Identifying barriers to chronic disease reporting in Chicago Public Schools: a mixed-methods approach
Identifying barriers to chronic disease reporting in Chicago Public Schools: a mixed-methods approach
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DOI：
10.1186/1471-2458-14-1250
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发表时间：
2014-12-06
影响因子：
4.5
通讯作者：
Gupta, Ruchi S.
中科院分区：
文献类型：
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作者：
Rivkina, Victoria;Tapke, David E.;Gupta, Ruchi S.
背景：学龄儿童的慢性病是一个公共卫生问题，特别是哮喘和食物过敏。在芝加哥公立学校 (CPS)，学生哮喘和食物过敏的发病率并未得到充分报告。本研究的目的是确定 CPS 家长和学校护士在慢性病报告方面遇到的障碍。 方法：混合方法包括焦点小组和对家长和学校护士的关键知情人访谈，并由家长完成横断面调查。进行了定性数据分析并分析了调查数据，以确定与成功完成报告过程相关的重要人口统计和知识变量。结果：确定的三个主要障碍是 1）缺乏育儿过程知识； 2）学校沟通有限； 3) 学校护士数量不足。如果家长了解慢性病的特殊照顾、了解医生验证的必要性和/或认识学校护士，他们成功完成报告流程的可能性就会显着提高。 结论：这些发现表明，增加家长对报告流程的了解将使学校能够更好地识别和管理学生的慢性病。根据这些结果进行的以家长为中心的干预措施已经完成。
Background: Chronic disease among school-aged children is a public health concern, particularly for asthma and food allergy. In Chicago Public Schools (CPS), rates of asthma and food allergy among students are underreported. The aim of this study was to determine the barriers to chronic disease reporting as experienced by CPS parents and school nurses.Methods: A mixed-methods approach included focus groups and key informant interviews with parents and school nurses, and a cross-sectional survey was completed by parents. Qualitative data analysis was performed and survey data were analyzed to determine the significant demographic and knowledge variables associated with successfully completing the reporting process.Results: The three main barriers identified were 1) a lack of parental process knowledge; 2) limited communication from schools; and 3) insufficient availability of school nurses. Parents were significantly more likely to successfully complete the reporting process if they knew about special accommodations for chronic diseases, understood the need for physician verification, and/or knew the school nurse.Conclusions: These findings suggest that increasing parental knowledge of the reporting process will allow schools to better identify and manage their students' chronic conditions. A parent-focused intervention informed by these results has been completed.