Effects of family treatment on parenting beliefs among caregivers of youth with poorly controlled asthma.
Effects of family treatment on parenting beliefs among caregivers of youth with poorly controlled asthma.
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DOI：
10.1097/dbp.0000000000000093
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发表时间：
2014-10
期刊：
影响因子：
--
通讯作者：
Secord E
中科院分区：
文献类型：
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作者：
Ellis DA;King P;Naar-King S;Lam P;Cunningham PB;Secord E
照顾者的参与对于确保最佳的青少年哮喘管理至关重要。该研究调查了多系统治疗（MST），一种强化的，以家庭为基础的家庭治疗，是否上级家庭支持，以改变非裔美国青少年哮喘控制不良的照顾者对哮喘相关的积极养育的信念。在干预结束时，父母的信念和哮喘管理之间的关系也进行了评估。对167名患有中重度持续性、控制不佳的哮喘的青少年及其主要照顾者进行了一项随机对照试验。家庭被随机分配到MST或FS，以家庭为基础的家庭支持条件。在基线和测试后7个月收集数据。通过问卷调查评估了照顾者对参与哮喘相关积极养育的重要性和信心的评分变化。采用家庭哮喘管理系统量表（FAMSS）评估疾病管理。与FS相比，参与MST与照顾者信念的重要性（t =2.39，p= 0.02）和信心（t =2.04，p= 0.04）的更多变化相关。在治疗结束时，护理人员的信念也与青少年控制者的药物依从性显著相关（重要性：r=.21，p=.01;置信度：r=.23，p=.004）。结果支持MST的有效性，增加父母的信念，在价值的哮喘相关的积极的父母行为和父母的自我效能感，这些行为的少数民族青少年家庭控制不良哮喘。
Caregiver involvement is critical to ensuring optimal adolescent asthma management. The study investigated whether Multisystemic Therapy (MST), an intensive, home-based family therapy, was superior to family support for changing beliefs regarding asthma-related positive parenting among caregivers of African-American youth with poorly controlled asthma. The relationship between parenting beliefs and asthma management at the conclusion of the intervention was also assessed. A randomized controlled trial was conducted with 167 adolescents with moderate to severe persistent, poorly controlled asthma and their primary caregivers. Families were randomly assigned to MST or FS, a home-based family support condition. Data were collected at baseline and seven month post-test. Changes in caregiver ratings of importance and confidence for engaging in asthma-related positive parenting were assessed via questionnaire. Illness management was assessed by the Family Asthma Management System Scale (FAMSS). Participation in MST was associated with more change in caregiver beliefs as compared to FS for both importance (t =2.39, p=.02) and confidence (t =2.04, p=.04). Caregiver beliefs were also significantly related to youth controller medication adherence at the conclusion of treatment (importance: r=.21, p=.01; confidence: r=.23, p=.004). Results support the effectiveness of MST for increasing parental beliefs in the value of asthma-related positive parenting behaviors and parental self-efficacy for these behaviors among families of minority adolescents with poorly controlled asthma.