Which African American mothers disclose psychosocial issues to their pediatric providers?
Which African American mothers disclose psychosocial issues to their pediatric providers?
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DOI：
10.1016/j.acap.2014.03.002
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发表时间：
2014-07
影响因子：
3.1
通讯作者：
Horn, Ivor B.
中科院分区：
文献类型：
--
作者：
Godoy, Leandra;Mitchell, Stephanie J.;Shabazz, Kanya;Wissow, Larry S.;Horn, Ivor B.
确定父母在与孩子的儿科医生沟通时的自我效能是否与非裔美国母亲在儿科初级保健访问期间披露的心理社会问题相关。自我认定的非裔美国母亲（N = 231）的儿童2-5岁，从八个城市儿科初级保健的做法在华盛顿，DC大都市区招募。访问被录音，家长在24小时内完成电话调查。产妇披露的心理社会问题和自我效能感与他们的孩子的供应商进行了测量，分别使用Roter干扰分析系统（RIAS）和患者-医生互动的感知效能（PEPPI）。32%的母亲透露了心理社会问题。与那些没有披露的母亲相比，披露的母亲更有可能报告与孩子的提供者沟通的最大自我效能水平（50%对35%; p = 0.02）。在母亲透露心理社会问题的访问期间，观察到提供者提供更多的心理社会信息（M = 1.52 vs. 1.08话语每分钟，p = 0.002），并提出更少的医疗问题（M = 1.76 vs. 1.99话语每分钟，p = 0.05）比在访问期间，母亲没有透露。低收入母亲的自我效能感与自我表露之间的关联显著（OR = 5.62，p <0.01），但高收入母亲的自我效能感与自我表露之间的关联不显著。研究结果表明，努力提高父母的自我效能与他们的孩子的儿科医生沟通可能会增加父母的可能性披露的心理社会问题。这些努力可能会提高识别和解决心理社会问题的比率，特别是在低收入的非洲裔美国人患者中。
To determine if parent’s self-efficacy in communicating with their child’s pediatrician is associated with African American mothers’ disclosure of psychosocial concerns during pediatric primary care visits. Self-identified African American mothers (N = 231) of children 2–5 years were recruited from eight urban pediatric primary care practices in the Washington, DC metropolitan area. Visits were audio-recorded and parents completed phone surveys within 24 hours. Maternal disclosure of psychosocial issues and self-efficacy in communicating with their child’s provider were measured using the Roter Interactional Analysis System (RIAS) and the Perceived Efficacy in Patient-Physician Interactions (PEPPI) respectively. Thirty-two percent of mothers disclosed psychosocial issues. Mothers who disclosed were more likely to report maximum levels of self-efficacy in communicating with their child’s provider compared to those who did not disclose (50% vs. 35%; p = .02). During visits in which mothers disclosed psychosocial issues, providers were observed to provide more psychosocial information (M = 1.52 vs. 1.08 utterances per minute, p = 0.002) and ask fewer medical questions (M = 1.76 vs. 1.99 utterances per minute, p = 0.05) than during visits in which mothers did not disclose. The association between self-efficacy and disclosure was significant among low-income mothers (OR = 5.62, p < .01), but not higher-income mothers. Findings suggest that efforts to increase parental self-efficacy in communicating with their child’s pediatrician may increase parents’ likelihood of disclosing psychosocial concerns. Such efforts may enhance rates of identifying and addressing psychosocial issues, particularly among lower-income African American patients.
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影响因子：
8
作者：
Guerrero, Alma D.;Rodriguez, Michael A.;Flores, Glenn
通讯作者：
Flores, Glenn
影响因子：
3.1
作者：
Horn, Ivor B.;Mitchell, Stephanie J.;Wissow, Lawrence S.
通讯作者：
Wissow, Lawrence S.
影响因子：
5.1
作者：
Tarini, Beth A.;Christakis, Dimitri A.;Lozano, Paula
通讯作者：
Lozano, Paula
影响因子：
2
作者：
Gross, Deborah;Fogg, Louis;Richardson, Reginald
通讯作者：
Richardson, Reginald
影响因子：
5.1
作者：
O'Malley, AS;Sheppard, VB;Mandelblatt, J
通讯作者：
Mandelblatt, J