PEDIATRICIAN EDUCATION AND MATERNAL COMPLIANCE

儿科医生教育和母亲依从性

• 批准号: 3442402
• 负责人: LOIS A MAIMAN
• 金额: $ 12.92万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 1984
• 资助国家: 美国
• 起止时间: 1984-04-01 至 1986-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3442402
• 关键词: child (0-11); education evaluation /planning; health behavior; health education; interview; mother /infant health care; otitis media; patient care personnel attitude; physicians; questionnaires; therapy compliance

The overall objective of the proposed research is to assess the effectiveness of an educational intervention aimed at pediatricians. The educational intervention includes information on the problem and determinants of noncompliance, and translates this information to compliance-enhancing strategies that the pediatrician can implement during the pediatrician-maternal interaction. The specific aims are to evaluate the ability of the pediatrician-directed educational intervention to: 1) increase pediatrician knowledge and attitudes related to maternal compliance; 2) increased pediatrician implementation of compliance enhancing strategies in the pediatrician-maternal interaction; and 3) improve compliance of mothers with regimen for children with otitis media. Primary care community pediatricians (N = 75) and pediatric housestaff (N = 30) will 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. These assessments will occur after both waves of mother-child pairs. For each pediatrician, a sample of children having otitis media will be randonly selected: 6 otitis media mother-child pairs for each community pediatrician and housestaff member. There will be an initial post-intervention mother-child observation wave (N = 540) and a follow-up post-intervention mother-child observation wave (N = 540), resulting in total N = 1,080. A post-intervention interview will provide assessments of mothers' compliance-oriented health beliefs and satisfaction with the pediatrician-maternal interaction. Compliance outcomes will be measured.

拟议研究的总体目标是评估 针对儿科医生的教育干预的有效性。 的 教育干预包括有关问题的信息， 不遵守的决定因素，并将此信息转化为 儿科医生在治疗期间可以实施的依从性增强策略 儿科医生和母亲的互动 具体目的是评价儿科医生指导的能力 教育干预：1）增加儿科医生的知识， 与母亲依从性相关的态度; 2）儿科医生增加 执行加强遵约战略 儿科医生与母亲的互动; 3）提高母亲的依从性 治疗儿童中耳炎。 初级保健社区儿科医生（N = 75）和儿科家庭工作人员 （N = 30）将被随机分配到两个水平中的任何一个， 儿科医生指导的教育（书面材料或书面 单独材料）或对照组。 干预后的访谈， 问卷将提供对以遵守为导向的知识的评估， 儿科医生的态度和行为。 这些评估将在 在两波母子配对之后 对于每一位儿科医生，将对患有中耳炎的儿童进行样本分析。 随机选择：每个社区6对中耳炎母子 儿科医生和家庭成员。 会有一个首字母 干预后母婴观察波（N = 540）和随访 干预后母婴观察波（N = 540），导致 总N = 1，080。 干预后访谈将评估 母亲的依从性导向的健康信念和满意度 儿科医生和母亲的互动。 将衡量合规成果。