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Published on: November 4, 2010
Improving asthma communication in high-risk children
Arlene M Butz1, Jennifer Walker, Cassia Lewis Land
1The Johns Hopkins University School of Medicine, Department of Pediatrics, Baltimore, Maryland 21287, USA. abutz@jhmi.edu
Insights
Most parents and children need help communicating asthma symptoms to their doctor. An asthma advocate may be needed for high-risk children to ensure accurate reporting and optimal asthma treatment.
Area of Science:
- Pediatric Pulmonology
- Health Communication
- Clinical Pediatrics
Background:
- Childhood asthma management requires effective communication between patients, parents, and healthcare providers.
- Existing research has not sufficiently explored the specific communication content and strategies during pediatric asthma preventive care visits.
- Understanding these communication dynamics is crucial for optimizing asthma control in children.
Purpose of the Study:
- To examine the content of child and parent communications about asthma management during primary care visits.
- To identify communication barriers and facilitators in pediatric asthma preventive care.
- To inform strategies for improving patient-provider communication in childhood asthma.
Main Methods:
- Qualitative analysis of communication content during pediatric asthma consultations.
- Observation and documentation of parent-child-provider interactions.
- Focus on symptom reporting and asthma control discussions.
Main Results:
- A significant majority of parents and children required prompting to convey asthma symptom information to their primary care provider (PCP).
- Communication often lacked detailed symptom reporting necessary for accurate assessment of asthma severity.
- The study highlighted a need for structured communication tools or support.
Conclusions:
- Effective communication regarding asthma symptoms and control is often lacking in pediatric primary care visits.
- Children and parents frequently need assistance to communicate essential health information to clinicians.
- Consideration should be given to implementing asthma advocates for high-risk families to ensure accurate clinical reporting and optimal asthma therapy.
Abstract:
Few child asthma studies address the specific content and techniques needed to enhance child communication during asthma preventive care visits. This study examined the content of child and parent communications regarding their asthma management during a medical encounter with their primary care provider (PCP). The majority of parents and children required prompting to communicate symptom information to the PCP during the clinic visit. Some high-risk families may require an asthma advocate to ensure that the clinician receives an accurate report of child's asthma severity and asthma control to ensure prescribing of optimal asthma therapy.
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