Understanding of Asthma Management: Materials and Methods

The participants were a convenience sample of 36 parental caretakers of 6- to 16-year-old children with (1) an asthma diagnosis, and (2) currently or previously enrolled in the Michigan Medicaid Health Management Organization/System. Eligibility was limited to parents or legal guardians of children 6 to 16 years of age with persistent asthma. Persistent disease was categorized using the National Asthma Education and Prevention Program asthma diagnosis and care guidelines and was defined as follows: asthma symptoms at least every other day during a 1-month period, > 2 nights of sleep interrupted in a month, daily asthma medications for at least 30 consecutive days, or 5 days of missed school due to asthma symptoms. The University of Michigan Institutional Review Board approved the study prior to identification and enrollment of study participants. http://birthcontroltab.com/buy-ortho-tri-cyclen-online.html
Patients were recruited from the University of Michigan Health System. Those who received asthma-related care from the Family Practice Clinics within the past year, lived in the Ypsilanti, MI area, and were insured by Medicaid were identified. Letters informing parents of the study objectives and procedures were mailed to their homes. Parents were then contacted by telephone to determine eligibility, request participation, and collect key demographic information. All efforts to recruit both male and female primary caregivers were made; unfortunately, only one male parent participated in the groups. Parents of children with additional chronic medical conditions such as diabetes, sickle-cell anemia, or lung-related conditions were excluded from the study.
Four focus groups were held at the Ypsilanti Health Department. Child care was provided during the group session and was coordinated by a child life therapist. Dinner for the children and parents was served, and parents received $50 compensation for time and transportation to the meeting. The goal was to recruit 8 to 10 parents for each focus group.
The moderator’s guide was designed to elicit conversation and evaluation of barriers to asthma care for children with persistent disease insured by Medicaid.

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