Parental asthma education and risks for nonadherence to pediatric asthma treatments
| Autor: | Christine S. Cho, Ginny Gildengorin, Eva M. Delgado, Claudia R. Morris, Sara Leibovich |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Parents Risk medicine.medical_specialty Pediatrics Spanish language Adolescent Cross-sectional study MEDLINE Primary care Article Medication Adherence Surveys and Questionnaires Medicine Humans Child Pediatric asthma Asthma Descriptive statistics business.industry General Medicine Asthma clinic medicine.disease Cross-Sectional Studies Family medicine Child Preschool Pediatrics Perinatology and Child Health Emergency Medicine Female business |
| Zdroj: | Pediatric emergency care. 30(11) |
| ISSN: | 1535-1815 |
| Popis: | Objectives: Targeted parental education reduces acutevisits for pediatric asthma. Whether the use of education sources readily available to parents relates to nonadherence to asthma treatments is uncertain. This study describes asthma education sources and assesses for a relationship to risks for nonadherence. Methods: Caregivers of children with asthma completed a crosssectional survey at 2 sites: a pediatric emergency department (ED) and an asthma clinic (AC). Measured items included the use of 7 education sources (primary care, ED, AC, friends/family, TV, internet, and printed materials), scores of child asthma morbidity, parental asthma knowledge, and risks for nonadherence, the primaryoutcome. Recruitment site, preferred language (English/Spanish), and demographics were recorded. Descriptive statistics, bivariate analyses, and multivariate regressions were performed. Results: A total of 260 participants, 158 from ED and 102 from AC, used a variety of education sources. They reported 4.1 (2.0) of 13 risk factors for nonadherence, with more risks in ED parents than AC parents (4.8 vs 3.9, P < 0.001). The ED parents worried more about medications andhadworseaccesstoprimarycare.Theregressiondidnot showasignificant relationship between education sources and risks for nonadherence, but ED recruitment, Spanish language, and worse morbidity contributed to higher risks. Conclusions: The use of more asthma education sources was not associated with reduced risks for nonadherence. Of the education sources, a primary care provider may benefit ED parents, who also need refills and education about medications. Spanish-speaking parents report more risks for nonadherence, warranting further study of Spanish-language asthma education. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|