Coutinho Maria Teresa, Kopel Sheryl J, Williams Brittney, Dansereau Katie, Koinis-Mitchell Daphne
Department of Psychiatry and Human Behavior, E. P. Bradley Hospital, Warren Alpert Medical School, Brown University.
Department of Psychiatry and Human Behavior, Bradley/Hasbro Children's Research Center, Warren Alpert Medical School, Brown University.
Fam Syst Health. 2016 Sep;34(3):229-39. doi: 10.1037/fsh0000206.
In this study, we examined the associations between caregiver empowerment, child-asthma symptoms, and emergency-department (ED) use in a sample of school-age urban children with asthma. We examined differences in caregiver empowerment, and in the associations among caregiver empowerment, proportion of days with child-asthma symptoms, and ED use as a function of caregiver nativity.
Participants for this study were part of a larger longitudinal study and included Latino, African American and non-Latino White urban caregivers and their children with asthma (ages 7-9; N = 130). Caregiver empowerment was assessed within family, asthma services, and community domains.
Children whose caregivers reported greater empowerment within the family (i.e., possessing sufficient knowledge and ability to care for their families) presented with fewer asthma symptoms. Children whose caregivers reported greater empowerment within asthma services (i.e., the ability to collaborate with asthma providers and the health-care system), presented with more asthma symptoms. Foreign-born caregivers endorsed greater empowerment within the family, whereas U.S.-born caregivers reported greater empowerment within asthma services. For foreign-born caregivers, higher levels of empowerment in the family were associated with fewer child-asthma symptoms. For U.S.-born caregivers, higher levels of empowerment in asthma services were associated with more child-asthma symptoms.
Results suggest that caregivers who feel more confident and better able to manage problems within their families may better manage their children's asthma symptoms. Foreign-born caregivers may benefit from increased support to more effectively navigate the asthma health-care system and manage their children's asthma. (PsycINFO Database Record
在本研究中，我们调查了城市学龄哮喘儿童样本中照顾者赋权、儿童哮喘症状与急诊室（ED）就诊之间的关联。我们研究了照顾者赋权的差异，以及照顾者赋权、儿童哮喘症状出现天数比例和急诊室就诊之间的关联如何随照顾者出生地而变化。
本研究的参与者是一项更大规模纵向研究的一部分，包括拉丁裔、非裔美国人和非拉丁裔白人城市照顾者及其患有哮喘的儿童（7至9岁；N = 130）。照顾者赋权在家庭、哮喘服务和社区领域进行评估。
其照顾者报告在家庭中赋权程度更高（即拥有足够的知识和能力照顾家人）的儿童哮喘症状较少。其照顾者报告在哮喘服务方面赋权程度更高（即与哮喘医护人员和医疗系统协作的能力）的儿童哮喘症状更多。外国出生的照顾者在家庭中的赋权程度更高，而美国出生的照顾者在哮喘服务方面的赋权程度更高。对于外国出生的照顾者，家庭中更高水平的赋权与儿童哮喘症状较少相关。对于美国出生的照顾者，哮喘服务方面更高水平的赋权与儿童哮喘症状较多相关。
结果表明，在家庭中感到更自信且更有能力解决问题的照顾者可能能更好地控制孩子的哮喘症状。外国出生的照顾者可能会从增加的支持中受益，以便更有效地应对哮喘医疗系统并管理孩子的哮喘。（PsycINFO数据库记录
