Asthma Home Management in the Inner-City: What can the Children Teach us?
| Autor: | Shawna S. Mudd, Mary E. Bollinger, Melissa H. Bellin, Angelica Newsome, Cassie Land, Arlene M. Butz, Joan Kub |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty Adolescent Urban Population medicine.medical_treatment Child Health Services Population Social Environment Article Grounded theory Medication Adherence 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Nursing Humans Medicine Metered Dose Inhalers 030212 general & internal medicine Cities Child education Poverty Asthma education.field_of_study Self-management Medicaid business.industry Emergency department Focus Groups medicine.disease Home Care Services Focus group United States Black or African American Self Care 030228 respiratory system Air Pollution Indoor Family medicine Pediatrics Perinatology and Child Health Smoking cessation Female business |
| Zdroj: | Journal of Pediatric Health Care. 31:362-371 |
| ISSN: | 0891-5245 |
| DOI: | 10.1016/j.pedhc.2016.11.002 |
| Popis: | Objective Knowledge of asthma home management from the perspective of poor, minority children with asthma is limited. Method Convenience sampling methods were used to recruit families of low-income children who are frequently in the emergency department for uncontrolled asthma. Thirteen youths participated in focus groups designed to elicit reflections on asthma home management. Data were analyzed using grounded theory coding techniques. Results Participants (Mean age = 9.2 years) were African American (100%), enrolled in Medicaid (92.3%), averaged 1.4 (standard deviation = 0.7) emergency department visits over the prior 3 months, and resided in homes with at least 1 smoker (61.5%). Two themes reflecting multifaceted challenges to the development proper of self-management emerged in the analysis. Discussion Findings reinforce the need to provide a multipronged approach to improve asthma control in this high-risk population including ongoing child and family education and self-management support, environmental control and housing resources, linkages to smoking cessation programs, and psychosocial support. |
| Databáze: | OpenAIRE |
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