Compliance with home rehabilitation therapy by parents of children with disabilities in Jews and Bedouin in Israel
Compliance with home rehabilitation therapy by parents of children with disabilities in Jews and Bedouin in Israel
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DOI：
10.1017/s0012162201000494
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发表时间：
2001-04-01
影响因子：
3.8
通讯作者：
Heiman, N
中科院分区：
文献类型：
--
作者：
Galil, A;Carmel, S;Heiman, N
在残疾儿童治疗方案方面取得进展和取得成功的关键问题之一是父母遵守其子女的制度。这项研究的目的是评估影响犹太人和贝都因人家庭治疗依从性的因素。数据通过结构化问卷收集。共有193个家庭(回复率为84%)的孩子年龄从6个月到6岁不等(犹太人第一次访问中心的平均年龄为9.5岁，贝都因人的平均年龄为16.1岁)。贝都因人的遵从性明显较低。多元回归分析表明，缺乏遵从性的最大贡献因素是贝都因人。第二个因素是对命运的强烈质疑，这表明有这种感觉的父母可能不太可能遵守治疗方案。其他与遵从性相关的因素是父母的教育程度和社会经济地位：在这些方面的水平越低，父母的遵从性就越低。针对贝都因家庭的一项试验干预方案说明了这些结果，该方案包括电话联系、翻译设施和在访问中心期间的详细解释。干预措施将贝都因人与专科医生预约的遵从率提高到76%(120项预约中有91项)，从而达到与犹太群体相似的水平。这些初步结果表明，不服从和成为贝都因人之间的强烈联系可能是由于沟通的因素，当贝都因人用他们自己的语言交流时，他们愿意接受治疗干预。
Among key points in making progress and succeeding with a therapeutic programme for children with disabilities is parental compliance with the regime for their child. The purpose of this study was to evaluate factors influencing compliance with home therapy in the Jewish and Bedouin populations. Data were collected by structured questionnaires. A total of 193 families participated (84% response rate) with children who ranged in age from 6 months to 6 years (mean age at first visit to the centre was 9.5 years in Jews and 16.1 sears in Bedouin). Compliance was significantly lower among the Bedouin. Multivariate regression analysis showed that the strongest contributory factor in lack of compliance was being Bedouin. The second factor was intensity of questioning destiny, indicating that parents with these feelings may be less likely to comply with therapeutic regimes. Other factors which were associated with compliance were parents' education and socioeconomic status: lower levels on these dimensions corresponded with lower parental compliance. These results were illuminated by a. trial intervention programme for Bedouin families which involved telephone contact, translation facilities, and detailed explanations during visits to the centre. Intervention increased the compliance rate of the Bedouin appointments with specialists to 76% (91 of 120 appointments) thereby reaching similar levels to those of the Jewish group. These preliminary results indicate that the strong association between noncompliance and being Bedouin may be due to factors of communication, and that the Bedouin are receptive to therapeutic interventions when communicated in their own language.