“…In some cases of health services, such as pediatric assistance, communication occurs necessarily between the health professional, patient and caregiver, a triadic interaction that requires specific abilities from pediatricians (Gabe, Olumide, & Bury, 2004;Howells, Davies, & Silverman, 2006;Howells & Lopez, 2008;McGraw et al, 2012;Nobile & Drotar, 2003;Tates & Meeuwesen, 2001). Although children's participation has been increasing, these patients remain excluded from interaction and their participation is restricted to 2 to 14% of the communicative process (Tates & Meeuwesen, 2001) during small talk or when providing basic information (Coyne, 2008;Hallström, 2004;Nobile & Drotar, 2003;Nova, Vegni, & Moja, 2005;Rotenberg et al, 2008;Tates, Elbers, Meeuwesen, & Bensing, 2002a;Tates, Meeuwesen, Elbers, & Bensing, 2002b;Van Dulmen, 2004;Van Dulmen & Holl, 2000;Vaknin & Zisk-Rony, 2010;Wissow & Kimel, 2002). However, four-year-old children already understand basic information related to self care, identify symptoms, have doubts, experience emotional issues related to the treatment and may feel guilty about the disease (Buckley & Savage, 2010;Gordon et al, 2010;Knighting, Rowa-Dewar, Malcolm, Kearney, & Gibson, 2010;Märtenson, Fägerskiöld, & Berteró, 2007;Nova et al, 2005;Vatne, Slaughter, & Ruland, 2010).…”