Parental health literacy and prevention, diagnostics and treatment of childhood allergy (Epidemiology)

家长健康素养与儿童过敏的预防、诊断和治疗（流行病学）

• 批准号: 427399446
• 负责人: Dr. Susanne Brandstetter
• 金额: --
• 依托单位: Standort Klinik St. Hedwig
• 依托单位国家: 德国
• 项目类别: Research Units
• 资助国家: 德国
• 项目状态: 未结题
• 来源: https://gepris.dfg.de/gepris/projekt/427399446?language=en
• 关键词: Parental; health; literacy; prevention; diagnostics

Parental health literacy (HL) is thought to be crucial for managing the manifold demands relating to child health. However, there is still a knowledge gap regarding how HL evolves and possibly fluctuates over a longer period of time, as well as how it is influenced by changing personal and situational determinants. Despite the abundance of observational studies on risk factors and more recent interventional studies on childhood allergy prevention, none of these studies have taken into account the role of parental HL. A better understanding of how and when HL translates into favourable allergy related health behaviours and health outcomes could provide valuable insights for future research and the development of interventions. Further, families’ patient journeys from recognition of symptoms to diagnosis and treatment in childhood allergy can be complex and research is needed on where patient journeys become particularly complicated and on whether individual HL or HL-sensitive communication from the health professional (HP) can ease the way to timely diagnosis and treatment. The overall aim of this work package (WP-Epidemiology) is to better understand the role of HL in the field of childhood allergy and prevention. More specifically, the objectives are: 1) to analyse the development and determinants of parental HL, 2) to analyse allergy prevention behaviours, allergy-related health outcomes and the associations with parental HL, and 3) to map families’ patient journeys to allergy diagnosis and treatment. The project uses data from the KUNO-Kids health study. The work programme contains the following major tasks: In task 1, we will analyse the longitudinal development of mothers’ HL from child’s birth over 5 years using latent growth curve modelling. In task 2, we will analyse allergy prevention behaviours, allergy outcomes and the associations with HL. We will test the hypothesis that higher HL of mothers is associated with decreased chance for incident allergy in the child from the second year of life onwards. Task 3 comprises the conduct of a study among families whose child has an allergic disease. Patient journeys for the child’s allergy-related health care utilization will be recreated in user-centered maps which display the contacts with the health care system in chronological order. WP-Epidemiology will be helpful for the HELICAP research group, since it delivers up-to-date knowledge on HL, allergy prevention behaviours and allergy-related health outcomes among a large sample of families in Germany. This information will be used for educational purposes in WP-Health Professionals and WP-Planetary Health. WP-Epidemiology will also closely collaborate with WP-Doing Health and support the recruitment of HPs.

父母健康素养（HL）被认为是管理与儿童健康有关的多种需求的关键。然而，关于HL如何演变和可能在较长一段时间内波动，以及它如何受到不断变化的个人和情境决定因素的影响，仍然存在知识差距。尽管有大量关于危险因素的观察性研究和最近关于儿童过敏预防的干预性研究，但这些研究都没有考虑到父母HL的作用。更好地了解HL如何以及何时转化为有利的过敏相关健康行为和健康结果，可以为未来的研究和干预措施的发展提供有价值的见解。此外，从儿童过敏症状的识别到诊断和治疗，患者家庭的过程可能很复杂，需要研究患者的过程在哪里变得特别复杂，以及卫生专业人员（HP）对HL或HL敏感的个体沟通是否可以简化及时诊断和治疗的方式。本工作包（wp -流行病学）的总体目标是更好地了解HL在儿童过敏和预防领域的作用。更具体地说，目标是：1)分析父母HL的发展和决定因素，2)分析过敏预防行为，过敏相关的健康结果及其与父母HL的关系，以及3)绘制家庭患者过敏诊断和治疗的旅程。该项目使用了kuno -儿童健康研究的数据。工作计划包括以下主要任务：在任务1中，我们将使用潜在增长曲线模型分析母亲HL从孩子出生开始的5年纵向发展。在任务2中，我们将分析过敏预防行为、过敏结果以及与HL的关系。我们将检验这一假设，即母亲的高HL与孩子从出生后第二年起发生过敏事件的几率降低有关。任务3包括在孩子患有过敏性疾病的家庭中进行一项研究。儿童过敏相关医疗保健利用的患者旅程将在以用户为中心的地图中重新创建，该地图按时间顺序显示与医疗保健系统的联系。WP-Epidemiology将对HELICAP研究小组有所帮助，因为它提供了德国大量家庭样本中关于HL、过敏预防行为和过敏相关健康结果的最新知识。这些信息将用于《WP-Health Professionals》和《WP-Planetary Health》的教育目的。“流行病学”项目还将与“做健康”项目密切合作，支持“做健康”项目的招聘。