INTERVENTION STRATEGIES TO IMPROVE MATERNAL ADHERENCE

提高产妇依从性的干预策略

• 批准号: 3073110
• 负责人: LOIS A MAIMAN
• 金额: $ 4.91万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 1983
• 资助国家: 美国
• 起止时间: 1983-07-01 至 1988-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3073110
• 关键词: acute disease /disorder; behavioral medicine; child health care personnel; chronic disease /disorder; disease /disorder prevention /control; health behavior; health education; human subject; interview; mother child interaction; pediatrics; physicians; questionnaires; therapy compliance

A series of studies which will permit the assessment of intervention strategies designed to enhance maternal adherence to medical recommendations for children's health problems is proposed. The intervention strategies will be directed at mothers, at pediatricians, and at other members of the pediatric health care team. Each of the studies will be conducted by employing an experimental design (i.e., with experimental and control groups) and compliance will be determined by a combination of objective and subjective measures. Whenever possible interventions would be tested under conditions involving both acute and chronic conditions and involving mothers of varying socioeconomic status. The strategies would include such techniques as: teaching the provider to perform a compliance-oriented "educational diagnosis"; increasing contact between provider and mother through telephone follow-up; providing information in varying formats (including tests of Patient Package Inserts); and modifying structural characteristics of the regimen. An example of one of the proposed studies, a pediatrician-directed education intervention, is presented in detail. Primary care pediatricians and pediatric housestaff would be randomly assigned to either of two levels of pediatrician-directed education (Tutorial and Written Material or Written Material-Alone) or a control group. A post-intervention interview and questionnaire will provide assessments of compliance-oriented knowledge, attitudes and behaviors of pediatricians. For each pediatrician, a sample of children having otitis media or asthma will be randomly selected. A post-intervention interview will provide assessments of mothers' compliance-oriented health beliefs and satisfaction with the pediatrician-maternal interaction. Compliance outcomes and child health outcomes will be measured.

允许评估干预措施的一系列研究 旨在提高产妇对医疗服务的依从性的战略 提出了针对儿童健康问题的建议。这个 干预策略将针对母亲、儿科医生和 儿科医疗团队的其他成员。每项研究 将通过采用实验设计(即，使用 试验组和控制组)，遵从性将由 客观措施和主观措施相结合。只要有可能 干预措施将在急性和非急性情况下进行测试 这是一种慢性疾病，涉及不同社会经济地位的母亲。 这些策略将包括这样的技术：教提供者 进行以合规为导向的“教育诊断”；增加联系 提供者和母亲之间通过电话跟踪；提供 各种格式的信息(包括患者包的测试 插入)；以及修改该方案的结构特征。一个 其中一项拟议的研究是以儿科医生为指导的教育 干预措施，并进行了详细的介绍。初级保健儿科医生和 儿科工作人员将被随机分配到以下两个级别中的任何一个 儿科医生指导的教育(教程和书面材料或书面材料 单独使用材料)或对照组。干预后的访谈和 问卷将提供以合规为导向的知识评估， 儿科医生的态度和行为。对于每个儿科医生，一个样本 患有中耳炎或哮喘的儿童将被随机抽取。一个 干预后访谈将提供对母亲的评估 以合规为导向的健康信念和对 儿科医生与母亲的互动。合规结果和儿童健康 结果将被衡量。