WHAT FAMILY PROCESSES AFFECT CHILDHOOD ASTHMA OUTCOME?

哪些家庭过程会影响儿童哮喘的结局？

• 批准号: 6275437
• 负责人: FREDERICK Steven WAMBOLDT
• 金额: $ 3.14万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-12-01 至 1998-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6275437
• 关键词: asthma; behavioral /social science research tag; clinical research; family structure /dynamics; health behavior; human subject; managed care; middle childhood (6-11); patient care management; psychometrics; social group process; therapy compliance

The central aim of this longitudinal study, is to clarify the extent to which and the mechanisms whereby specific family processes may be protective or deleterious to adherence behaviors and treatment outcome in 3 groups of asthmatic children, aged 7-12 years: 80 children participating in the Denver site of the Childhood Asthma Management Program (CAMP), 80 children receiving asthma-related care in a large, state-of-the-art, health maintenance organization, and 60 children recruited by using school records to identify children with asthma receiving their care in a variety of different health care systems. The three primary specific aims are: (1) to examine the extent to which family process variables are cross- sectionally associated with and longitudinally influence adherence to asthma treatment, as well as the consistency of this relationship across the three sites -- a clinical trial sample, a managed care sample, and a community treatment sample; (2) to examine the extent to which family process variables are cross-sectionally associated with and longitudinally influence asthma treatment outcome, as well as the consistency of this relationship across the three sites; (3) to determine whether adherence with treatment mediates the relationship between specific family processes and asthma treatment outcome, as well as the consistency of this relationship across the three sites. To date recruitment is going smoothly with over 200 children and their families having been tested using our NHLBI protocol. Behavioral coding of these data is being facilitated by the GCRC Psychosocial Assessment Core Laboratory.

这项纵向研究的中心目的是阐明 具体的家庭过程可能是 保护或有害的依从行为和治疗结果， 3组哮喘儿童，年龄7-12岁：80名儿童参与 在丹佛的儿童哮喘管理项目（CAMP）中， 在一个大型的，最先进的， 60名儿童被利用学校招募 记录，以确定哮喘儿童接受各种护理， 不同的医疗保健系统。 三个主要具体目标是： (1)检查家庭过程变量交叉的程度， 局部相关并纵向影响对 哮喘治疗，以及这种关系的一致性， 这三个网站--一个临床试验样本，一个管理式护理样本， 社区治疗样本;（2）检查家庭 过程变量在横截面上与 影响哮喘治疗结果，以及这种一致性， 三个站点之间的关系;（3）确定是否遵守 与治疗调解特定家庭之间的关系 过程和哮喘治疗结果，以及一致性， 这三个网站之间的关系。 目前，招聘正在进行中。 200多名儿童和他们的家庭顺利地接受了测试 使用我们的NHLBI协议。 这些数据的行为编码正在 由GCRC心理社会评估核心实验室协助。