Otitis media; compliance with the return appintment

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Publication Type thesis
School or College College of Nursing
Department Nursing
Author Sehy, Yvonne Antoinette Browne
Title Otitis media; compliance with the return appintment
Date 1981-08
Description Mothers' compliance with recommended health actions for their children has typically been inadequate. Numerous investigators have identified variables related to health behavior. A theoretical formulation, the Health Belief Model, has been found predictive of compliance in a number of studies of low income pediatric populations. Few strategies to improve compliance with health behaviors have been tested. The sample consisted to 100 predominantly middle-class mothers with a child who was subsequently diagnosed with otitis media attending a private pediatric group practice. The Health Belief Model was tested as a predictor of compliance, keeping the return appointment for otitis media. In addition, three strategies for improving compliance were compared with a control group. They included a reminder letter, an information sheet, and an educational discussion. Sixty-five percent of the mothers kept the return appointment. The mothers' perceived susceptibility for the ill child was the only major Health Belief Model component significantly related co compliance. Several Health Belief Model modifying factors-mother's age and education, child's age, number of children at home and number of appointments made and kept in the past-were all significantly related to keeping the return appointment of otitis media. The subjects receiving a mailed reminder letter had a significantly higher compliance rate for the return appointment than all other groups. The findings suggest that the Health Belief Model may not be predictive to compliance in middle-class, private practice populations. Development of a standardized set of questions made available for use in new investigations of the Health Belief Mode would allow more critical analysis of this theoretical framework. Mothers' demographic characteristics may be important predictor of health behavior and should be utilized in developing interventions for improving compliance. More testing of both behavioral and educational intervention strategies is needed for various populations groups in different settings.
Type Text
Publisher University of Utah
Subject Health Belief Model; Mothers' Demographic Characteristics
Subject MESH Patient Compliance; Mother-Child Relations; Otitis Media; Health Behavior
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "Otitis media; compliance with the return appintment." Spencer S. Eccles Health Sciences Library. Print version of "Otitis media; compliance with the return appintment.." available at J. Willard Marriott Library Special Collection. RA 4.5 1981 S43.
Rights Management © Yvonne Antoinette Browe Sehy.
Format Medium application/pdf
Format Extent 1,826,396 bytes
Identifier undthes,4680
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available).
Funding/Fellowship University of Uah
Master File Extent 1,826,470 bytes
ARK ark:/87278/s6gh9kss
Setname ir_etd
ID 191145
Reference URL https://collections.lib.utah.edu/ark:/87278/s6gh9kss