Dr. John M. Purvis suggests using four Es to engage the child in health care matters. The four Es are:

The four Es suggested by Dr. John M. Purvis—encouragement, empathy, enlistment, and education—are fundamental in engaging children in their health care decisions.

Encouragement is crucial as it helps build a supportive environment where children feel motivated to participate in their own health care. Empathy allows health care providers to connect with young patients on an emotional level, making them feel understood and more willing to engage. Enlistment involves actively involving children in their care processes, reinforcing their role and responsibility in managing their health. Education equips them with the knowledge necessary to make informed decisions about their health, promoting a sense of autonomy and confidence.

This combination creates a holistic approach to pediatric health care that prioritizes the child's voice and understanding, ultimately leading to better health outcomes. The other options incorporate terms that do not align with the established four Es framework, either substituting key concepts or introducing less relevant terms that do not effectively convey the intended strategies for engagement in child health care.