Preferences of Chronically Ill Adolescents in Health Treatment Decision-making

2.50
Hdl Handle:
http://hdl.handle.net/10755/151255
Type:
Presentation
Title:
Preferences of Chronically Ill Adolescents in Health Treatment Decision-making
Abstract:
Preferences of Chronically Ill Adolescents in Health Treatment Decision-making
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Domingo, E. B., PhD
P.I. Institution Name:Azusa Pacific University
Title:Assistant Professor
[Research Presentation] Purpose: This study explored, examined and determined the relationships between self-confidence, problem-solving ability, coping patterns, symptom severity, and preferences for involvement among chronically ill adolescents. Involvement of chronically ill adolescents enhances their decisional capacity beyond their adolescent years. Methods: Descriptive, inferential analysis and grounded theory examined and determined the preferences of chronically ill adolescents. Correlations determined relationships, and multiple regressions examined predictive associations between self-confidence, problem solving ability, coping patterns, symptom severity, and preferences for involvement in health decisions. ANOVAs examined differences in the preferences for involvement in relation to who should decide treatment options and who decides acceptability of risks/benefits of áoptions. Grounded theory tradition unfolded core perspectives showing associations with empirical findings. Results:áEmpirical findings revealed chronically ill adolescents' desire for equal participation when deciding for acceptability of risks and benefits of treatment options. Self-confidence, problem solving ability, symptom severity, age, gender and diagnosis did not show significant relationships with preferences for involvement. Coping ability emerged over time with the experience of chronic illness. Themes emerged, being heard, being informed, being involved, and having a voice unfolded seeking for involvementáas a core perspective using open,áaxial, and selective coding of chronically ill adolescent's narrative responses. Implications: Results imply that whether adolescents have chronic illnesses or not they desire to have their voices heard as an equal in decisions affecting them. They are saying, "I suffer the consequences of decisions affecting myself, therefore, I haveá the right to have an equal voice" in a collaborative relationship. Application: Involving chronically ill adolescents in health treatment decisions affect a shift in health policy, and adolescent health care. Implementing these findings in adolescent health care is a new approach important for evidence-based practice. Key Words: Preferences, decision-making, and self-actualization.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePreferences of Chronically Ill Adolescents in Health Treatment Decision-makingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151255-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Preferences of Chronically Ill Adolescents in Health Treatment Decision-making</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Domingo, E. B., PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Azusa Pacific University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">edomingo@apu.edu</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: This study explored, examined and determined the relationships between self-confidence, problem-solving ability, coping patterns, symptom severity, and preferences for involvement among chronically ill adolescents. Involvement of chronically ill adolescents enhances their decisional capacity beyond their adolescent years. Methods: Descriptive, inferential analysis and grounded theory examined and determined the preferences of chronically ill adolescents. Correlations determined relationships, and multiple regressions examined predictive associations between self-confidence, problem solving ability, coping patterns, symptom severity, and preferences for involvement in health decisions. ANOVAs examined differences in the preferences for involvement in relation to who should decide treatment options and who decides acceptability of risks/benefits of &aacute;options. Grounded theory tradition unfolded core perspectives showing associations with empirical findings. Results:&aacute;Empirical findings revealed chronically ill adolescents' desire for equal participation when deciding for acceptability of risks and benefits of treatment options. Self-confidence, problem solving ability, symptom severity, age, gender and diagnosis did not show significant relationships with preferences for involvement. Coping ability emerged over time with the experience of chronic illness. Themes emerged, being heard, being informed, being involved, and having a voice unfolded seeking for involvement&aacute;as a core perspective using open,&aacute;axial, and selective coding of chronically ill adolescent's narrative responses. Implications: Results imply that whether adolescents have chronic illnesses or not they desire to have their voices heard as an equal in decisions affecting them. They are saying, &quot;I suffer the consequences of decisions affecting myself, therefore, I have&aacute; the right to have an equal voice&quot; in a collaborative relationship. Application: Involving chronically ill adolescents in health treatment decisions affect a shift in health policy, and adolescent health care. Implementing these findings in adolescent health care is a new approach important for evidence-based practice. Key Words: Preferences, decision-making, and self-actualization.</td></tr></table>en_GB
dc.date.available2011-10-26T10:56:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:56:33Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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