Stinson Jennifer N, Feldman Brian M, Duffy Ciaran M, Huber Adam M, Tucker Lori B, McGrath Patrick J, Tse Shirley Ml, Hetherington Ross, Spiegel Lynn R, Campillo Sarah, Benseler Susanne, Gill Navreet, White Meghan E, Baker Natalie, Vijenthira Abi
The Hospital for Sick Children and University of Toronto, Canada.
J Child Health Care. 2012 Jun;16(2):124-40. doi: 10.1177/1367493511430679. Epub 2012 Feb 3.
The objective of this article is to explore information needs of children with juvenile idiopathic arthritis (JIA) and their parents in order to develop a web-based psychoeducational program aimed at improving their quality of life. A qualitative study design was used. A purposive sample of children (n = 41; 8-11 years) with JIA and parents (n = 48) participated in parent-child interviews (n = 29), and four child-focus and four parent-focus group interviews. Transcribed data were organized into categories that reflected emerging themes. Findings uncovered three major themes: "living with JIA", "jointly managing JIA", and "need for a web-based program of JIA information and social Support". Subthemes for "Living with JIA" were as follows: "impact on participation", "worry and distress", and "receiving social support". Subthemes under "Jointly Managing JIA" included "obtaining JIA information", "communication and advocacy", and "strategies to manage JIA". Participants endorsed a web-based program as a way to access JIA information and social support. In order to jointly manage JIA, participants expressed the need for disease-specific information, management strategies, and social support and felt that the Internet was acceptable for delivering these disease-management strategies. Findings from this study will inform development and evaluation of an online program to help children and parents jointly manage JIA.
本文的目的是探究青少年特发性关节炎(JIA)患儿及其父母的信息需求,以便开发一个基于网络的心理教育项目,旨在改善他们的生活质量。采用了定性研究设计。一个由患JIA的儿童(n = 41;8 - 11岁)及其父母(n = 48)组成的有目的样本参与了亲子访谈(n = 29),以及四个以儿童为重点和四个以父母为重点的小组访谈。转录的数据被整理成反映新出现主题的类别。研究结果揭示了三个主要主题:“与JIA共存”、“共同管理JIA”以及“对基于网络的JIA信息和社会支持项目的需求”。“与JIA共存”的子主题如下:“对参与的影响”、“担忧与困扰”以及“获得社会支持”。“共同管理JIA”下的子主题包括“获取JIA信息”、“沟通与宣传”以及“管理JIA的策略”。参与者认可基于网络的项目是获取JIA信息和社会支持的一种方式。为了共同管理JIA,参与者表示需要特定疾病的信息、管理策略和社会支持,并认为互联网适合提供这些疾病管理策略。本研究的结果将为一个帮助儿童和父母共同管理JIA的在线项目的开发和评估提供参考。