Parent activation in the pediatric emergency department: Theory vs. reality.
Patient Educ Couns
; 101(6): 1116-1122, 2018 06.
Article
en En
| MEDLINE
| ID: mdl-29329727
OBJECTIVE: To measure parent activation and test for its associations with sociodemographics, clinical factors, and short-term outcomes. METHODS: By convenience sampling, 246 parents of children treated in an emergency department (ED) of a children's hospital completed the Parent-Patient Activation Measure (P-PAM) and answered sociodemographic questions. Clinical information was abstracted from medical records. Phone calls to parents and primary care physician offices were conducted within one-month post-ED visit for information about short-term outcomes. RESULTS: We discovered higher than expected activation among our sample (meanâ¯=â¯73), higher activation scores by Spanish language and child chronic illness status, and associations between activation scores and ED visit and discharge instruction comprehension and filling prescriptions (short-term outcomes). However, the theory of parent activation did not adequately fit the data. CONCLUSION: Before the P-PAM in pediatric clinical care becomes widespread, further research is necessary to better understand parent activation and its associations with pediatric outcomes. PRACTICE IMPLICATIONS: Although the PAM has shown promise in accurately measuring patient activation across various populations and disease processes, the same is not yet true of the P-PAM. To date, pediatric studies using the P-PAM have called its psychometric properties into question. Further research is needed to understand and measure parent activation.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Padres
/
Participación del Paciente
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Hispánicos o Latinos
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Encuestas y Cuestionarios
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Comprensión
Tipo de estudio:
Observational_studies
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Qualitative_research
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Risk_factors_studies
Límite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
Patient Educ Couns
Año:
2018
Tipo del documento:
Article