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Children with Asthma and Communication with Healthcare Provider: Instrument Development.

J Dowell1, K Arcoleo2, Z Ruiz3

  • 1Kent State University, United States of America.

Journal of Pediatric Nursing
|November 30, 2019
PubMed
Summary
This summary is machine-generated.

This study validated a communication instrument subscale for children with asthma, ensuring age-appropriateness and readability. Findings enhance child-centered communication in healthcare settings.

Keywords:
AsthmaAsthma symptom identificationChildrenCommunicationSymptom management

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Area of Science:

  • Pediatric Healthcare Communication
  • Asthma Management Tools
  • Patient-Reported Outcomes

Background:

  • Effective communication is crucial for managing childhood asthma.
  • Children are often excluded from healthcare discussions, impacting symptom recognition and response.
  • Existing instruments may not adequately capture children's perspectives on provider communication.

Purpose of the Study:

  • To assess the content validity of an instrument subscale measuring communication between children with asthma and healthcare providers.
  • To evaluate the age appropriateness, readability, and clarity of the subscale for pediatric asthma patients.
  • To improve the inclusion of children in triadic discussions involving healthcare providers and caregivers.

Main Methods:

  • Mixed-methods explanatory sequential design.
  • Qualitative focus groups enriched a 15-item questionnaire.
  • Tested with 25 children aged 8-12 with asthma.

Main Results:

  • Children's perspectives provided valuable insights for subscale development.
  • The subscale demonstrated strong internal consistency (Cronbach's Alpha = 0.85).
  • Readability analysis confirmed the items are suitable for a 6th-grade reading level; children found them clear.

Conclusions:

  • The validated subscale is age-appropriate, readable, and clear for children with asthma.
  • The findings support the inclusion of children in healthcare communication, moving beyond a dyadic to a triadic model.
  • Future research will focus on reliability and factor analysis of the full instrument.