Parental Beliefs and Children's Receipt of Preventive Care: Another Piece of the Puzzle?

Hughes, Suzanne; Wingard, Deborah L.

doi:10.1111/j.1475-6773.2007.00759.x

Cited by 17 publications

(20 citation statements)

References 37 publications

(56 reference statements)

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“…Parental focus on the specific features of this illness episode (susceptibility to this type of illness, severity of this episode) could explain why the health belief model has been less successful in explaining take up of routine care [29]. Our study illustrates that a combination of: the perception of the severity of this illness; together with social and factual information sources; and parental efficacy, informs parents’ decisions about whether to consult the doctor.…”

Section: Discussionmentioning

confidence: 94%

Parents’ information needs, self-efficacy and influences on consulting for childhood respiratory tract infections: a qualitative study

et al. 2013

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BackgroundAcute respiratory tract infection (RTI) is the most common reason why parents consult primary care in the UK. Little is known about parents’ perceptions of what may help them to make an appropriate decision to consult when their child is ill and how to improve self-care.Using qualitative methods, this study aimed to explore parents’ views on support and information needs prior to consulting when children have RTIs with cough, and identify the triggers and barriers to consulting primary care.Methods7 focus groups and 30 semi-structured interviews were held with 60 parents (with children aged 5 months - 17 years) from a range of socio-economic backgrounds. Topics discussed were informed by the Health Belief Model, and explored parents’ concerns and beliefs about susceptibility and severity of RTIs, beliefs about the triggers and barriers to consulting, and information and support seeking behaviour undertaken before consulting primary care. Discussions were audio-recorded, transcribed and analysed using thematic methods.ResultsParents from all socio-economic backgrounds sought information from a wide range of sources about RTIs in children in order to identify which of their child’s symptoms should be of concern and trigger a visit to the doctor. The perception of threat to a child of RTI (with cough) was increased with more severe illness and by perceived susceptibility to illness of a particular child; whilst experience with other children increased parental efficacy to cope with childhood cough at home. Psychological models of health behaviour informed the understanding of cultural beliefs and attitudes that underpin health related behaviours.ConclusionA wide range of perceptions influence the likelihood that parents will seek help from primary care for a child with cough; these perceptions are similar across socio-economic groups. Parents’ experience, confidence and efficacy influence the likelihood of consulting primary care for their child’s RTI. Parents would value consistent advice from a trusted source that addresses common concerns and supports home care and decision making about help seeking.

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Section: Discussionmentioning

confidence: 94%

Parents’ information needs, self-efficacy and influences on consulting for childhood respiratory tract infections: a qualitative study

et al. 2013

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“…Healthcare-seeking behaviour also depends on the educational status and cultural beliefs of the population [16, 17]. Trust in physicians as well as the adequacy of the conditions of the healthcare facilities can influence the caregiver’s decision of seeking healthcare when their child is sick.…”

Section: Discussionmentioning

confidence: 99%

Healthcare-seeking behaviour of primary caregivers for acute otitis media in children aged 6 months to <30 months in Panama: results of a cross-sectional survey

Villarreal

Turner²,

et al. 2017

BMC Pediatr

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BackgroundAcute otitis media (AOM) is the most common bacterial childhood infection. However, caregivers with children having mild episodes often do not seek healthcare services, which may lead to an under-appreciation of the disease experienced by the community. The objectives of this survey were to estimate the proportion of primary caregivers who went to a healthcare facility when they suspected that their child aged 6 to <30 months was having an AOM episode during the past 6 months and to assess what factors influenced their decision.MethodsThis observational, cross-sectional survey of primary caregivers (≥18 years), with at least one child aged 6 to <30 months was performed in 19 healthcare facilities in Panama (March to May 2013). A 28-item paper questionnaire was administered to assess demographic data, AOM symptoms, as well as potential healthcare-seeking behaviour and factors influencing this behaviour. Potential confounding effects were individually assessed using Chi-squared or Cochran-Mantel-Haenszel tests, and all together in logistic regression models.ResultsThe total number of eligible participants was 1330 (mean age 28.5 ± 8.0 years). Of these, 245 participants had at least one child whom they suspected had an AOM episode during the past 6 months. Of the 245 participants, 213 (86.9%) sought healthcare at a facility. Several factors were associated with healthcare usage: perceived severity of illness (p = 0.001), occupational status of the caregiver (p = 0.002), household income (p = 0.016) and length of time since the last suspected AOM episode (p = 0.032).ConclusionsWhen confronted with a child with obvious symptoms of AOM, the majority of caregivers reported seeking healthcare. This behaviour appeared to be associated with factors related to the severity of the illness, the length of time since the last episode, as well as with the income and occupational status of the caregivers themselves. As many episodes of AOM present with non-specific respiratory symptoms, our results apply only to caregivers who were confronted with children with an obvious symptom.Electronic supplementary materialThe online version of this article (doi:10.1186/s12887-016-0760-1) contains supplementary material, which is available to authorized users.

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“…The second principle highlights discrepancies between families’ and providers’ expectations regarding the timing and purpose of preventive medical care. 6, 7 Robust adherence to the third principle is often assumed by providers, despite a substantial and growing literature on “missed opportunities” for immunizations. 7–13 …”

Section: Introductionmentioning

confidence: 99%

Improving Immunization Delivery using an Electronic Health Record: The ImmProve Project

Bundy

Persing

Solomon

et al. 2013

Academic Pediatrics

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Objective Though an essential pediatric preventive service, immunizations are challenging to deliver reliably. Our objective was to measure the impact on pediatric immunization rates of providing clinicians with electronic health record-derived immunization prompting. Methods Operating in a large, urban, hospital-based pediatric primary care clinic, we evaluated 2 interventions to improve immunization delivery to children ages 2, 6, and 13 years: point-of-care, patient-specific electronic clinical decision support (CDS) when children overdue for immunizations presented for care and provider-specific bulletins listing children overdue for immunizations. Results Overall, the proportion of children up-to-date for a composite of recommended immunizations at ages 2, 6, and 13 years was not different in the intervention (CDS active) and historical control (CDS not active) periods; historical immunization rates were high. The proportion of children receiving 2 doses of hepatitis A immunization prior to their second birthday was significantly improved during the intervention period. Human papilloma virus (HPV) immunization delivery was low during both control and intervention periods and was unchanged for 13-year-olds. For 14-year-olds, however, 4 of the 5 highest quarterly rates of complete HPV immunization occurred in the final year of the intervention. Provider-specific bulletins listing children overdue for immunizations increased the likelihood of identified children receiving catch-up hepatitis A immunizations (hazard ratio: 1.32 [95% confidence interval (CI): 1.12–1.56]); results for HPV and the composite of recommended immunizations were of a similar magnitude but not statistically significant. Conclusions In our patient population, with high baseline uptake of recommended immunizations, electronic health record-derived immunization prompting had a limited effect on immunization delivery. Benefit was more clearly demonstrated for newer immunizations with lower baseline uptake.

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Parental Beliefs and Children's Receipt of Preventive Care: Another Piece of the Puzzle?

Cited by 17 publications

References 37 publications

Parents’ information needs, self-efficacy and influences on consulting for childhood respiratory tract infections: a qualitative study

Parents’ information needs, self-efficacy and influences on consulting for childhood respiratory tract infections: a qualitative study

Healthcare-seeking behaviour of primary caregivers for acute otitis media in children aged 6 months to <30 months in Panama: results of a cross-sectional survey

Improving Immunization Delivery using an Electronic Health Record: The ImmProve Project

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