A Problem-Solving Intervention for Children with Persistent Asthma: A Pilot of a Randomized Trial at a Pediatric Summer Camp
A Problem-Solving Intervention for Children with Persistent Asthma: A Pilot of a Randomized Trial at a Pediatric Summer Camp
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DOI：
10.1080/02770903.2010.514633
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发表时间：
2010-11-01
影响因子：
1.9
通讯作者：
Barakat, Lamia P.
中科院分区：
文献类型：
--
作者：
Pulgaron, Elizabeth R.;Salamon, Katherine S.;Barakat, Lamia P.
背景儿科夏令营正在成为一种增加社会支持和改善儿童对慢性病态度的手段。由于难民营的参与率很高，在这种情况下实施干预措施可能是可行的;但是，尚待确定难民营的哪些组成部分是有益的。Objective.这项试点研究的目的是确定一个解决问题的干预措施，以疾病管理为目标，在改善持续性哮喘儿童的心理社会功能，超过参加儿科夏令营的好处。方法. 50名露营者被随机分配到营地加每晚解决问题的干预活动或营地照常。自我报告的哮喘知识和解决问题的技能和自我和父母报告的儿童自我和社会能力的健康相关的生活质量的变化进行了三次评估：营前，营的最后一天，营后3个月。结果有没有显着差异，解决问题的干预组和营地照常组之间的变化，从营地前到营地的最后一天或营地前3个月后营地的心理变量。哮喘知识和解决问题的增加被发现3个月后营地时，组合并。结论.虽然发现支持提高疾病知识和解决问题的技能后，营地的参与，有没有确定的好处，解决问题的干预。参加夏令营的哮喘儿童在知识、解决问题、社会和自我能力方面都处于较高水平，这表明如果针对有疾病管理问题的患者，干预措施可能会更有效。
Background. Pediatric summer camps are emerging as a means to increase social support and improve children's attitudes about their chronic illness. Because of the high rate of camp attendance, it may be feasible to implement interventions within that setting; however, it has yet to be determined what components of camp are beneficial. Objective. The objective of this pilot study was to determine the efficacy of a problem-solving intervention targeting disease management in improving psychosocial functioning of children with persistent asthma, over and above the benefits of participation in a pediatric summer camp. Methods. Fifty campers were randomly assigned to receive camp plus a nightly problem-solving intervention activity or camp as usual. Changes in self-reported asthma knowledge and problem-solving skills and self-and parent-reported child self-and social competence health-related quality of life were assessed thrice: before camp, on the last day of camp, and 3-months post-camp. Results. There were no significant differences between the problem-solving intervention group and the camp as usual group in change across psychosocial variables from before camp to last day of camp or before camp to 3-months post-camp. Increases in asthma knowledge and problem-solving were found 3-months post-camp when groups were combined. Conclusions. Although support was found for improvements in disease knowledge and problem-solving skills after camp participation, there were no identified benefits to the problem-solving intervention. Children with asthma who participated in camp were functioning at a high level in terms of knowledge, problem-solving, and social and self-competence, suggesting that interventions may be more effective if targeted to patients with identified problems with disease management.