ArticlePatient related outcome measures2018
Provider use of a participatory decision-making style with youth and caregivers and satisfaction with pediatric asthma visits.
Article in Patient related outcome measures, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to Promote Pediatric Shared Decision-Making and Child Engagement in Primary Care: A Systematic Review.Academic pediatricsPooled it
- Suboptimal Control of Asthma Among Diverse Patients: A US Mixed Methods Focus Group Study.Journal of asthma and allergy · 2022Article
- Adolescents' experiences with patient engagement in respiratory medicine.Pediatric pulmonology · 2021Article
- What can be done to impact respiratory inhaler misuse: exploring the problem, reasons, and solutions.Expert review of respiratory medicine · 2020Review
- Youth underrepresentation as a barrier to sexual and reproductive healthcare access in Kasulu district, Tanzania: A qualitative thematic analysis.International journal of public health · 2020Article
- Youth Perspectives of Healthcare in Central Mexico: An Application of Massey's Critical Health Literacy Framework.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundWe conducted a randomized controlled trial to test the effectiveness of an asthma question prompt list with video intervention to engage the youth during clinic visits. We examined whether the intervention was associated with 1) providers including youth and caregiver inputs more into asthma treatment regimens, 2) youth and caregivers rating providers as using more of a participatory decision-making style, and 3) youth and caregivers being more satisfied with visits.
methodsEnglish- or Spanish-speaking youth aged 11-17 years with persistent asthma and their caregivers were recruited from four pediatric clinics and randomized to the intervention or usual care groups. The youth in the intervention group watched the video with their caregivers on an iPad and completed a one-page asthma question prompt list before their clinic visits. All visits were audiotaped. Generalized estimating equations were used to analyze the data.
resultsForty providers and their patients (n=359) participated in this study. Providers included youth input into the asthma management treatment regimens during 2.5% of visits and caregiver input during 3.3% of visits. The youth in the intervention group were significantly more likely to rate their providers as using more of a participatory decision-making style (odds ratio=1.7, 95% confidence interval=1.1, 2.5). White caregivers were significantly more likely to rate the providers as more participatory (odds ratio=2.3, 95% confidence interval=1.2, 4.4). Youth (beta=4.9, 95% confidence interval=3.3, 6.5) and caregivers (beta=7.5, 95% confidence interval=3.1, 12.0) who rated their providers as being more participatory were significantly more satisfied with their visits. Youth (beta=-1.9, 95% confidence interval=-3.4, -0.4) and caregivers (beta=-8.8, 95% confidence interval=-16.2, -1.3) who spoke Spanish at home were less satisfied with visits.
conclusionThe intervention did not increase the inclusion of youth and caregiver inputs into asthma treatment regimens. However, it did increase the youth's perception of participatory decision-making style of the providers, and this in turn was associated with greater satisfaction.
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