Parental Perspectives of Barriers to Physical Activity in Urban Schoolchildren With Asthma.
Parental Perspectives of Barriers to Physical Activity in Urban Schoolchildren With Asthma.
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DOI：
10.1016/j.acap.2017.12.011
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发表时间：
2018-04
影响因子：
3.1
通讯作者：
Reznik M
中科院分区：
文献类型：
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作者：
Kornblit A;Cain A;Bauman LJ;Brown NM;Reznik M
身体活动（PA）水平在今天的年轻人中很低，甚至可能在哮喘患者中更低。对于市中心少数族裔哮喘儿童的PA障碍尚未得到很好的研究。我们进行了一项定性研究，以描述家长对PA障碍的看法以及改善哮喘儿童PA水平的方法。我们使用社会生态模型（SEM）来为我们的采访指南提供信息。问题分为两个SEM领域：1）人际（父母，家庭）障碍和2）社区（邻里，学校）障碍。定性半结构式访谈进行了23名家长（21名母亲，2名父亲）的内城儿童哮喘（8-10岁）从10布朗克斯，纽约（NY）小学。取样一直持续到专题达到饱和。访谈记录，转录，并独立编码的共同主题。调查人员讨论并商定了新出现的主题。围绕PA的人际障碍出现了三个主题：1）由于缺乏对儿童症状的认识，父母害怕运动诱发的哮喘; 2）不依从和拒绝服用药物; 3）哮喘管理的挑战。围绕PA的社区障碍出现了四个主题：1）对学校哮喘管理缺乏信任; 2）缺乏学校PA设施; 3）不安全的社区; 4）PA的经济负担。我们的研究结果表明，一个复杂的多层次的障碍，PA在儿童哮喘。通过让家庭、学校和社区层面的利益相关者参与解决这些障碍，可能会改善哮喘儿童的PA水平。
Physical activity (PA) levels are low in today’s youth and may even be lower in those with asthma. Barriers to PA have not been well studied in inner-city, minority children with asthma. We conducted a qualitative study to characterize parental perceptions of barriers to PA and ways to improve PA levels in children with asthma. We used the socio-ecological model (SEM) to inform development of our interview guide. Questions fell into two SEM domains: 1) interpersonal (parent, family) barriers and 2) community (neighborhood, school) barriers. Qualitative semi-structured interviews were conducted with 23 parents (21 mothers, 2 fathers) of inner-city children with asthma (ages 8–10 years) from 10 Bronx, New York (NY) elementary schools. Sampling continued until thematic saturation was reached. Interviews were recorded, transcribed, and independently coded for common themes. Emerging themes were discussed and agreed upon by investigators. Three themes surrounding interpersonal barriers to PA emerged: 1) parental fear of exercise-induced asthma due to lack of child symptom awareness; 2) non-adherence and refusal to take medications; and 3) challenges with asthma management. Four themes around community barriers to PA emerged: 1) lack of trust in school management of asthma; 2) lack of school PA facilities; 3) unsafe neighborhoods, and 4) financial burden of PA. Our results indicate a complex multi-level set of barriers to PA in children with asthma. Addressing these barriers by involving stakeholders at the family, school and community levels may improve PA levels in children with asthma.
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影响因子：
8
作者：
Mansour, ME;Lanphear, BP;DeWitt, TG
通讯作者：
DeWitt, TG
外行卫生工作者在小儿慢性病中的作用：系统评价。
影响因子：
3.1
作者：
Raphael, Jean L.;Rueda, Anna;Lion, K. Casey;Giordano, Thomas P.
通讯作者：
Giordano, Thomas P.
影响因子：
1.9
作者：
Cain, Agnieszka;Reznik, Marina
通讯作者：
Reznik, Marina
影响因子：
4.5
作者：
Dantas, Fabianne M. N. A.;Correia, Marco A. V., Jr.;Rizzo, Jose A.
通讯作者：
Rizzo, Jose A.
影响因子：
8
作者：
通讯作者：
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