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Kim Y, Park HR. [Structural Equation Model of Health-Related Quality of Life in School Age Children with Asthma]. J Korean Acad Nurs 2018. [PMID: 29535288 DOI: 10.4040/jkan.2018.48.1.96] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
PURPOSE This study aimed to construct and test a hypothetical model of the quality of life of school-age children with asthma based on the health-related quality of life model by Wilson and Cleary. METHODS Data were collected from 205 pairs of pediatric outpatients diagnosed with asthma and their parents in Seoul and Gyeonggi-do from July 2016 to April 2017. The exogenous variables were asthma knowledge, number of accompanying allergic diseases, and social support. The endogenous variables were asthma self-efficacy, asthma symptom control, perceived health status, parental quality of life, and children's quality of life. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. RESULTS Eighteen of the twenty-four hypotheses selected for the hypothetical model were attentive and supported statistically. Quality of life was explained by asthma self-efficacy, asthma symptom control, perceived health, parental quality of life, and asthma knowledge with 83.5%. CONCLUSION Strategies for promoting self-efficacy and enforcing asthma knowledge will be helpful for the improvement of health-related quality of life with school-aged asthmatic children.
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Affiliation(s)
- Yunsoo Kim
- Seoul Women's College of Nursing, Seoul, Korea
| | - Ho Ran Park
- College of Nursing, The Catholic University of Korea, Seoul, Korea.
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Bellin MH, Newsome A, Land C, Kub J, Mudd SS, Bollinger ME, Butz AM. Asthma Home Management in the Inner-City: What can the Children Teach us? J Pediatr Health Care 2017; 31:362-371. [PMID: 27955875 PMCID: PMC6407130 DOI: 10.1016/j.pedhc.2016.11.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 11/07/2016] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Knowledge of asthma home management from the perspective of poor, minority children with asthma is limited. METHOD Convenience sampling methods were used to recruit families of low-income children who are frequently in the emergency department for uncontrolled asthma. Thirteen youths participated in focus groups designed to elicit reflections on asthma home management. Data were analyzed using grounded theory coding techniques. RESULTS Participants (Mean age = 9.2 years) were African American (100%), enrolled in Medicaid (92.3%), averaged 1.4 (standard deviation = 0.7) emergency department visits over the prior 3 months, and resided in homes with at least 1 smoker (61.5%). Two themes reflecting multifaceted challenges to the development proper of self-management emerged in the analysis. DISCUSSION Findings reinforce the need to provide a multipronged approach to improve asthma control in this high-risk population including ongoing child and family education and self-management support, environmental control and housing resources, linkages to smoking cessation programs, and psychosocial support.
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Affiliation(s)
| | | | - Cassie Land
- Johns Hopkins University School of Medicine, Division of General Pediatrics and Adolescent Medicine
| | - Joan Kub
- Johns Hopkins University School of Nursing, Medicine and Public Health
| | - Shawna S. Mudd
- Johns Hopkins University School of Nursing, Medicine and Public Health
| | | | - Arlene M. Butz
- Johns Hopkins University School of Medicine, Division of General Pediatrics and Adolescent Medicine
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Knibb RC, Barnes C, Stalker C. Parental self-efficacy in managing food allergy and mental health predicts food allergy-related quality of life. Pediatr Allergy Immunol 2016; 27:459-64. [PMID: 27019307 DOI: 10.1111/pai.12569] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/25/2016] [Indexed: 02/01/2023]
Abstract
BACKGROUND Food allergy has been shown to have a significant impact on quality of life (QoL) and can be difficult to manage in order to avoid potentially life-threatening reactions. Parental self-efficacy (confidence) in managing food allergy for their child might explain variations in QoL. This study aimed to examine whether self-efficacy in parents of food allergic children was a good predictor of QoL of the family. METHODS Parents of children with clinically diagnosed food allergy completed the Food Allergy Self-Efficacy Scale for Parents (FASE-P), the Food Allergy Quality of Life Parental Burden Scale (FAQL-PB), the GHQ-12 (to measure mental health) and the Food Allergy Independent Measure (FAIM), which measures perceived likelihood of a severe allergic reaction. RESULTS A total of 434 parents took part. Greater parental QoL was significantly related to greater self-efficacy for food allergy management, better mental health, lower perceived likelihood of a severe reaction, older age in parent and child and fewer number of allergies (all p < 0.05). Food allergy self-efficacy explained more of the variance in QoL than any other variable and self-efficacy related to management of social activities and precaution and prevention of an allergic reaction appeared to be the most important aspects. CONCLUSIONS Parental self-efficacy in management of a child's food allergy is important and is associated with better parental QoL. It would be useful to measure self-efficacy at visits to allergy clinic in order to focus support; interventions to improve self-efficacy in parents of food allergic children should be explored.
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Affiliation(s)
- Rebecca C Knibb
- Department of Psychology, School of Life and Health Sciences, Aston University, Birmingham, UK
| | - Christopher Barnes
- Department of Psychology, College of Life and Natural Sciences, University of Derby, Derby, UK
| | - Carol Stalker
- Department of Psychology, College of Life and Natural Sciences, University of Derby, Derby, UK
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Polloni L, Baldi I, Lazzarotto F, Bonaguro R, Toniolo A, Celegato N, Gregori D, Muraro A. School personnel's self-efficacy in managing food allergy and anaphylaxis. Pediatr Allergy Immunol 2016; 27:356-60. [PMID: 26887784 DOI: 10.1111/pai.12550] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/13/2016] [Indexed: 01/19/2023]
Abstract
BACKGROUND Food allergy affects up to 4-7% European schoolchildren. Studies identified important shortcomings on food allergy and anaphylaxis management in schools. In social cognitive theory, personal beliefs in own capabilities influence choices, effort levels, perseverance and performance accomplishments. This study aimed to investigate school personnel's self-efficacy in managing food allergy and anaphylaxis, providing a valid instrument to deeply understand how to support schools to effectively manage students at risk of food reactions. METHODS A total of 440 schoolteachers and caretakers from north-east Italy completed a questionnaire assessing self-efficacy in managing food allergy and anaphylaxis at school. Exploratory factor analysis was performed. Factors' internal consistency was evaluated using Cronbach's alpha. Factors' scores were estimated using Bartlett approach, and kernel density estimate of distributions was provided. Descriptive statistics explored school personnel's self-efficacy. A regression model assessed the influence of gender, school, job and previous experience. RESULTS Two factors emerged from exploratory factor analysis related to anaphylaxis management (AM) and food allergy management (FAM). The two subscales both showed good internal consistency. School personnel showed lower self-efficacy in recognizing symptoms, administering drugs and guaranteeing full participation to extra-curricular activities to food-allergic students. Participants who previously had food-allergic students showed a significantly increased self-efficacy in AM and a significantly decreased self-efficacy in FAM. CONCLUSIONS The study supports the use of self-efficacy scale to identify specific areas where teachers' confidence in their ability to care for food-allergic students is especially weak. This would empower the development of training programs specifically tailored to the needs of teachers and caregivers.
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Affiliation(s)
- Laura Polloni
- Food Allergy Referral Centre for Diagnosis and Treatment, Veneto Region, Department of Women and Child Health, Padova University Hospital, Padova, Italy
| | - Ileana Baldi
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy
| | - Francesca Lazzarotto
- Food Allergy Referral Centre for Diagnosis and Treatment, Veneto Region, Department of Women and Child Health, Padova University Hospital, Padova, Italy
| | - Roberta Bonaguro
- Food Allergy Referral Centre for Diagnosis and Treatment, Veneto Region, Department of Women and Child Health, Padova University Hospital, Padova, Italy
| | - Alice Toniolo
- Food Allergy Referral Centre for Diagnosis and Treatment, Veneto Region, Department of Women and Child Health, Padova University Hospital, Padova, Italy
| | - Nicolò Celegato
- Food Allergy Referral Centre for Diagnosis and Treatment, Veneto Region, Department of Women and Child Health, Padova University Hospital, Padova, Italy
| | - Dario Gregori
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy
| | - Antonella Muraro
- Food Allergy Referral Centre for Diagnosis and Treatment, Veneto Region, Department of Women and Child Health, Padova University Hospital, Padova, Italy
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Knibb RC, Barnes C, Stalker C. Parental confidence in managing food allergy: development and validation of the food allergy self-efficacy scale for parents (FASE-P). Clin Exp Allergy 2015. [DOI: 10.1111/cea.12599] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- R. C. Knibb
- Psychology; School of Life and Health Sciences; Aston University; Birmingham UK
| | - C. Barnes
- Psychology; College of Life and Natural Sciences; University of Derby; Derby UK
| | - C. Stalker
- Psychology; College of Life and Natural Sciences; University of Derby; Derby UK
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Kintner EK, Cook G, Marti CN, Allen A, Stoddard D, Harmon P, Gomes M, Meeder L, Van Egeren LA. Effectiveness of a school- and community-based academic asthma health education program on use of effective asthma self-care behaviors in older school-age students. J SPEC PEDIATR NURS 2015; 20:62-75. [PMID: 25443867 PMCID: PMC4293278 DOI: 10.1111/jspn.12099] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2014] [Revised: 10/26/2014] [Accepted: 10/31/2014] [Indexed: 11/29/2022]
Abstract
PURPOSE The purpose was to evaluate the effectiveness of Staying Healthy-Asthma Responsible & Prepared, an academic asthma health education and counseling program, on fostering the use of effective asthma self-care behaviors. DESIGN AND METHODS This was a phase III, two-group, cluster randomized, single-blinded, longitudinal design-guided study. Caregivers of 205 fourth- and fifth-grade students completed the asthma health behaviors survey at preintervention, and 1, 12, and 24 months postintervention. Analysis involved multilevel modeling. RESULTS All students demonstrated improvement in episode management, risk reduction/prevention, and health promotion behaviors; Staying Healthy-Asthma Responsible & Prepared students demonstrated increased improvement in episode management and risk reduction/prevention behaviors. PRACTICE IMPLICATIONS Working with schoolteachers, nurses can improve the use of effective asthma self-care behaviors.
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Affiliation(s)
- Eileen K Kintner
- The University of Texas at Austin School of Nursing, Austin, Texas, USA
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Gibson-Young L, Turner-Henson A, Gerald LB, Vance DE, Lozano D. The relationships among family management behaviors and asthma morbidity in maternal caregivers of children with asthma. JOURNAL OF FAMILY NURSING 2014; 20:442-61. [PMID: 25351584 DOI: 10.1177/1074840714552845] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Numerous studies have identified the relationship of the family caregiver's perception regarding asthma management and the child's asthma outcomes, although few have examined family caregiver asthma management behaviors. The primary aim of this study was to examine the relationship among family management behaviors and asthma morbidity as perceived by maternal caregivers. The Family Management Style Framework was used to guide the research. Maternal caregivers (N = 101) with school-aged children diagnosed with persistent asthma and living in the United States were recruited from a specialty asthma clinic. When caregivers perceived they were expending much effort on their child's asthma management and were not confident in their ability to perform management activities, the child's asthma outcomes were worse. This is the first study to examine family management behaviors with maternal caregivers of school-aged children with asthma. Findings from this study encourage health care providers to tailor each educational opportunity with families to improve child asthma outcomes. An ongoing effort must be made to include families in asthma management. Health care partnerships between provider and family can lead to improved asthma management.
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Mickley KL, Burkhart PV, Sigler AN. Promoting normal development and self-efficacy in school-age children managing chronic conditions. Nurs Clin North Am 2013; 48:319-28. [PMID: 23659816 DOI: 10.1016/j.cnur.2013.01.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Chronic conditions can affect school-age children in more ways than just physically. Normal childhood maturation is critical at this age, yet daily management of chronic symptoms can be challenging. This article describes 4 common childhood chronic illnesses (asthma, seizure disorders, diabetes, and cystic fibrosis), and the impact these conditions have on the developing child. Self-efficacy, the belief that one can effectively perform necessary skills, is essential to self-management of chronic conditions and contributes in a positive way to the child's normal development. Implications for clinical practice and future research are discussed.
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Affiliation(s)
- Kristyn L Mickley
- 202 College of Nursing, University of Kentucky, Lexington, KY 40536-0232, USA.
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Sortedahl C. Effect of Online Journal Club on Evidence-Based Practice Knowledge, Intent, and Utilization in School Nurses. Worldviews Evid Based Nurs 2012; 9:117-25. [DOI: 10.1111/j.1741-6787.2012.00249.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Johnson KB, Culpepper D, Scott P, Gordon JS, Harris C. The utility of providing automated medication dose reminders to young children on chronic medication. J Telemed Telecare 2011; 17:387-91. [PMID: 21967999 DOI: 10.1258/jtt.2011.110314] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
We investigated the effect of text message reminders about medication administration. The study concerned children with cystic fibrosis. We provided 20 children (aged 5-12 years) with pagers that they could customize. For the first two weeks, we sent friendly text messages (non-reminder content) near medication times to acquaint them with the use of the pager. For the second two weeks, we sent messages reminding children to take their medications. The parents completed a survey to assess the child's overall use of the pager and degree of participation in medication management. Sixteen out of 20 children completed the study. Of these, 14 children (88%) were able to help notify parents when medications were due. Children as young as seven years of age may be able to receive reminders about medication administration events. The pilot study demonstrated the feasibility of involving younger children in pager technology related to medication adherence.
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Affiliation(s)
- Kevin B Johnson
- Department of Biomedical Informatics, Vanderbilt University School of Medicine, Room 428, 2209 Garland Ave, Nashville, Tennessee, USA.
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