{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T12:29:01Z","timestamp":1754396941176},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,1,9]],"date-time":"2013-01-09T00:00:00Z","timestamp":1357689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Department of Pediatrics, Baylor College of Medicine\/Texas Children's Hospital","award":["1K23 HL105568-01A1"],"award-info":[{"award-number":["1K23 HL105568-01A1"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Identification of psychosocial correlates of health care utilization has become an important strategy in improving clinical care. The objective of the study was to examine the fit of the Information\u2010Motivation\u2010Behavioral Skills (IMB) model, applied to health care utilization among children with sickle cell disease (SCD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Procedure<\/jats:title><jats:p>Participants were parents of 150 children, ages 1\u201317 years, receiving care in a sickle cell center. Parents completed questionnaires assessing information, motivation, adherence behaviors, and other factors with respect to SCD management. Data regarding health care utilization in the previous 12 months were obtained from parent report and electronic medical records. Stepwise multiple regression analysis was conducted to determine associations between IMB factors and health care use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Parents rated highly in the domains of information, motivation, and adherence behaviors for managing their child's SCD. Children of parents reporting higher satisfaction with social supports had higher odds (OR 1.49, 95% CI 1.03\u20132.15) of two or more routine hematology visits in the previous 12 months. Neither information nor adherence behavior was associated with urgent or routine care use. Among other variables measured, high parental illness\u2010related stress and child health status reported as fair\/poor were the strongest predictors of urgent care use while private insurance type was the strongest predictor of routine care use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among IMB factors, social support was associated with routine health care utilization. Social support and parental illness\u2010related stress may serve as important, modifiable targets in interventions to allocate needed resources to families and reduce unnecessary medical care. Pediatr Blood Cancer 2013; 60: 1204\u20131210. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.24466","type":"journal-article","created":{"date-parts":[[2013,1,9]],"date-time":"2013-01-09T20:11:33Z","timestamp":1357762293000},"page":"1204-1210","source":"Crossref","is-referenced-by-count":12,"title":["Parental information, motivation, and adherence behaviors among children with sickle cell disease"],"prefix":"10.1002","volume":"60","author":[{"given":"Jean L.","family":"Raphael","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley M.","family":"Butler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany L.","family":"Rattler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc A.","family":"Kowalkowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brigitta U.","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas P.","family":"Giordano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,9]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"National Heart Lung and Blood Institute National Institutes of Health. 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