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Citation
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Fuzzell LN, LaJoie AS, Smith KT, Philpott SE, Jones KM, Politi MC. Patient Educ. Couns. 2018; 101(9): 1570-1576. |
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Affiliation
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Washington University in St. Louis, School of Medicine, Division of Public Health Sciences, St. Louis, MO, USA. |
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Abstract
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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 (OR = 2.26), sunscreen (OR = 5.28), Vitamin K injections (OR = 3.20), influenza vaccination (OR = 13.71), routine vaccination (OR = 6.43), car seats (OR = 6.15), and infant safe sleep (OR = 3.40) related to corresponding guideline adherence (ps < 0.05). Firearm safety communication was not related to adherence (OR = 1.11, n.s.). Trampoline communication related to lower likelihood of trampoline guideline adherence (OR = 0.24, p = 0.001). Agreement with guideline advice (β = 0.35), trust (β = 0.34), self-efficacy (β = 0.45), comfort discussing guidelines (β = 0.35) positively related to total guideline adherence (ps < 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.
Copyright © 2018. Published by Elsevier B.V.
Language: en |