Visual illness narratives of asthma: explanatory models and health-related behavior.

Visual illness narratives of asthma: explanatory models and health-related behavior.
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哮喘的视觉疾病叙述:解释模型和健康相关行为。

DOI:
10.5993/ajhb.26.6.5
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发表时间:
2002
影响因子:
2.3
通讯作者:
R. Chalfen
R. Chalfen
中科院分区:
医学4区
文献类型:
--
作者:
M. Rich;Jennifer Patashnick;R. Chalfen

文献摘要

被引文献

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客观化 研究哮喘和健康相关行为的解释模型。 方法 哮喘控制不佳的儿童和青少年使用视频干预/预防评估(VIA)来生成视觉疾病描述。视觉叙述被记录下来,使用ATLAS.ti软件进行结构化,并对哮喘相关的信念和行为进行编码。 结果 参与者对哮喘的知识反映了他们被教授的生物医学模型,但关于哮喘起源、自然历史和预后的解释性模型更容易受到个人经验、轶事和文化信仰的影响。自我管理和行为受这些模式的影响比受知识的影响更大。 结论 理解和回应哮喘治疗的解释性模式可能比教育更重要,以改善哮喘相关行为和遵守医疗计划。
OBJECTIVE To examine explanatory models of asthma and health-related behaviors. METHODS Children and adolescents with poorly controlled asthma used Video Intervention/Prevention Assessment (VIA) to generate visual illness narratives. Visual narratives were logged, structured using ATLAS.ti software, and coded for asthma-related beliefs and behaviors. RESULTS Participants' knowledge of asthma reflected biomedical models they had been taught, but explanatory models of its origin, natural history, and prognosis were more responsive to personal experience, anecdote, and cultural beliefs. Self-management and behavior were more powerfully affected by these models than by knowledge. CONCLUSION Understanding and responding to explanatory models of asthma management may be more important than education to improve asthma-related behaviors and adherence to medical plans.