Problem-Solving Skills Training for Vulnerable Families of Children with Persistent Asthma: Report of a Randomized Trial on Health-Related Quality of Life Outcomes
Problem-Solving Skills Training for Vulnerable Families of Children with Persistent Asthma: Report of a Randomized Trial on Health-Related Quality of Life Outcomes
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DOI：
10.1093/jpepsy/jsp133
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发表时间：
2010-11-01
影响因子：
3.6
通讯作者：
Slymen, Donald J.
中科院分区：
文献类型：
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作者：
Seid, Michael;Varni, James W.;Slymen, Donald J.
目的探讨解决问题技能训练(PST)对社会经济地位(SES)较低的西班牙裔家庭持续性哮喘儿童提高健康相关生活质量(HRQOL)的效果。方法采用随机对照试验，比较基线、干预后和6个月随访时的标准护理等待名单(SC)对照、家访哮喘教育/护理协调(CC)和联合干预(CC+PST)。主要结果是父母代理报告子HRQL(PedsQL)。结果252名受试者中，83.3%为西班牙裔，56.3%为单语西班牙语，72.6%的母亲未高中毕业。我们发现父母代理报告的儿童通用(但不是哮喘特异性)HRQOL有显著的干预效果(P=0.05)，CC+PST组优于SC组[83.8vs79.8；调整后平均值差异4.05分(95%可信区间0.63-7.4])，但CC组和SC组之间没有差异。结论在本样本中，CC+PST干预能有效改善儿童的一般HRQOL。
Objectives To test the efficacy of problem-solving skill training (PST) in improving health-related quality of life (HRQOL) of children with persistent asthma from predominantly lower socioeconomic status (SES) Spanish-speaking Hispanic families. Methods Randomized controlled trial comparing standard care waitlist (SC) control, home-visiting asthma education/care coordination (CC), and combined intervention (CC + PST) at baseline, after intervention, and 6-month follow-up. The primary outcome was parent proxy-report child HRQOL (PedsQL). Results Participants (n = 252) were 83.3% Hispanic and 56.3% monolingual Spanish speakers, and 72.6% of mothers had not graduated high school. We found a significant (P = 0.05) intervention effect for parent proxy-reported child generic (but not asthma-specific) HRQOL, with CC + PST superior to SC [83.8 vs 79.8; adjusted mean difference of 4.05 points (95% confidence interval 0.63-7.4], but no difference between the CC and SC groups. Conclusions In this sample of vulnerable families of children with persistent asthma, a CC + PST intervention was efficacious in improving children's generic HRQOL.