Impact of parental efficacy in doctor-patient communication on rehabilitation outcomes for children with autism spectrum disorder
10.3969/j.issn.1006-9771.2024.05.012
- VernacularTitle:家长医患沟通效能对孤独症谱系障碍儿童康复效果的影响
- Author:
Ning WEI
1
;
Yanling ZENG
1
;
Na JIANG
1
;
Qian ZHANG
1
;
Xiaozhe YI
1
;
Jianyun WANG
2
;
Dengting WANG
2
;
Yan ZHANG
2
;
Hongbo PEI
1
;
Chaorong HUANG
2
Author Information
1. School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
2. Gansu Province Hospital Rehabilitation Center, Lanzhou, Gansu 730000, China
- Publication Type:Journal Article
- Keywords:
autism spectrum disorder;
children;
doctor-patient communication efficacy;
rehabilitation outcome;
structural equation model
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(5):577-585
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the potential influencing factors and complex pathways affecting rehabilitation effect for children with autism spectrum disorder (ASD) from the perspective of parental efficacy in doctor-patient communication, and to provide evidence for improving the quality of rehabilitation service for children with ASD. MethodsAn anonymous face-to-face questionnaire survey was conducted to collect general demographic information of parents of children with ASD at designated rehabilitation institutions in Gansu province. The data included parental efficacy in doctor-patient communication, parental compliance of treatment and children's rehabilitation outcomes were collected. A structural equation model was used to explore the impact mechanism of parental communication efficacy on the rehabilitation outcomes of children with ASD. ResultsData from 519 parents at 37 rehabilitation institutions across 13 cities/counties in Gansu province were collected. Significant positive correlations were found between parental efficacy in doctor-patient communication, doctor-patient relationships, parental compliance with treatment and rehabilitation outcomes for children with ASD (P < 0.05). Through structural equation model analysis, the standardized direct effect of children with ASD from parents' doctor-patient communication efficacy was 0.151 (P = 0.023). The mediating effect of doctor-patient relationship and parental compliance with treatment were 0.160 (P = 0.001) and 0.111 (P = 0.001), respectively, with a chained mediating effect of 0.035 (P = 0.001). The pathway "parental efficacy in doctor-patient communication → doctor-patient relationship → ASD child's rehabilitation outcome" accounted for the highest proportion of the total mediating effect, at 52.29%. ConclusionParental doctor-patient communication efficacy may positively impact on the rehabilitation outcomes of children with ASD directly, and indirectly through the doctor-patient relationship and parental compliance with treatment. Rehabilitation institutions should focus on fostering parental communication skills and enhancing high-quality and humanized rehabilitation services.
