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Understanding What Really Matters be...

Hook, Linda.

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Understanding What Really Matters between Families and Providers Caring for Young Children Diagnosed with Asthma.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Understanding What Really Matters between Families and Providers Caring for Young Children Diagnosed with Asthma./
Author:	Hook, Linda.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2017,
Description:	110 p.
Notes:	Source: Dissertation Abstracts International, Volume: 78-11(E), Section: B.
Contained By:	Dissertation Abstracts International78-11B(E).
Subject:	Public health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10278007
ISBN:	9781369861518

Understanding What Really Matters between Families and Providers Caring for Young Children Diagnosed with Asthma.
Hook, Linda.

Understanding What Really Matters between Families and Providers Caring for Young Children Diagnosed with Asthma. - Ann Arbor : ProQuest Dissertations & Theses, 2017 - 110 p.

Source: Dissertation Abstracts International, Volume: 78-11(E), Section: B.

Thesis (Dr.P.H.)--The University of Texas School of Public Health, 2017.

Advances in medical science have dramatically improved and refined the clinical guidelines for childhood asthma disease management. Despite these advances, there remain disparities in outcomes among certain population groups. A literature review pointed toward exploring the connections between caregivers' personal health experiences and medical management of childhood asthma.

ISBN: 9781369861518Subjects--Topical Terms:

534748
Public health.

Understanding What Really Matters between Families and Providers Caring for Young Children Diagnosed with Asthma.
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245 1 0 $a Understanding What Really Matters between Families and Providers Caring for Young Children Diagnosed with Asthma.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2017
300 $a 110 p.
500 $a Source: Dissertation Abstracts International, Volume: 78-11(E), Section: B.
500 $a Adviser: John R. Herbold.
502 $a Thesis (Dr.P.H.)--The University of Texas School of Public Health, 2017.
520 $a Advances in medical science have dramatically improved and refined the clinical guidelines for childhood asthma disease management. Despite these advances, there remain disparities in outcomes among certain population groups. A literature review pointed toward exploring the connections between caregivers' personal health experiences and medical management of childhood asthma.
520 $a A disease process like asthma is woven into one's health beliefs, daily rituals, and values. Arthur Kleinman introduced the "Explanatory Model of Illness" as an ethnographic method to discern cultural differences within the context of scientific medical care. Ethnography extends understanding of personal health experiences within the context of natural settings.
520 $a The purpose for this study was to conduct a qualitative study using ethnographic approaches to describe the cultural beliefs, values, and determinants held by families and healthcare providers caring for a young child (4 to 5 years old) diagnosed with persistent asthma. The study participants were commonly associated with San Antonio's Obama Empowerment Zone.
520 $a The families (n = 12) and the child's healthcare provider (n = 12) were recruited between April 2016 through March 2017. Family and healthcare provider data were collected using an in-depth audiotaped semi-structured interview process. A thematic analysis method was used to analyze the data collected. Nvivo 11 software was used in coding of the data.
520 $a Two overarching themes emerged within the dataset, uncertainty and distress. Both the families and healthcare providers expressed these two common themes, but each had varying contextual concepts for them. For example, families were worried about the next asthma event and how they would respond, whereas the providers expressed concern about the ability of the family to recognize the early signs of an asthma attack and respond accordingly. The families were worried about cigarette smoking but recognized that they did not have much control over cigarette exposure, whereas the providers knew of the cigarette smoking history but could not find the right intervention to assist the family. The findings suggest the continued development of outcome-based research to assess the experience of the illness and treatment within the "local world" of the patient because culture does matter in clinical care.
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