Parent youth teamwork in pediatric asthma management

描述：（由申请人提供）不依从药物治疗方案是 儿童哮喘患者普遍存在的问题，特别是在 青春期前和青春期年龄段。 拟议的研究将调查 旨在促进父母-青年关系的干预措施的有效性 管理哮喘的合作伙伴关系。 45例患者（年龄9-13岁）， 哮喘患者将被随机分配到以下三组之一： (TI)注意力控制（AC）或标准核心（SC）。 TI和AC集团将 接受四个，30分钟，以办公室为基础的治疗课程， 和过敏症诊所 这些访视大约每月安排一次 持续4个月，收集约6个月的随访数据 最后一次治疗访视后。 TI的干预是重点， 研究，并将包括战略（例如，现实的期望，积极的 沟通，谈判和合同）在罗宾和福斯特（1989年） 家庭功能的行为-家庭系统模型。 这些战略， 然而，将直接解决家长与青少年在哮喘方面的伙伴关系， 管理 此外，“促进和消退”的基本原则， 行为修正程序，将用于结构系统 通过这一过程，将鼓励青年坚持服药， 越来越独立。 相比之下，AC组将收到 对哮喘教育材料的结构性审查， 患者人群。 另一方面，SC参与者将没有接触 与研究团队的合作超出了收集数据所需的范围。 结局数据 将包括药物依从性、父母参与的客观衡量标准 在哮喘管理、父母-青少年冲突和健康结果（例如， 肺功能）。 假设与AC和SC相比， 参与者，TI家庭将有更大的坚持用药， 增加父母参与孩子的哮喘管理任务， 非临床水平的父母-青少年冲突，以及更好的患者健康 结果。 预计结果将有助于卫生保健提供者， 了解如何使用基于办公室的干预措施， 时间和精力，以鼓励家长参与和家长与青少年的团队合作 在儿童哮喘的管理中。

DESCRIPTION: (Provided by Applicant) Noncompliance with medication regimens is a prevalent problem for pediatric asthma patients, particularly within the preadolescent and adolescent age range. The proposed study will investigate the effectiveness of an intervention aimed at promoting parent-youth partnership in managing asthma. Forty-five patients (ages 9-13 years) with asthma will be randomly assigned to one of three groups: Teamwork Intervention (TI), Attention Control (AC), or Standard Core (SC). TI and AC groups will receive four, 30-minute, office-based treatment sessions in a pediatric asthma and allergy clinic. These visits will be scheduled approximately once a month for four (4) months, with follow-up data being gathered approximately 6-months following the last treatment visit. The TI intervention is the focus of the study and will consist of strategies (e.g., realistic expectations, positive communication, negotiation and contracting) used in Robin and Foster's (1989) behavioral-family systems model of family functioning. These strategies, however, will be addressing directly the parent-youth partnership in asthma management. Additionally, basic principles of "promoting and fading," a behavior modification procedure, will be used to structure the systematic process by which youth will be encouraged to adhere to medication in an increasingly independent manner. In contrast, the AC group will receive structured reviews of asthma educational materials typically given to this patient population. SC participants, on the other hand, will have no contact with the research team beyond that necessary to gather data. Outcome data will include objective measures of medication adherence, parental involvement in asthma management, parent-adolescent conflict, and health outcome (e.g., lung functioning). It is hypothesized that when compared to the AC and SC participants, TI families will have greater adherence to medication use, increased parental involvement in the child's asthma management tasks, non-clinical levels of parent-adolescent conflict, and better patients' health outcome. Results are anticipated to assist health care providers in understanding how to use an office-based intervention, which requires little time and effort, to encourage parental involvement and parent-youth teamwork in the management of children's asthma.