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Shared decision making in school age children with asthma

Arlene M Butz1, Jennifer M Walker, Margaret Pulsifer

  • 1Johns Hopkins University Schools of Medicine and Nursing, Baltimore, MD, USA.

Pediatric Nursing
|June 5, 2007
PubMed

Insights

Shared decision making in pediatric asthma care empowers children. Involving children in healthcare decisions can boost their confidence and improve asthma self-management skills through tailored communication strategies.

Area of Science:

  • Pediatric Healthcare
  • Respiratory Medicine
  • Health Psychology

Background:

  • Traditional pediatric healthcare often excludes children from decision-making processes.
  • Effective asthma management in children requires active patient participation.
  • Shared decision-making (SDM) models are underutilized in pediatric asthma care.

Purpose of the Study:

  • To explore the benefits of shared decision making (SDM) for children with asthma.
  • To identify effective communication strategies for involving children in their healthcare.
  • To promote a shift from dyadic (provider-parent) to triadic (provider-parent-child) interactions in pediatric asthma management.

Main Methods:

  • Review of existing literature on SDM in pediatric chronic illness.
  • Analysis of communication techniques suitable for pediatric patients.
  • Framework development for integrating children into healthcare decision-making.

Main Results:

  • SDM can enhance children's self-confidence and self-management skills in asthma.
  • Age-appropriate communication strategies (visual aids, turn-taking) are crucial for child engagement.
  • Parental guidance on communicating asthma information supports child involvement.

Conclusions:

  • Implementing SDM in pediatric asthma care is feasible and beneficial.
  • Empowering children in their healthcare decisions improves asthma outcomes.
  • Shifting to triadic interactions optimizes pediatric asthma management.

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