Children and Asthma: Communication and Outcomes

儿童与哮喘：沟通和结果

• 批准号: 7545999
• 负责人: Betsy Lynn Sleath
• 金额: $ 0.41万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7545999
• 关键词: Accident and Emergency department; Adherence; Age; Age-Years; Area; Asthma; Behavior; Biological Aging; Caregivers; Caring; Child; Child Health Services; Childhood; Childhood Asthma; Clinic; Clinic Visits; Communication; Consent; Enrollment; Environmental Monitoring; Equation; Future; Health Personnel; Health Services Research; Home environment; Home visitation; House Call; Informed Consent; Inhalators; Intervention Studies; Interview; Legal Guardians; Life; Medical; Modeling; Nurses; Outcome; Parents; Performance; Physicians; Process; Provider; Pulmonary function tests; Quality of life; Questionnaires; Recruitment Activity; Respiratory physiology; Schools; Self Efficacy; Severities; Spirometry; Symptoms; Tape Recording; Techniques; Time; Visit; base; day; expectation; inclusion criteria; medication compliance; neglect; satisfaction

The project is focused on a neglected area within children's health services research, the relationship between provider-child-caregiver communication during pediatric asthma visits and treatment adherence. Treatment adherence comprises medication adherence, symptom monitoring, and environmental trigger control. Identification of effective communication strategies is important for future intervention research. Thirty-five physicians and their nurses and 360 English-speaking child-caregiver pairs will be recruited at eight pediatric clinics. Children will be eligible if they are between 8 and 15 years of age, have mild, moderate, or severe persistent asthma and have previously visited this clinic at least once before for asthma. Caregivers will be eligible if they are at least 18 years of age and live with the child with asthma. Consent and assent to participate will be obtained from the caregivers and children respectively. Physicians and nurses will fill out a demographic questionnaire at the start of the study. Following enrollment into the study, the children will have their medical visits audio-taped. The children will be interviewed after their medical visits, asked to demonstrate inhaler and peak flow technique, and assessment of their lung function will occur using spirometry. The children's caregivers will fill out questionnaires after these medical visits. A home visit will occur one month after the audio-taped visit. Children will be interviewed during the home visits, asked to demonstrate inhaler and peak flow technique a second time, and have their lung function examined using spirometry. Caregivers will fill out questionnaires. Generalized estimating equations will be used to examine how physician and nurse communication about asthma management, modeling of asthma care behaviors, and engagement of the child and caregiver during medical visits, are related to treatment adherence.

该项目侧重于儿童健康服务研究中一个被忽视的领域，即关系

项目成果

An evaluation of physicians' engagement of children with asthma in treatment-related discussions.

• DOI: 10.1177/1367493513489780
• 发表时间: 2014-09
• 期刊: Journal of child health care : for professionals working with children in the hospital and community
• 作者: Carpenter DM;Stover A;Slota C;Ayala GX;Yeatts K;Tudor G;Davis S;Williams D;Sleath B
• 通讯作者: Sleath B

Communication about ADHD and its treatment during pediatric asthma visits.

在儿科哮喘就诊期间就多动症及其治疗进行交流。

• DOI: 10.1007/s10597-013-9678-3
• 发表时间: 2014
• 期刊: Community mental health journal
• 影响因子: 2.7
• 作者: Sleath,Betsy;Sulzer,SandraH;Carpenter,DeleshaM;Slota,Catherine;Gillette,Christopher;Sayner,Robyn;Davis,Stephanie;Sandler,Adrian
• 通讯作者: Sandler,Adrian

Provider Discussion, Education, and Question-Asking about Control Medications during Pediatric Asthma Visits.

• DOI: 10.1155/2011/212160
• 发表时间: 2011
• 期刊: International journal of pediatrics
• 影响因子: 2.1
• 作者: Sleath B;Carpenter DM;Ayala GX;Williams D;Davis S;Tudor G;Yeatts K;Gillette C
• 通讯作者: Gillette C

How often do providers discuss asthma action plans with children? Analysis of transcripts of medical visits.

提供者多久与儿童讨论哮喘行动计划？

• DOI: 10.1177/0009922813506256
• 发表时间: 2013
• 期刊: Clinical pediatrics
• 影响因子: 1.6
• 作者: Gillette,Chris;Carpenter,DeleshaM;Ayala,GuadalupeX;Williams,DennisM;Davis,Stephanie;Tudor,Gail;Yeatts,Karin;Sleath,Betsy
• 通讯作者: Sleath,Betsy

Child and caregiver reported problems in using asthma medications and question-asking during paediatric asthma visits.

• DOI: 10.1111/ijpp.12043
• 发表时间: 2014-02-01
• 期刊: The International journal of pharmacy practice
• 作者: Sleath, Betsy;Carpenter, Delesha M;Ayala, Guadalupe X
• 通讯作者: Ayala, Guadalupe X