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
;
Na JIANG
;
Qian ZHANG
;
Xiaozhe YI
;
Jianyun WANG
;
Dengting WANG
;
Yan ZHANG
;
Hongbo PEI
;
Chaorong HUANG
Author Information
1. 兰州大学公共卫生学院,甘肃兰州市 730000
- 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:
Objective To 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. Methods An 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 paren-tal efficacy in doctor-patient communication,parental compliance of treatment and children's rehabilitation out-comes were collected.A structural equation model was used to explore the impact mechanism of parental commu-nication efficacy on the rehabilitation outcomes of children with ASD. Results Data from 519 parents at 37 rehabilitation institutions across 13 cities/counties in Gansu province were collect-ed.Significant positive correlations were found between parental efficacy in doctor-patient communication,doc-tor-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 rela-tionship 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 communica-tion → doctor-patient relationship → ASD child's rehabilitation outcome"accounted for the highest proportion of the total mediating effect,at 52.29%. Conclusion Parental doctor-patient communication efficacy may positively impact on the rehabilitation outcomes of chil-dren with ASD directly,and indirectly through the doctor-patient relationship and parental compliance with treat-ment.Rehabilitation institutions should focus on fostering parental communication skills and enhancing high-quality and humanized rehabilitation services.
