Parent youth teamwork in pediatric asthma management

描述：(由申请人提供)不符合药物治疗方案的是 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范围。拟议的研究将调查 旨在促进亲子关系的干预措施的有效性 哮喘管理方面的伙伴关系。45名患者(年龄9-13岁) 哮喘将被随机分配到以下三组之一：团队合作干预 (TI)、注意控制(AC)或标准核心(SC)。TI和AC组将 接受四次30分钟的以办公室为基础的儿童哮喘治疗 和过敏症诊所。这些访问大约安排在每月一次。 四(4)个月，并收集大约6个月的跟踪数据 在最后一次治疗后。德州仪器的干预是 研究并将由策略组成(例如，现实期望、积极 沟通、谈判和签约)在罗宾和福斯特(1989)中使用 家庭功能的行为-家庭系统模型。这些策略， 然而，将直接解决哮喘的亲子伙伴关系 管理层。此外，“促进和消退”的基本原则a 行为修改程序，将被用来构建系统 鼓励年轻人坚持服药的过程 越来越独立的态度。相比之下，AC组将收到 对哮喘教育材料的有组织的评论通常给予这个 病人群体。另一方面，SC参与者将没有联系 与研究团队的合作超出了收集数据所需的范围。结果数据 将包括对服药依从性、父母参与的客观衡量 在哮喘管理、父母-青少年冲突和健康结果方面(例如， 肺功能)。假设当与AC和SC相比时 参与者，TI家庭将对药物使用有更大的坚持， 增加父母对儿童哮喘管理任务的参与， 非临床水平的亲子冲突和患者更好的健康 结果。预计结果将有助于医疗保健提供者在 了解如何使用基于办公室的干预，这几乎不需要 时间和努力，以鼓励家长参与和亲子合作 在儿童哮喘的管理方面。

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.