1 Nationwide Children's Hospital, Columbus, OH, USA.
2 Kent State University, Kent, OH, USA.
Health Educ Behav. 2018 Jun;45(3):435-443. doi: 10.1177/1090198117736346. Epub 2017 Oct 12.
Children's health beliefs are significantly related to their adherence; however, pediatric literature has rarely tested health-related theories as a whole. The goal of the present study was to evaluate the use of the health belief model (HBM) in understanding children's adherence, both globally and to individual treatment components.
Thirty-three patient-parent dyads completed questionnaires regarding health beliefs and adherence to medical regimens.
Multiple linear regressions found a significant relationship among the HBM variables and reports of global adherence for children and parents. For children, the HBM variables were significantly related to adherence to aerosol medications, aerosol antibiotics, metered dose inhalers, and vitamins. For parents, the HBM variables were significantly related to children's adherence to airway clearance, oral antibiotics, and vitamins. Paired sample t tests found children and parents had significantly discrepant heath beliefs.
These findings provide further support for the HBM in evaluating pediatric adherence, with evidence that barriers and cues to action may be targets for early intervention. Future research using this model to identify a comprehensive way to assess, understand, and elicit change in the adherence to medical regimens for youth with chronic illness would be beneficial.
儿童的健康信念与其依从性显著相关；然而，儿科文献很少对整体健康相关理论进行测试。本研究的目的是评估健康信念模型（HBM）在理解儿童整体依从性和个别治疗成分依从性方面的应用。
33 个患者-家长二人组完成了关于健康信念和医疗方案依从性的问卷。
多元线性回归发现，HBM 变量与儿童和家长的整体依从性报告之间存在显著关系。对于儿童，HBM 变量与气雾剂药物、气雾剂抗生素、计量吸入器和维生素的依从性显著相关。对于家长，HBM 变量与儿童气道清除、口服抗生素和维生素的依从性显著相关。配对样本 t 检验发现，儿童和家长的健康信念存在显著差异。
这些发现为 HBM 在评估儿科依从性方面提供了进一步的支持，有证据表明，障碍和行动线索可能是早期干预的目标。未来使用该模型识别全面评估、理解和引发青少年慢性病医疗方案依从性变化的研究将是有益的。
