医疗保健自我管理,执行功能和儿童发病残疾年轻人健康的社会决定因素:试点研究
Christine L Petranovich1, Emma Drenth2, Cristina Sarmiento1
1Department of Rehabilitation Medicine, Children's Hospital Colorado and the University of Colorado Anschutz School of Medicine, 13123 E 16th Ave, Aurora, CO 80045, USA.
概括
执行功能和健康的社会决定因素对患有儿科发病残疾的年轻成年人的医疗自我管理产生影响. 神经心理学家可以帮助识别挑战,并为更好的健康结果定制干预措施.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 健康差异 在健康上的差异
背景情况:
- 患有儿科发病残疾的过渡年龄成人 (TAA) 在医疗自我管理方面面临着独特的挑战.
- 执行功能和健康的社会决定因素 (SDOH) 是影响该人口健康结果的关键因素.
研究的目的:
- 检查执行功能,SDOH和儿童发病残疾的TAA中医疗自我管理技能之间的关联.
主要方法:
- 一项涉及47名TAA (18-28岁) 获得脑损伤,神经肌肉疾病或脊柱裂变的横截式试点研究.
- 信息提供者使用"行政职能行为评分清单 - 成人版"来评价执行职能.
- 参与者填写过渡准备评估问卷 (TRAQ) 来评估医疗自我管理.
主要成果:
- 更好的信息人评级的执行功能与更高的医疗自我管理技能有显著的关联 (β = -0.62,p < .001).
- 参与者的种族和种族也显示出显著的主要影响 (β = 0.27,p = .049).
- 与边缘化种族/民族群体 (土著,黑人) 认同的人报告说,医疗自我管理技能较差.
结论:
- 较低的执行功能和边缘化的种族/民族身份与患有儿科发病残疾的TAA中较差的医疗自我管理有关.
- 这些发现强调了神经心理评估对于识别认知缺陷的重要性.
- 针对性干预解决认知挑战和SDOH对于改善这一群体的自我管理技能至关重要.
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