An evaluation of physicians' engagement of children with asthma in treatment-related discussions

Delesha M. Carpenter, Angela Stover, Catherine Slota, Guadalupe X. Ayala, Karen Yeatts, Gail Tudor, Stephanie Davis, Dennis Williams, Betsy Sleath

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Our objectives were to examine whether providers engage children with asthma in treatment-related discussions at the level children prefer (engagement concordance) and to determine whether engagement concordance is related to child, caregiver, and provider characteristics. Children with asthma (n = 296) aged 8-16 years were recruited at five pediatric practices in North Carolina. Using audiotaped medical visit transcripts, we documented the number of treatment-related questions the providers asked the children. Children reported their preferred level of provider engagement. A logistic generalized estimating equation was used to determine which variables predicted engagement concordance. Most children (96.6%) wanted to be involved in treatment-related discussions. One-third of the providers did not ask children any treatment-related questions. Only 36.1% of provider-child dyads were concordant. Most discordant dyads were under-engaged (83.1%). Better engagement concordance was observed among older children (odds ratio (OR) = 1.19, 95% confidence interval (CI) (1.07, 1.33)), male children (OR = 1.67, 95% CI (1.03, 2.70)), and among providers with fewer years in practice (OR =.97, 95% CI (.94,.99)). Providers engaged in treatment-related discussions with younger children and females less frequently than these children preferred. Providers should ask children how much they want to be involved in treatment-related discussions and then attempt to engage children at the level they prefer.

Original languageEnglish
Pages (from-to)261-274
Number of pages14
JournalJournal of Child Health Care
Volume18
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Asthma
Physicians
Therapeutics
Odds Ratio
Confidence Intervals
Caregivers
Pediatrics

Keywords

  • Adolescent
  • chronic illness
  • communication
  • family-centered care
  • medication

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pediatrics

Cite this

Carpenter, D. M., Stover, A., Slota, C., Ayala, G. X., Yeatts, K., Tudor, G., ... Sleath, B. (2014). An evaluation of physicians' engagement of children with asthma in treatment-related discussions. Journal of Child Health Care, 18(3), 261-274. https://doi.org/10.1177/1367493513489780

An evaluation of physicians' engagement of children with asthma in treatment-related discussions. / Carpenter, Delesha M.; Stover, Angela; Slota, Catherine; Ayala, Guadalupe X.; Yeatts, Karen; Tudor, Gail; Davis, Stephanie; Williams, Dennis; Sleath, Betsy.

In: Journal of Child Health Care, Vol. 18, No. 3, 2014, p. 261-274.

Research output: Contribution to journalArticle

Carpenter, DM, Stover, A, Slota, C, Ayala, GX, Yeatts, K, Tudor, G, Davis, S, Williams, D & Sleath, B 2014, 'An evaluation of physicians' engagement of children with asthma in treatment-related discussions', Journal of Child Health Care, vol. 18, no. 3, pp. 261-274. https://doi.org/10.1177/1367493513489780
Carpenter, Delesha M. ; Stover, Angela ; Slota, Catherine ; Ayala, Guadalupe X. ; Yeatts, Karen ; Tudor, Gail ; Davis, Stephanie ; Williams, Dennis ; Sleath, Betsy. / An evaluation of physicians' engagement of children with asthma in treatment-related discussions. In: Journal of Child Health Care. 2014 ; Vol. 18, No. 3. pp. 261-274.
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