	“Well I can help this child now with a possible theoretical risk down the road, which to me even be able to negate if they do probiotics or if they eat well and exercise versus just getting nothing.” “…that would be another piece of ammunition to potentially avoid antibiotics.”
Degree of Risk of Obesity that Matters	“If you tell me it’s a 75% chance, that’s one thing. You tell me it’s an increase like 5% chance of the normal population, that’s not bad.” “….if there’s a 20% chance, I would start thinking about it.”	“I think it would have to be very, very big. It would have to be the sentinel study that disproves that all that stuff [that causes obesity] matters and it was really antibiotics.” “I’d say your risk is up by more than 50%” “I would prefer to see a causal relationship with no confounding factors.”