Geryk Lorie L, Arrindell Courtney C, Sage Adam J, Blalock Susan J, Reuland Daniel S, Coyne-Beasley Tamera, Lee Charles, Sleath Betsy L, Carpenter Delesha M
a Division of Pharmaceutical Outcomes and Policy .
b Division of General Medicine and Clinical Epidemiology , and.
J Asthma. 2016;53(1):101-6. doi: 10.3109/02770903.2015.1057847. Epub 2015 Aug 19.
This study examines (1) whether youth and their caregivers have different preferences for asthma education video topics and (2) if education topic preferences vary by youth and caregiver sociodemographic characteristics.
Youth (n = 83) ages 7-17 years with persistent asthma and their caregivers were recruited at two pediatric practices in North Carolina. Sociodemographic information and youth and caregiver preferences for nine asthma video education topics were collected during in-person interviews. Bonferroni-corrected Chi-square or McNemar tests (α = 0.0056) were used to compare youth and caregivers differences in topic preferences and topic preferences by youth and caregiver sociodemographic characteristics, including gender, race, ethnicity, and age.
Youth were primarily male (52%) and from low-income families (74%; caregiver annual income less than $30,000) and many were Hispanic (45%). Youth and parents expressed the most interest in the following two topics: "how to deal with triggers" (90% and 95%, respectively) and "how to keep asthma under control" (87% and 96%, respectively). Caregivers and children were discordant for two topics: "the difference between a rescue and controller medicine" and "how to [help your child] talk to your [his/her] friends about asthma." No differences were found between youth and caregiver sociodemographic characteristics and video topic preferences.
Youth with persistent asthma and their caregivers differed in their asthma education topic preferences, but preferences did not vary by caregiver or youth sociodemographic characteristics. Studies examining the effectiveness of interventions tailored to differences in educational preferences of youth with asthma and their caregivers are needed.
本研究探讨(1)青少年及其照顾者对哮喘教育视频主题是否有不同偏好,以及(2)教育主题偏好是否因青少年和照顾者的社会人口学特征而异。
在北卡罗来纳州的两家儿科诊所招募了7至17岁患有持续性哮喘的青少年(n = 83)及其照顾者。在面对面访谈中收集了社会人口学信息以及青少年和照顾者对九个哮喘视频教育主题的偏好。使用Bonferroni校正的卡方检验或McNemar检验(α = 0.0056)来比较青少年和照顾者在主题偏好上的差异,以及按青少年和照顾者的社会人口学特征(包括性别、种族、族裔和年龄)划分的主题偏好差异。
青少年主要为男性(52%),来自低收入家庭(74%;照顾者年收入低于30,000美元),许多是西班牙裔(45%)。青少年和父母对以下两个主题最感兴趣:“如何应对诱发因素”(分别为90%和95%)和“如何控制哮喘”(分别为87%和96%)。照顾者和儿童在两个主题上存在分歧:“急救药物和控制药物的区别”以及“如何[帮助你的孩子]与你的[他/她的]朋友谈论哮喘”。青少年和照顾者的社会人口学特征与视频主题偏好之间未发现差异。
患有持续性哮喘的青少年及其照顾者在哮喘教育主题偏好上存在差异,但偏好不因照顾者或青少年的社会人口学特征而异。需要开展研究,考察针对哮喘青少年及其照顾者教育偏好差异量身定制的干预措施的有效性。