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Ge P, Liu ST, Xu SX, Zhang JZ, Lai YJ, Fu RC, Ke XY, Zhao J, Bian Y, Wu YB. The Influence of Parents on Medication Adherence of Their Children in China: A Cross-Sectional Online Investigation Based on Health Belief Model. Front Public Health 2022; 10:845032. [PMID: 35493366 PMCID: PMC9046660 DOI: 10.3389/fpubh.2022.845032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Accepted: 03/23/2022] [Indexed: 11/26/2022] Open
Abstract
Objective To explore the influence of parents on the medication adherence of their children. Study Design A cross-sectional online investigation. Methods A questionnaire with 41 questions was designed based on the health belief model (HBM) distributed and collected online in 28 cities around China through multi-stage stratified sampling. The reliability of the questionnaire was assessed with Cronbach's α coefficient and split-half reliability, and its validity was evaluated with exploratory factor analysis and content validity index. The structural equation model (SEM) was constructed to explore the relationship between the parents' health beliefs and their children's medication adherence. Subgroup analysis was conducted to study the differences between parents with different demographic characteristics (male and female, rural and urban). Results 573 questionnaires were included for analysis, with an effective rate of 62.97%. The Cronbach'α coefficient of the questionnaire was 0.821 > 0.6, the split-half reliability was 0.651 > 0.6, the I-CVI of each dimension were >0.78, and the S-CVI/AVE (I-CVI average) was 0.95 > 0.9. The result of the questionnaire exploratory factor analysis met the standard. According to the SEM, self-efficacy (λ = 0.177), perceived susceptibility (λ = −0.244), and perceived severity (λ = 0.243) were direct influencing factors of children's medication adherence. In the subgroup analysis, the model established by each subgroup was consistent with the model established by the overall sample. The absolute values of females' perceived susceptibility, severity, and self-efficacy for their children's medication adherence path coefficients were higher than males'. Conclusion Parents' perceived severity and self-efficacy may positively impact on their children's medication adherence, while parents' susceptibility to children's medication non-adherence may negatively impact on children's medication adherence. Objective constraints, perceived barriers, and benefits may in directly impact on children's medication adherence. Women's health beliefs appear to have a more significant impact on their children's medication adherence than men's. It may be an effective strategy to increase their children's medication adherence by improving parents' health beliefs. Medical staff should explain medication adherence knowledge to the parents of children, and inform the children of the possible consequences of non-adherence with medication, to improve the subjective perception of parents on the severity of children's non-adherence with medication, and improve parents' self-efficacy in rational medication for children. In addition, attention should be paid to the mental health of the parents, and more social and psychological support.
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Affiliation(s)
- Pu Ge
- Institute of Chinese Medical Sciences, University of Macau, Macau, China
- State Key Laboratory of Quality Research in Chinese Medicine, University of Macau, Macau, China
- Department of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Macau, China
| | - Si-tong Liu
- School of Pharmacy, Peking University, Beijing, China
| | - Shu-xian Xu
- School of Pharmacy, Shenyang Pharmaceutical University, Shenyang, China
| | - Jin-zi Zhang
- College of Humanities and Social Sciences, Harbin Medical University, Harbin, China
| | - Yong-jie Lai
- Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Run-chen Fu
- School of Pharmacy, Shandong First Medical University, Taian, China
| | - Xin-yu Ke
- Institute of Chinese Medical Sciences, University of Macau, Macau, China
- State Key Laboratory of Quality Research in Chinese Medicine, University of Macau, Macau, China
- Department of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Macau, China
| | - Juan Zhao
- The Fourth Hospital of Harbin, Harbin, China
| | - Ying Bian
- Institute of Chinese Medical Sciences, University of Macau, Macau, China
- State Key Laboratory of Quality Research in Chinese Medicine, University of Macau, Macau, China
- Department of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Macau, China
- *Correspondence: Ying Bian
| | - Yi-bo Wu
- School of Public Health, Peking University, Beijing, China
- Yi-bo Wu
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Foronda C, Prather S, Snowden K, Gonzalez JM, Gattamorta KA, Lee J, Gonzalez JE, Cardenas M. Asthma academy: A student nurse-led telehealth education program for low-income family caregivers of children with asthma. Nurs Open 2021; 9:1486-1496. [PMID: 34913268 PMCID: PMC8859072 DOI: 10.1002/nop2.1123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 10/18/2021] [Accepted: 10/20/2021] [Indexed: 11/10/2022] Open
Abstract
AIMS The aims of the Asthma Academy study were to (1) evaluate the telehealth performance of DNP students, (2) evaluate the perceived learning experience of DNP students and (3) investigate whether an association exists related to student performance and family caregiver outcomes. DESIGN A descriptive study was conducted with doctor of nursing practice students. METHODS Students conducted telehealth visits to help family caregivers of children with asthma and were rated on their performance by two faculty members using a rubric. Student perception data were gathered via survey. RESULTS Out of a total possible score of 15 points, the mean telehealth performance score of students was 13.38 points. Students indicated the telehealth experience was valuable and that they were satisfied with their learning. This model of leveraging telehealth to bridge nursing students to the community may be adapted to help family caregivers of children with various disease foci.
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Affiliation(s)
- Cynthia Foronda
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA
| | - Susan Prather
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA
| | - Kenya Snowden
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA
| | - Juan M Gonzalez
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA
| | - Karina A Gattamorta
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA
| | - Jiye Lee
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA
| | - Juan E Gonzalez
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA
| | - Monica Cardenas
- Division of Pediatric Pulmonology, University of Miami, Miami, Florida, USA
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Feng XL, Luo BA, Qin LL. Researching on the compliance of epilepsy patients of the Phenobarbital Epilepsy Management Project in a rural area of China: A retrospective study. Medicine (Baltimore) 2021; 100:e27172. [PMID: 34516512 PMCID: PMC8428702 DOI: 10.1097/md.0000000000027172] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 06/11/2021] [Accepted: 08/15/2021] [Indexed: 01/05/2023] Open
Abstract
ABSTRACT The aim of this study was to explore the compliance of epilepsy patients in the Phenobarbital Epilepsy Management Project in a rural area of China and its influencing factors, so as to provide the basis for further strategies.A retrospective study researching on the compliance of epilepsy patients in the Phenobarbital Epilepsy Management Project of Rural China was conducted. The Nan County, Hunan Province as a typical rural China was selected as the study site. We collected the compliance and other relative factors from 2017 to 2019 though the Phenobarbital Epilepsy Management Project data system.The good compliance patients in the Phenobarbital Epilepsy Management Project in a rural area of China were 98.99% (393/397); only 4 cases had poor compliance. The factors affecting the compliance of epilepsy patients were "adverse reactions of digestive tract symptoms," "how the patient felt physically, mentally, or working and learning ability during this period," and "the ratio of the attack to the previous one."The rate of good compliance among the epilepsy patients in the Phenobarbital Epilepsy Management Project in a rural area of China was high. More attention to education, patients' psychology, and the curative effect of family members may improve the compliance of patients with epilepsy further.
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Affiliation(s)
- Xiang-Lin Feng
- Department of Social Medicine and Health Management, School of Medicine, Hunan Normal University, Changsha, Hunan, China
| | - Bang-An Luo
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
- Department of Mental Health, Brain Hospital of Hunan Province, Changsha, Hunan, China
| | - Lu-Lu Qin
- Department of Social Medicine and Health Management, School of Medicine, Hunan Normal University, Changsha, Hunan, China
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