Pulgaron Elizabeth R, Salamon Katherine S, Patterson Chavis A, Barakat Lamia P
Mailman Center for Child Development, University of Miami, Miami, Florida, USA.
J Asthma. 2010 Nov;47(9):1031-9. doi: 10.1080/02770903.2010.514633.
Pediatric summer camps are emerging as a means to increase social support and improve children's attitudes about their chronic illness. Because of the high rate of camp attendance, it may be feasible to implement interventions within that setting; however, it has yet to be determined what components of camp are beneficial.
The objective of this pilot study was to determine the efficacy of a problem-solving intervention targeting disease management in improving psychosocial functioning of children with persistent asthma, over and above the benefits of participation in a pediatric summer camp.
Fifty campers were randomly assigned to receive camp plus a nightly problem-solving intervention activity or camp as usual. Changes in self-reported asthma knowledge and problem-solving skills and self- and parent-reported child self- and social competence health-related quality of life were assessed thrice: before camp, on the last day of camp, and 3-months post-camp.
There were no significant differences between the problem-solving intervention group and the camp as usual group in change across psychosocial variables from before camp to last day of camp or before camp to 3-months post-camp. Increases in asthma knowledge and problem-solving were found 3-months post-camp when groups were combined.
Although support was found for improvements in disease knowledge and problem-solving skills after camp participation, there were no identified benefits to the problem-solving intervention. Children with asthma who participated in camp were functioning at a high level in terms of knowledge, problem-solving, and social and self-competence, suggesting that interventions may be more effective if targeted to patients with identified problems with disease management.
儿童夏令营正逐渐成为一种增加社会支持并改善儿童对自身慢性病态度的方式。由于夏令营的参与率很高，在这种环境中实施干预措施可能是可行的；然而，尚未确定夏令营的哪些组成部分是有益的。
本试点研究的目的是确定针对疾病管理的问题解决干预措施在改善持续性哮喘儿童心理社会功能方面的效果，超越参与儿童夏令营所带来的益处。
五十名营员被随机分配接受夏令营加每晚的问题解决干预活动或常规夏令营。通过三次评估自我报告的哮喘知识和问题解决技能以及自我和家长报告的儿童自我和社会能力与健康相关的生活质量：夏令营前、夏令营最后一天以及夏令营后3个月。
从夏令营前到夏令营最后一天或从夏令营前到夏令营后3个月，问题解决干预组和常规夏令营组在心理社会变量变化方面没有显著差异。合并组后发现夏令营后3个月哮喘知识和问题解决能力有所提高。
虽然发现参与夏令营后疾病知识和问题解决技能有所改善，但问题解决干预没有明确的益处。参与夏令营的哮喘儿童在知识、问题解决以及社会和自我能力方面表现良好，这表明如果针对在疾病管理方面存在明确问题的患者进行干预可能会更有效。
