Parents' adherence to pediatric health and safety guidelines: Importance of patient-provider relationships.
Patient Educ Couns
; 101(9): 1570-1576, 2018 09.
Article
en En
| MEDLINE
| ID: mdl-29731179
ABSTRACT
OBJECTIVE:
To examine 1) parent-provider communication about pediatric health/safety guidelines, 2) trust in child's provider, 3) comfort discussing guidelines, 4) agreement with guideline advice, 5) self-efficacy following guidelines, and their impact on guideline adherence.METHOD:
256 parents of children ages 0-6 completed an online survey about sunscreen use, newborn Vitamin K injections, influenza vaccination, routine vaccination, car seats, infant safe sleep, furniture anchoring, large trampoline use, and firearm safety. Multivariable models regressed 1) communication about each guideline on parents' corresponding guideline adherence; 2) trust, comfort discussing guidelines, agreement with guideline advice, self-efficacy, on parents' total guideline adherence.RESULTS:
Communication about furniture anchoring (ORâ¯=â¯2.26), sunscreen (ORâ¯=â¯5.28), Vitamin K injections (ORâ¯=â¯3.20), influenza vaccination (ORâ¯=â¯13.71), routine vaccination (ORâ¯=â¯6.43), car seats (ORâ¯=â¯6.15), and infant safe sleep (ORâ¯=â¯3.40) related to corresponding guideline adherence (psâ¯<â¯0.05). Firearm safety communication was not related to adherence (ORâ¯=â¯1.11, n.s.). Trampoline communication related to lower likelihood of trampoline guideline adherence (ORâ¯=â¯0.24, pâ¯=â¯0.001). Agreement with guideline advice (ßâ¯=â¯0.35), trust (ßâ¯=â¯0.34), self-efficacy (ßâ¯=â¯0.45), comfort discussing guidelines (ßâ¯=â¯0.35) positively related to total guideline adherence (psâ¯<â¯0.001).CONCLUSION:
Findings underscore the importance of provider communication about health/safety guidelines. PRACTICE IMPLICATIONS Providers should respectfully engage and build relationships with parents to support health/safety guideline adherence.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Padres
/
Relaciones Profesional-Familia
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Comunicación
/
Adhesión a Directriz
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Autoeficacia
/
Comunicación en Salud
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Qualitative_research
Límite:
Adult
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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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Infant
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Male
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Middle aged
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Newborn
Idioma:
En
Año:
2018
Tipo del documento:
Article