Anticipatory guidance topics: Are more better?
Anticipatory guidance topics: Are more better?
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DOI：
10.1367/a04-2131r1.1
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发表时间：
2005-11-01
期刊：
影响因子：
--
通讯作者：
Wasserman, RC
中科院分区：
文献类型：
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作者：
Barkin, SL;Scheindlin, BJ;Wasserman, RC
客观。-预期指导是初级保健儿科学的基石。尽管事实上，保留的信息是必不可少的，以后的行动，数据是缺乏什么样的父母回忆访问后立即和1个月后，以及如何讨论的主题的总数影响这一结果。家长和从业人员完成了访后调查的预期指导主题讨论期间的健康维护访问2-11岁的儿童。在访视后和1个月后，将父母回忆与提供者报告的讨论主题进行比较。我们研究了父母回忆和讨论的主题总数之间的关系。来自美国各地的有2-11岁儿童的家庭参与了这项研究（N = 861）。供应商报告说，他们最常讨论的话题是营养、汽车约束、牙齿护理和大声阅读（72%-93%）。父母和提供者之间的一致性是高的所有主题（72%-90%）。访问后，父母立即报告6.33（SD 2.9）作为讨论的主题的平均数量，而供应商报告6.9（SD 2.7）作为讨论的主题的平均数量。然而，随着讨论主题的增加（>= 9），父母回忆显著下降。一个月后也存在同样的趋势。提供者和父母有很好的协议，在一个良好的儿童访问期间讨论或不讨论的话题;然而，父母的回忆减少与讨论的话题越来越多。重新思考儿童保育以限制讨论的主题总数是有必要的。
Objective.-Anticipatory guidance is a cornerstone of primary care pediatrics. Despite the fact that retention of information is essential for later action, data are lacking on what parents recall immediately after the visit and 1 month later and how the total number of topics discussed affects this outcome.Methods.-Parents and practitioners completed postvisit surveys of anticipatory guidance topics discussed during health-maintenance visits for children ages 2-11. Postvisit and 1 month later, parental recall was compared with provider report of topics discussed. We examined the relationship between parental recall and the total number of topics discussed.Results.-Families with children ages 2-11 years from across the United States participated in this study (N = 861). Providers reported discussing the topics of nutrition, car restraints, dental care, and reading aloud most often (72%-93%). Concordance between parent and provider was high for all topics (72%-90%). Immediately postvisit, parents reported 6.33 (SD 2.9) as the mean number of topics discussed while providers reported 6.9 (SD 2.7) as the mean number of topics discussed. However, parental recall decreased significantly with more topics (>= 9) discussed. The same trend existed I month later.Conclusions.-Providers and parents have good agreement about topics discussed or not discussed during a well-child visit; however, parental recall dwindles with increasing numbers of topics discussed. Rethinking well-child care to limit the total number of topics discussed is warranted.