提供者使用参与式决策方式对青少年ADHD患者及其照顾者的影响及就诊满意度

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-02-19 DOI:10.1016/j.pec.2025.108714

Betsy Sleath , Kathleen C. Thomas , Delesha M. Carpenter , Izabela E. Annis , Gail Tudor , Imelda Coyne , Nacire Garcia , Abena A. Adjei , Laurel K. Leslie

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引用次数: 0

摘要

目的研究接受问题提示列表和视频干预的ADHD青少年及其护理人员是否更有可能：(a)被问及他们的治疗偏好，(b)将他们的意见纳入治疗决策，(c)评价他们的提供者使用更多的参与式决策（PDM）风格，以及(d)对他们的访问更满意。方法将青少年ADHD患者随机分为就诊前问题提示表干预组和常规护理组。探访有录音记录；青年在访问后接受采访；护理人员完成问卷调查。采用多元线性回归对数据进行分析。结果102名ADHD青少年及其照顾者参与了调查。在12 %和20 %的录音访问期间，提供者包括青少年和看护者对ADHD管理决策的输入。在干预组的青少年和青少年的照顾者明显更有可能评价提供者使用更多的参与式决策风格。与非黑人青年相比，黑人青年和照顾者明显不太可能评价他们的提供者使用参与式方式。青少年和看护者对提供者使用参与式方式的评分与更高的访问满意度显着相关。结论青少年和照护者对医疗服务提供者参与式决策的评价均较高。然而，提供者可以让青少年和护理人员更多地参与ADHD管理决策。黑人青年和照顾者对提供者使用参与式决策风格的评价低于非黑人青年和照顾者。青少年和看护者对就诊更满意，他们认为他们的提供者使用了更参与式的方式。实践启示：在ADHD管理决策中，提供者应包括青少年和照顾者的意见。提供者应该尝试在黑人青年和照顾者中使用更具参与性的决策方式。

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Provider use of a participatory decision-making style with youth with ADHD and their caregivers and visit satisfaction

Objective

To examine whether youth with ADHD who received a question prompt list and video intervention and their caregivers were more likely to: (a) be asked about their treatment preferences, (b) have their input included into treatment decisions, (c) rate their providers as using more of a participatory decision-making (PDM) style, and (d) be more satisfied with their visits.

Methods

Youth with ADHD were randomized to a pre-visit question prompt list intervention or usual care. Visits were audio-recorded; youth were interviewed after visits; caregivers completed questionnaires. Multivariable linear regression was used to analyze the data.

Results

102 youth with ADHD and their caregivers participated. Providers included youth and caregiver input into ADHD management decisions during 12 % and 20 % of audio-taped visits, respectively. Youth and caregivers of youth who were in the intervention group were significantly more likely to rate providers as using more of a participatory decision-making style. Black youth and caregivers were significantly less likely to rate their providers as using a participatory style than non-Black youth. Youth and caregiver ratings of provider use of a participatory style were significantly associated with greater visit satisfaction.

Conclusion

Both youth and caregivers rated providers high on using a participatory decision-making style. Yet providers could include youth and caregiver input more into ADHD management decisions. Black youth and caregivers rated providers lower on using a participatory decision-making style than non-Black youth and caregivers. Youth and caregivers were more satisfied with visits where they rated their providers as using a more participatory style.

Practice implications

Providers should include both youth and caregiver input into ADHD management decisions. Providers should attempt to use a more participatory decision-making style with Black youth and caregivers.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.