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Feasibility of Picture-Based Asthma Medication Plans in Urban Pediatric Outpatient Clinics.
Pediatric Allergy, Immunology, and Pulmonology ( IF 0.9 ) Pub Date : 2016-09-02 , DOI: 10.1089/ped.2016.0640
Stephanie J Mitchell 1 , Andrew L Bilderback 2 , Sande O Okelo 3
Affiliation  

Picture-based Asthma Action Plans show promise for overcoming parental literacy barriers and improving child asthma outcomes, but it is uncertain how parents respond to pictures of specific medications, which may be particularly important for improving disease self-management. Thus, we assessed parent attitudes toward an asthma-related picture-based medication plan (PBMP) in an urban academic pediatric clinic and examined attitudes by literacy level. Surveys were administered to a convenience sample of parents of children presenting to an urban pediatric pulmonary clinic for asthma consultation between March and August 2011. The Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) was administered to parents. Parents indicated their level of agreement with 9 statements on the potential usefulness of the PBMP: (1) before being shown a PBMP; and (2) after seeing the doctor. McNemar's tests showed that the proportion of high-literate parents (≥9th grade reading level) who endorsed the potential benefits of the PBMP after the clinical encounter was significantly higher than before the clinical encounter. A high proportion of low-literate parents (<9th grade reading level) consistently endorsed the PBMP before and after the clinical encounter. Among a diverse sample seen in an urban asthma clinic, parents of all literacy levels endorse PBMPs as useful, especially after using them in clinical encounters.

中文翻译:

以图片为基础的哮喘药物治疗计划在城市儿科门诊中的可行性。

基于图片的哮喘行动计划显示出克服父母识字障碍和改善儿童哮喘结局的希望,但尚不确定父母对特定药物图片的反应如何,这对于改善疾病的自我管理尤其重要。因此,我们在城市学术儿科诊所评估了家长对与哮喘相关的基于图片的药物治疗计划(PBMP)的态度,并通过识字水平检查了态度。在2011年3月至2011年8月之间,对方便儿童的父母样本进行了调查,这些样本出现在城市儿科肺科诊所进行哮喘咨询。对父母进行了医学简式成人识字率的快速估算(REALM-SF)。家长表示对PBMP潜在用途的9条陈述表示同意:(1)在出示PBMP之前;(2)看医生之后。麦克尼玛(McNemar)的测试表明,在临床遭遇后认可PBMP潜在益处的高识字父母(≥9年级阅读水平)显着高于临床遭遇前。在临床遭遇前后,大部分识字父母(<9年级阅读水平)一致认可PBMP。在城市哮喘诊所中看到的各种各样的样本中,所有识字水平的父母都认可PBMP有用,尤其是在临床上使用它们后。s检验显示,在临床遭遇后认可PBMP潜在益处的高识字父母(≥9年级阅读水平)显着高于临床遭遇前。在临床遭遇前后,大部分识字父母(<9年级阅读水平)一致认可PBMP。在城市哮喘诊所中看到的各种各样的样本中,所有识字水平的父母都认可PBMP有用,尤其是在临床上使用它们后。s检验显示,在临床遭遇后认可PBMP潜在益处的高识字父母(≥9年级阅读水平)显着高于临床遭遇前。在临床遭遇前后,大部分识字父母(<9年级阅读水平)一致认可PBMP。在城市哮喘诊所中看到的各种各样的样本中,所有识字水平的父母都认可PBMP有用,尤其是在临床上使用它们后。
更新日期:2019-11-01
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