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How often do providers discuss asthma action plans with children? Analysis of transcripts of medical visits
Chris Gillette1, Delesha M Carpenter, Guadalupe X Ayala
11Marshall University, Huntington, WV, USA.
Insights
Pediatric providers rarely discussed asthma action plans with children and caregivers. Factors like Medicaid enrollment and longer visits were linked to more discussions about these crucial asthma management tools.
Area of Science:
- Pediatric Asthma Management
- Healthcare Communication
- Clinical Practice Research
Background:
- Asthma action plans are vital for managing childhood asthma.
- Effective communication between providers, children, and caregivers is key for adherence.
Purpose of the Study:
- To determine the frequency of asthma action plan discussions in pediatric visits.
- To identify factors associated with these discussions.
Main Methods:
- Cross-sectional analysis of 35 pediatric providers and 260 children (8-16 years) with asthma.
- Audio-recorded visits were transcribed and coded for asthma action plan discussions.
Main Results:
- Asthma action plans were discussed in only 21.0% of visits.
- Discussions were more frequent for children with Medicaid, during asthma-focused or longer visits, and with non-White providers or those with more education.
Conclusions:
- Providers infrequently discussed asthma action plans with children and caregivers.
- Regular discussions and revisions of asthma action plans are recommended for all children with persistent asthma.
Objective:
To examine how often providers discussed asthma action plans with children and their caregivers and child, clinical, and provider characteristics that were associated with those discussions.
Method:
This was a cross-sectional analysis of audio-recorded visits between 35 general pediatric providers and 260 children (8-16 years old) with asthma and their caregivers. The visits were transcribed into text. The transcripts were coded for discussions about written asthma action plans.
Results:
Providers discussed written asthma action plans with 21.0% of children and caregivers. Providers were significantly more likely to discuss asthma action plans when the child was enrolled in Medicaid, the visit was asthma related, the visit was longer, the provider was not White, or more provider education.
Conclusion:
In our sample, providers rarely discussed action plans with children and their caregivers. Providers should discuss asthma action plans with every child with persistent asthma and their caregivers and revise them regularly.
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