{"doi":"10.17615/dxjg-k478","title":"An evaluation of physicians’ engagement of children with asthma in treatment-related discussions","abstract":"Our objectives were to examine whether providers engage children with asthma in treatment-related discussions at the level children prefer (engagement concordance) and to determine whether engagement concordance is related to child, caregiver, and provider characteristics. Children with asthma (n = 296) aged 8–16 years were recruited at five pediatric practices in North Carolina. Using audiotaped medical visit transcripts, we documented the number of treatment-related questions the providers asked the children. Children reported their preferred level of provider engagement. A logistic generalized estimating equation was used to determine which variables predicted engagement concordance. Most children (96.6%) wanted to be involved in treatment-related discussions. One-third of the providers did not ask children any treatment-related questions. Only 36.1% of provider–child dyads were concordant. Most discordant dyads were under-engaged (83.1%). Better engagement concordance was observed among older children (odds ratio (OR) = 1.19, 95% confidence interval (CI) (1.07, 1.33)), male children (OR = 1.67, 95% CI (1.03, 2.70)), and among providers with fewer years in practice (OR = .97, 95% CI (.94, .99)). Providers engaged in treatment-related discussions with younger children and females less frequently than these children preferred. Providers should ask children how much they want to be involved in treatment-related discussions and then attempt to engage children at the level they prefer.","journal":"UNC Libraries","year":2020,"id":144364,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9403,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":407294,"name":"Delesha M. Carpenter","orcid":"0000-0003-2025-8140","position":1,"is_corresponding":false},{"id":613439,"name":"Karen Yeatts","orcid":null,"position":2,"is_corresponding":false},{"id":533147,"name":"Gail Tudor","orcid":"0000-0003-2093-0515","position":3,"is_corresponding":false},{"id":608841,"name":"Dennis Williams","orcid":"0000-0001-5120-1847","position":4,"is_corresponding":false},{"id":435928,"name":"Betsy Sleath","orcid":"0000-0002-8861-6955","position":5,"is_corresponding":false},{"id":587187,"name":"Angela M. Stover","orcid":"0000-0003-0983-686X","position":6,"is_corresponding":false},{"id":442437,"name":"Stephanie D. Davis","orcid":"0000-0002-9390-0651","position":7,"is_corresponding":false},{"id":579922,"name":"Catherine Slota","orcid":null,"position":8,"is_corresponding":false},{"id":595841,"name":"Guadalupe X. Ayala","orcid":"0000-0002-3850-5798","position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-18T23:17:45.339291Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}