2023-09-28 14:46:10 +00:00
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abstract: 'OBJECTIVE. Providing asthma education in a primary care setting can be
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challenging because of time and resource constraints. The purpose of
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this work was to determine factors associated with the provision of
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different asthma self-management tools.
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METHODS. We conducted a cross-sectional survey with 896 parents of
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children with asthma (age 2-12 years). We collected information
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regarding demographics and asthma care, including parent receipt of an
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asthma action plan, a symptom diary, and asthma information materials;
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whether an asthma management plan was sent to the child''s school; and
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whether the physician reviewed written instructions on use of a
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metereddose inhaler. We used multivariate logistic regression methods to
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determine factors associated with receipt of different asthma
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self-management tools controlling for demographic factors.
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RESULTS. For families where parents only completed high school, there
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was greater likelihood of receipt of an asthma action plan and physician
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review of written instructions about how to use an inhaler. For families
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with a household income less than twice the poverty line, there was
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greater likelihood of receipt of an asthma action plan, the physician
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sending a letter to the child''s school regarding the child''s asthma, and
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receipt of an asthma symptom diary.
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CONCLUSIONS. In our sample, primary care pediatricians do not routinely
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provide asthma education in accordance with National Heart, Lung, and
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Blood Institute asthma guidelines and ``triage{''''} which families
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receive additional asthma education. We believe that the use of targeted
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asthma education is a symptom of the limited time and competing demands
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during a typical visit. As a result, those involved in quality
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improvement need to help physicians become more efficient and effective
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at providing asthma education within such time constraints or develop
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alternative systems of providing asthma education.'
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affiliation: 'Cabana, MD (Corresponding Author), Univ Calif San Francisco, Div Gen
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Pediat, 3333 Calif St,Laurel Hts,Bldg 245, San Francisco, CA 94118 USA.
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Cabana, Michael D.; Jarlsberg, Leah G.; Thyne, Shannon M., Univ Calif San Francisco,
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Dept Pediat, San Francisco, CA USA.
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Cabana, Michael D., Univ Calif San Francisco, Dept Epidemiol \& Biostat, San Francisco,
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CA USA.
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Cabana, Michael D., Univ Calif San Francisco, Inst Hlth Policy Studies, San Francisco,
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CA USA.
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Chaffin, D. Curt, Univ Michigan Hlth Syst, Dept Med, Div Allergy, Ann Arbor, MI
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USA.
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Clark, Noreen M., Univ Michigan, Ctr Managing Chron Dis, Ann Arbor, MI USA.'
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author: Cabana, Michael D. and Chaffin, D. Curt and Jarlsberg, Leah G. and Thyne,
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Shannon M. and Clark, Noreen M.
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author-email: michael.cabana@ucsf.edu
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author_list:
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- family: Cabana
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given: Michael D.
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- family: Chaffin
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given: D. Curt
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- family: Jarlsberg
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given: Leah G.
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- family: Thyne
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given: Shannon M.
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- family: Clark
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given: Noreen M.
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da: '2023-09-28'
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doi: 10.1542/peds.2007-1559
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files: []
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issn: 0031-4005
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journal: PEDIATRICS
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keywords: 'asthma action plan; asthma diary; physician practice patterns; physician
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guideline adherence'
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keywords-plus: 'HEALTH-CARE UTILIZATION; INNER-CITY; CHILDREN; PHYSICIANS; MEDICATIONS;
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GUIDELINES; PREDICTORS; ADHERENCE; BARRIERS; OUTCOMES'
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language: English
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month: APR
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number: '4'
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number-of-cited-references: '24'
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orcid-numbers: Jarlsberg, Leah/0000-0001-6548-6337
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pages: E900-E905
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papis_id: 750913fb00b597e91c3af55198156cf0
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ref: Cabana2008selectiveprovision
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times-cited: '24'
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title: Selective provision of asthma self-management tools to families
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000254576800069
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usage-count-last-180-days: '0'
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usage-count-since-2013: '8'
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volume: '121'
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web-of-science-categories: Pediatrics
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year: '2008'
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