Adolescents with asthma: predictors of quality of life

Burkhart, Patricia V.; Svavarsdóttir, Erla Kolbrún; Rayens, Mary Kay; Oakley, Marsha G.; Örlygsdóttir, Brynja

doi:10.1111/j.1365-2648.2008.04948.x

Cited by 24 publications

(22 citation statements)

References 10 publications

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“…Similar findings were evidenced for children with ADHD and as expected, these children experienced many health challenges [35, 47]. As expected, children with asthma experienced poorer physical comfort but did not differ from children without asthma on other indicates of health, illness, and well-being [48–50]. …”

Section: Discussionsupporting

confidence: 76%

Development of the Healthy Pathways Child-Report Scales

2010

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Purpose The Child Health and Illness Profile (CHIP) has separate child (6-11 years) and adolescent (12-21 years) editions that measure youth's self-assessed health, illness, and well-being. The purpose of this study was to revise the CHIP by combining the two editions to create the Healthy Pathways Child-Report Scales. Methods We modified the original CHIP domains of Comfort, Risk Avoidance, Satisfaction, and Resilience to reflect advances in child health conceptualization. Classical test and item response theory psychometric analyses were conducted using data collected from 2,095 children (49% boys, 80% White, 17% African-American, 3% Hispanic, Age: M = 10.6, SD = 1.0) in grades 4-6 at 34 schools. Results After minor revisions, 16 of the 17 scales were found to measure unidimensional self-assessed health, illness, and well-being constructs comprehensively, but with a minimal number of items. Scales were unbiased by age, gender, survey modality, and geographic location. Construct validity was demonstrated by the instrument's capacity to differentiate among children with and without chronic illnesses and to detect expected age and gender differences. Conclusions The Healthy Pathways Child-Report Scales may be used to reliably and accurately assess unidimensional aspects of health, illness, and well-being in clinical and population-based research studies involving youth in transition from childhood to adolescence.

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Section: Discussionsupporting

confidence: 76%

Development of the Healthy Pathways Child-Report Scales

2010

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“…) and even to experience depression (Burkhart et al . ). However, research suggests that if children receive evidence‐based care that includes school health services, the rate of school attendance among children with asthma can equal that of children without asthma (Splett et al .…”

Section: Introductionmentioning

confidence: 97%

The international school nurse asthma project: barriers related to asthma management in schools

Svavarsdóttir

Garwick

Anderson

et al. 2012

Journal of Advanced Nursing

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Aim This paper is a report of an international study of barriers to asthma care from the perspectives of school nurses in Reykjavik, Iceland and St. Paul, Minnesota, in the context of their schools, communities and countries. Background Globally, asthma affects the health and school performance of many adolescents. School nurses play a key role by providing care to adolescents with asthma in school settings. Understanding universal barriers to asthma management in schools is important for developing interventions that are effective in multiple societal contexts. Design Exploratory, descriptive study. Methods Parallel studies were conducted from September 2008 - January 2009, through six focus groups among school nurses (N=32, in Reykjavik n=17 and St. Paul n=15) who were managing asthma in adolescents. Focus groups were audio-recorded and transcribed verbatim in English or Icelandic. The Icelandic transcripts were translated into English. Descriptive content analytic techniques were used to systematically identify and categorize types of barriers to asthma care. Results School nurses in both countries identified common barriers such as time constraints, communication challenges and school staff barriers. The primary difference was that St. Paul school nurses identified more socioeconomic and health access barriers than school nurses in Reykjavik. Conclusion Greater cultural and linguistic diversity and socioeconomic differences in the student population in St. Paul and lack of universal health care coverage in the U.S. contributed to school nurses’ need to focus more on asthma management than school nurses in Reykjavik, who were able to focus more on asthma prevention and education.

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“…Although data were collected from both the parent and adolescent from each family, the findings reported here are from the parent surveys only ( n = 30). Findings specific to responses of the adolescents ( n = 30) have been reported separately (Burkhart et al. 2009).…”

Section: Methodsmentioning

confidence: 99%