Casey R, Rosen B, Glowasky A, Ludwig S
Clin Pediatr (Phila). 1985 Mar;24(3):149-52. doi: 10.1177/000992288502400307.
We evaluated the effects of an educational intervention and telephone reminders on compliance with medication-taking and appointment-keeping for children with otitis media. During an initial interview we examined parents' health beliefs and other factors associated with compliance in our outpatient setting. The children were then systematically assigned to one of five study groups (G1-5). Parents in G1 received an educational session with a nurse and two follow-up telephone reminders. Parents in G2 received only two telephone reminders. Parents in G3 met with the nurse for an educational session only. Parents in G4 were exempted from interventions, while parents in G5 were exempted from the interventions and the initial interview. The telephone reminder significantly increased the return rate for follow-up appointments (p less than 0.05). This effect was not enhanced by combining it with an educational intervention focusing more on medication compliance. Relatively simple and inexpensive interventions such as the ones described here improve follow-up appointment-keeping for children with otitis media. This enhanced compliance behavior is important in obtaining better health outcomes for children with acute illnesses.
我们评估了一项教育干预措施和电话提醒对中耳炎患儿服药依从性和预约就诊依从性的影响。在初次访谈中，我们调查了家长的健康观念以及在我们门诊环境中与依从性相关的其他因素。然后，将这些儿童系统地分配到五个研究组（G1 - 5）之一。G1组的家长接受了护士的一次教育课程以及两次随访电话提醒。G2组的家长仅收到两次电话提醒。G3组的家长仅与护士进行了一次教育课程。G4组的家长无需接受干预，而G5组的家长既无需接受干预，也无需参加初次访谈。电话提醒显著提高了随访预约的复诊率（p小于0.05）。将其与更侧重于药物依从性的教育干预措施相结合，并未增强这种效果。像这里所描述的相对简单且成本低廉的干预措施，能够改善中耳炎患儿的随访预约就诊情况。这种增强的依从性行为对于改善患有急性疾病儿童的健康结局非常重要。
