TY - JOUR
T1 - Measurement of key constructs in a holistic framework for assessing self-management effectiveness of pediatric asthma
AU - Rangachari, Pavani
AU - May, Kathleen R.
AU - Stepleman, Lara M.
AU - Tingen, Martha S.
AU - Looney, Stephen
AU - Liang, Yan
AU - Rockich-Winston, Nicole
AU - Karl Rethemeyer, R.
PY - 2019/9
Y1 - 2019/9
N2 - The 2007 U.S.National Institutes ofHealth EPR-3 guidelines emphasize the importance creating a provider-patient partnership to enable patients/families to monitor and take control of their asthma, so that treatment can be adjusted as needed. However, major shortfalls continue to be reported in provider adherence to EPR-3 guidelines. For providers to be more engaged in asthma management, they need a comprehensive set of resources formeasuring self-management effectiveness of asthma,which currently do not exist. In a previously published article in the Journal of Asthma and Allergy, the authors conducted a literature review, to develop a holistic framework for understanding self-management effectiveness of pediatric asthma. The essence of this framework, is that broad socioecological factors can influence self-agency (patient/family activation), to impact self-management effectiveness, in childrenwith asthma. A component of socio-ecological factors of special relevance to providers, would be the quality of provider-patient/family communication on asthma management. Therefore, the framework encompasses three key constructs: (1) Provider-patient/family communication; (2) Patient/family activation; and (3) Self-management effectiveness. This paper conducts an integrative review of the literature, to identify existing, validated measures of the three key constructs, with a view to operationalizing the framework, and discussing its implications for asthma research and practice.
AB - The 2007 U.S.National Institutes ofHealth EPR-3 guidelines emphasize the importance creating a provider-patient partnership to enable patients/families to monitor and take control of their asthma, so that treatment can be adjusted as needed. However, major shortfalls continue to be reported in provider adherence to EPR-3 guidelines. For providers to be more engaged in asthma management, they need a comprehensive set of resources formeasuring self-management effectiveness of asthma,which currently do not exist. In a previously published article in the Journal of Asthma and Allergy, the authors conducted a literature review, to develop a holistic framework for understanding self-management effectiveness of pediatric asthma. The essence of this framework, is that broad socioecological factors can influence self-agency (patient/family activation), to impact self-management effectiveness, in childrenwith asthma. A component of socio-ecological factors of special relevance to providers, would be the quality of provider-patient/family communication on asthma management. Therefore, the framework encompasses three key constructs: (1) Provider-patient/family communication; (2) Patient/family activation; and (3) Self-management effectiveness. This paper conducts an integrative review of the literature, to identify existing, validated measures of the three key constructs, with a view to operationalizing the framework, and discussing its implications for asthma research and practice.
KW - Asthma management
KW - Evidence-based guidelines
KW - Holistic framework
KW - Medication adherence
KW - Pediatric asthma
KW - Practice improvement
KW - Self-management effectiveness measures
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U2 - 10.3390/ijerph16173060
DO - 10.3390/ijerph16173060
M3 - Review article
C2 - 31443605
AN - SCOPUS:85071485597
SN - 1661-7827
VL - 16
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 17
M1 - 3060
ER -