Children and Asthma: Communication and Outcomes

儿童与哮喘：沟通和结果

• 批准号: 7101946
• 负责人: Betsy Lynn Sleath
• 金额: $ 42.96万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7101946
• 关键词: adolescence (12-20); asthma; audiotape; caregivers; clinical research; communication; health behavior; human subject; interview; middle childhood (6-11); patient care personnel relations; pediatrics; questionnaires; respiratory airflow measurement; satisfaction; spirometry; therapy compliance

DESCRIPTION (provided by applicant): The project is focused on a neglected area within children's health services research, the relationship between provider-child-caregiver communication during pediatric asthma visits and treatment adherence. Treatment adherence comprises medication adherence, symptom monitoring, and environmental trigger control. Identification of effective communication strategies is important for future intervention research. Thirty-five physicians and their nurses and 360 English-speaking child-caregiver pairs will be recruited at eight pediatric clinics. Children will be eligible if they are between 8 and 15 years of age, have mild, moderate, or severe persistent asthma and have previously visited this clinic at least once before for asthma. Caregivers will be eligible if they are at least 18 years of age and live with the child with asthma. Consent and assent to participate will be obtained from the caregivers and children respectively. Physicians and nurses will fill out a demographic questionnaire at the start of the study. Following enrollment into the study, the children will have their medical visits audio-taped. The children will be interviewed after their medical visits, asked to demonstrate inhaler and peak flow technique, and assessment of their lung function will occur using spirometry. The children's caregivers will fill out questionnaires after these medical visits. A home visit will occur one month after the audio-taped visit. Children will be interviewed during the home visits, asked to demonstrate inhaler and peak flow technique a second time, and have their lung function examined using spirometry. Caregivers will fill out questionnaires. Generalized estimating equations will be used to examine how physician and nurse communication about asthma management, modeling of asthma care behaviors, and engagement of the child and caregiver during medical visits, are related to treatment adherence.

描述（由申请人提供）：该项目重点关注儿童健康服务研究中被忽视的领域，即小儿哮喘就诊期间提供者-儿童-护理人员沟通与治疗依从性之间的关系。治疗依从性包括药物依从性、症状监测和环境触发控制。确定有效的沟通策略对于未来的干预研究很重要。八个儿科诊所将招募 35 名医生及其护士以及 360 名会说英语的儿童护理人员。如果儿童年龄在 8 至 15 岁之间，患有轻度、中度或重度持续性哮喘，并且之前因哮喘至少到过该诊所一次，则符合资格。如果看护者年满 18 岁并且与患有哮喘的孩子住在一起，他们就有资格。参与将分别获得看护者和儿童的同意和同意。医生和护士将在研究开始时填写人口统计调查问卷。参加研究后，孩子们的医疗就诊将被录音。孩子们将在就诊后接受采访，要求展示吸入器和峰值流量技术，并使用肺活量测定法评估他们的肺功能。孩子们的照顾者将在这些医疗访问后填写调查问卷。录音访问后一个月将进行一次家访。孩子们将在家访期间接受采访，要求再次演示吸入器和峰值流量技术，并使用肺活量测定法检查他们的肺功能。护理人员将填写调查问卷。广义估计方程将用于检查医生和护士关于哮喘管理的沟通、哮喘护理行为的建模以及就诊期间儿童和护理人员的参与如何与治疗依从性相关。