Parental Self-Efficacy and Morbidity in Pediatric Asthma

Grus, Catherine L.; Lopez-Hernandez, Cristina; Delamater, Alan M.; Appelgate, Brooks; Brito, Arturo; Wurm, Gwen; Wanner, Adam

doi:10.1081/jas-100000027

Cited by 55 publications

(25 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…17 Self-efficacy has been shown to relate to asthma morbidity and is amenable to intervention. 15,[28][29][30] At the 14-day follow-up, confidence to prevent and keep asthma symptoms from getting worse improved more in the intervention group than in the control group. Although a significant increase in confidence levels for 2 items was observed in the intervention group at the 14-day followup, both groups reported overall confidence in managing asthma exacerbations, and neither group expressed high levels of confidence regarding stopping an attack without seeing a doctor.…”

Section: Discussionmentioning

confidence: 99%

Delivering Tailored Asthma Family Education in a Pediatric Emergency Department Setting: A Pilot Study

et al. 2006

View full text Add to dashboard Cite

OBJECTIVE. Many children are brought to the pediatric emergency department (ED) with acute asthma symptoms. Emergency asthma care is costly, and many ED visits may be preventable. Families often do not have written asthma action plans and lack asthma self-managment skills. This study tests a tailored self-managment intervention delivered in the ED for families of children with asthma. The primary hypotheses were that the intervention group would have greater confidence to manage asthma 14 days postintervention and more well-asthma visits and fewer urgent care/ED visits at 9 and 12 months.METHODS. This randomized intervention/usual-care study was part of a larger ED asthma surveillance project in 4 urban pediatric ED sites. Asthma educators used a computer-based resource to tailor the intervention messages and provide a customized asthma action plan and educational summary. Children with acute asthma were enrolled during an ED visit, and follow-up telephone interviews were conducted during the next 9 months. The ED clinician classified the child's acute and chronic severity.RESULTS. To date, 464 subjects aged 1 to 18 years have been enrolled. The ED clinicians reported that 46% had intermittent and 54% had persistent chronic severity with 51% having mild acute severity episodes. The confidence level to prevent asthma episodes and keep them from getting worse was significantly higher in the intervention group at 14 days postintervention. More subjects in the intervention group reported well-asthma visits by 9 months. Return ED visits were significantly lower in the intervention group in those with intermittent asthma. Twelve-month follow-up is in process.CONCLUSIONS. The tailored ED self-management intervention demonstrates significant effects on caregiver self-confidence and well-visit follow-up. Additional evaluation is needed to determine what impact this intervention has long-term. A N ESTIMATED 9 million (12.5%) children Ͻ18 years of age in the United States have had asthma diagnosed at some time in their lives. 1 Asthma morbidity and mortality have increased dramatically in the United States in the last 2 decades. The economic burden of asthma is increasing, with hospitalizations accounting for 46% to 50% of costs and emergency department (ED) visits accounting for ϳ8%. 2 Emergency care visits cost 5 times more than primary care visits. 3 Every year, 1 of 3 children with asthma visit an ED because of an asthma-related event. 3 These ED visits and hospitalizations may be preventable through either better chronic asthma control or early recognition of acute symptoms and intervention in the primary care setting.Children with asthma may lack a primary medical provider and may depend on ED services for their care. Routine primary medical care is hampered by a lack of medical insurance and by other barriers such as access to transportation. There are disparities in asthma severity and access to care with respect to ethnicity and socioeconomic status, and minority children and those with low socioeconomic s...

show abstract

Section: Discussionmentioning

confidence: 99%

Delivering Tailored Asthma Family Education in a Pediatric Emergency Department Setting: A Pilot Study

et al. 2006

View full text Add to dashboard Cite

show abstract

“…Self-efficacy, the confidence that one can carry out a behavior necessary to obtain a desired goal, is another critical component of self-management education (6,15). Interventions incorporating self-efficacy and other cognitive-behavioral techniques have been associated with improving self-management skills (12).…”

Section: Introductionmentioning

confidence: 99%

Rural Children with Asthma: Impact of a Parent and Child Asthma Education Program

et al. 2005

View full text Add to dashboard Cite

The goal of this study was to determine the effectiveness of an asthma educational intervention in improving asthma knowledge, self-efficacy, and quality of life in rural families. Children 6 to 12 years of age (62% male, 56% white, and 22% Medicaid) with persistent asthma (61%) were recruited from rural elementary schools and randomized into the control standard asthma education (CON) group or an interactive educational intervention (INT) group geared toward rural families. Parent/caregiver and child asthma knowledge, self-efficacy, and quality of life were assessed at baseline and at 10 months post enrollment. Despite high frequency of symptom reports, only 18% children reported an emergency department visit in the prior 6 months. Significant improvement in asthma knowledge was noted for INT parents and young INT children at follow-up (Parent: CON = 16.3; INT = 17.5, p < 0.001; Young children: CON = 10.8, INT = 12.45, p < 0.001). Child selfefficacy significantly increased in the INT group at follow-up; however, there was no significant difference in parent self-efficacy or parent and child quality of life at follow-up. Asthma symptom reports were significantly lower for the INT group at follow-up. For young rural children, an interactive asthma education intervention was associated with increased asthma knowledge and selfefficacy, decreased symptom reports, but not increased quality of life.

show abstract

“…Self-efficacy is a popular variable in studies of behavior in health outcomes (Coleman, 2003;Grus et al, 2001;Mohebi, Azadbakht, Feizi, Sharifirad, & Kargar, 2013), and a key construct in the Health Belief Model (Becker, 1974). The lack of a relationship between either component of numeracy and self-efficacy was surprising, and did not support the hypothesis of this study.…”

Section: Self-efficacycontrasting

confidence: 54%

Impact of numeracy on parental self-efficacy and treatment outcome of children on complex diets.

Pantalos

View full text Add to dashboard Cite

Parental Self-Efficacy and Morbidity in Pediatric Asthma

Cited by 55 publications

References 15 publications

Delivering Tailored Asthma Family Education in a Pediatric Emergency Department Setting: A Pilot Study

Delivering Tailored Asthma Family Education in a Pediatric Emergency Department Setting: A Pilot Study

Rural Children with Asthma: Impact of a Parent and Child Asthma Education Program

Impact of numeracy on parental self-efficacy and treatment outcome of children on complex diets.

Contact Info

Product

Resources

About