HOW WELL THEY REMEMBER - THE ACCURACY OF PARENT REPORTS

HOW WELL THEY REMEMBER - THE ACCURACY OF PARENT REPORTS
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DOI:
10.1001/archpedi.1995.02170180083016
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发表时间:
1995-05-01
影响因子:
--
通讯作者:
PLESS, IB
PLESS, IB
中科院分区:
其他
文献类型:
--
作者:
PLESS, CE;PLESS, IB

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目的:与儿科医生的记录相比,确定许多不同事件的父母回忆的准确性范围,并确定良好的回忆是否与事件的性质、回忆的时间或人口统计学特征有关。研究设计:对以往事件进行非同步的描述性调查。背景:魁北克省蒙特利尔的两个儿科小组实践。参与者:288名1至13岁儿童的父母。干预措施:没有。测量/主要结果:将家长自行填写的问卷与儿科医生记录中提取的信息进行比较。研究的健康事件包括哮喘、支气管炎、中耳炎、事故、住院、就诊和出生体重。大多数父母(73%)能够回忆起出生体重在50克以内,85%的父母报告的住院频率与记录完全一致。对于哮喘、支气管炎和中耳炎,在过去一年中,符合良好的百分比分别为91%、85%和51%,而对于儿童一生中相同的疾病,相应的数字分别为87%、74%和53%。每位家长的回答根据总体同意程度进行分类;调查了协议与被调查者特征之间的关系。母亲的反应比父亲更准确,年龄较小的孩子的父母也表现出更好的记忆力。其他因素,如教育和职业,与回忆没有显著相关。结论:与儿科医生的记录相比,家长报告在大多数研究目的中通常是可以接受的,并且可能是一些健康事件(如事故)的更好来源。
Ohjectives: To determine the range of accuracy of parent recall for many different events when compared with pediatrician's records and to establish whether good recall is associated with the nature of the event, period of recall, or demographic characteristics.Research Design: A nonconcurrent, descriptive survey of previous events.Setting: Two pediatric group practices in Montreal, Quebec.Participants: Two hundred eighty-eight parents of children aged 1 to 13 years.Interventions: None.Measurements/Main Results: Parents' responses to a self-administered questionnaire were compared with information extracted from pediatricians' records. The health events studied included asthma, bronchitis, otitis media, accidents, hospitalizations, office visits, and birth weight. Most parents (73%) were able to recall birth weight within 50 g, and 85% reported a frequency of hospitalizations that agreed exactly with the record. For asthma, bronchitis, and otitis in the last year, the percentages with good agreement were 91%, 85%, and 51%, respectively, while for the same disorders during the child's lifetime, the corresponding figures were 87%, 74%, and 53%, respectively. Each parent's responses were classified according to overall quality of agreement; associations between agreement and respondent characteristics were investigated. Mothers responded more accurately than fathers, and parents of younger children also showed better recall. Other factors, eg, education and occupation, were not significantly correlated with recall.Conclusions: When compared with pediatricians' records, parent reports are generally acceptable for most research purposes and may be a better source for some health events such as accidents.