Future directions for research on pediatric chronic disease management: lessons from diabetes.
Future directions for research on pediatric chronic disease management: lessons from diabetes.
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儿科慢性病管理研究的未来方向：糖尿病的教训。
DOI：
10.1093/jpepsy/20.4.389
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发表时间：
1995
影响因子：
3.6
通讯作者：
Anderson,BJ
中科院分区：
文献类型：
--
作者：
Glasgow,RE;Anderson,BJ
讨论了与儿科慢性病管理研究相关的概念和方法学问题，重点是糖尿病。该领域的研究质量有所提高，但仍存在一些问题。建议包括在规划研究中更多地使用理论;基于人群的样本;更复杂的依从性定义;纵向设计;以及控制人口统计学，发育和医学变量的分析。最需要的是预防和干预研究，修改（而不是简单地描述）的上下文，行为和心理变量假设，以促进或阻碍遵守和调整。提出的问题和采用的设计应该与正在研究的概念问题的知识状态相匹配。一项特定的研究通常不可能包含上述所有建议，但希望更多的研究将朝着这些目标发展，从而提高儿科心理学对慢性病管理的贡献。
Discussed conceptual and methodological issues related to research on the management of pediatric chronic disease, focusing on diabetes. The quality of studies in this area has improved, but several problems remain. Recommendations include greater use of theory in planning studies; population-based samples; more sophisticated definitions of adherence; longitudinal designs; and analyses that control for demographic, developmental, and medical variables. Most needed are prevention and intervention studies that modify (rather than simply describe) contextual, behavioral, and psychological variables hypothesized to facilitate or impede adherence and adjustment. The questions asked and designs employed should match the state of knowledge regarding the conceptual issue(s) being studied. It is often not possible for a given study to incorporate all of the recommendations above, but it is hoped that more research studies will move toward these goals, and thereby enhance the contribution of pediatric psychology to chronic disease management.