Postma Julie Marie, Evans-Agnew Robin, Capouya Jared
a Washington State University College of Nursing, Washington State University Puyallup Research and Extension Center , Puyallup , WA , USA .
J Asthma. 2015;52(6):593-9. doi: 10.3109/02770903.2014.996651. Epub 2015 Jul 7.
The purpose of this study is to report how photovoice was used to (1) ascertain Mexican-American caregiver perspectives about asthma management, and (2) engage caregivers in dissemination.
Eleven Mexican-American caregivers of children with asthma were recruited and given cameras to photograph what helped or hindered their ability to care for their child. Participants prioritized which images to share, discussed the images with the group, and wrote accompanying titles and captions in four photovoice sessions. Sessions were in Spanish and occurred in a community setting. Participants presented their work to peers and community members. Identified issues were subsequently categorized by investigators according to the four components of asthma care.
Participants prioritized 32 phototexts, the majority of which (n = 20, 63%) reflected activities associated with environmental control. Caregivers highlighted asthma triggers, and suggested ways to maintain indoor air quality (IAQ) through home cleaning. The need for policies that enforce smoking bans in shared housing and public places was identified as an important strategy to improve outdoor air quality. "Education for a Partnership in Asthma Care" was represented in six (19%) phototexts. Five phototexts (16%) represented "Assessment and Monitoring". Only one phototext (3.13%) primarily represented "Medications".
Results support the need for active partnerships between caregivers and providers. Photographs can serve as the basis for reciprocal education between patient and provider, especially in the area of environmental triggers. Provider visits should include assessment, strategies and resources to maximize IAQ. Photovoice facilitates caregivers' ability to advocate for improved asthma management and health equity.
本研究的目的是报告如何运用照片声音法来（1）确定墨西哥裔美国看护者对哮喘管理的看法，以及（2）促使看护者参与传播活动。
招募了11名患有哮喘儿童的墨西哥裔美国看护者，并给他们相机，让他们拍摄有助于或阻碍其照顾孩子能力的事物。参与者对要分享的照片进行排序，在四场照片声音法活动中和小组讨论照片，并撰写相关的标题和说明文字。活动用西班牙语进行，在社区环境中开展。参与者向同行和社区成员展示了他们的作品。随后，研究人员根据哮喘护理的四个组成部分对确定的问题进行了分类。
参与者对32篇照片文字进行了排序，其中大多数（n = 20，63%）反映了与环境控制相关的活动。看护者强调了哮喘触发因素，并提出了通过家庭清洁来保持室内空气质量（IAQ）的方法。人们认为，实施共享住房和公共场所禁烟政策是改善室外空气质量的一项重要策略。六篇（19%）照片文字体现了“哮喘护理伙伴关系教育”。五篇照片文字（16%）体现了“评估与监测”。只有一篇照片文字（3.13%）主要体现了“药物治疗”。
结果支持了看护者与提供者之间建立积极伙伴关系的必要性。照片可以作为患者与提供者相互教育的基础，尤其是在环境触发因素方面。提供者的家访应包括评估、策略和资源，以最大限度地提高室内空气质量。照片声音法有助于看护者倡导改善哮喘管理和健康公平性。
