Measurement of Key Constructs in a Holistic Framework for Assessing Self-Management Effectiveness of Pediatric Asthma

Pavani Rangachari, Kathleen R. May, Lara M. Stepleman, Martha S. Tingen, Stephen Looney, Yan Liang, Nicole Rockich-Winston and R. Karl Rethemeyer
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Pavani Rangachari: Department of Interdisciplinary Health Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA 30912, USA
Kathleen R. May: Division of Allergy-Immunology and Pediatric Rheumatology, Department of Pediatrics, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
Lara M. Stepleman: Department of Psychiatry & Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
Martha S. Tingen: Georgia Prevention Institute, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
Stephen Looney: Department of Population Health Sciences, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
Yan Liang: Department of Interdisciplinary Health Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA 30912, USA
Nicole Rockich-Winston: Department of Pharmacology & Toxicology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
R. Karl Rethemeyer: Rockefeller College of Public Affairs & Policy, University at Albany, State University of New York, Albany, NY 12222, USA

IJERPH, 2019, vol. 16, issue 17, 1-25

Abstract: The 2007 U.S. National Institutes of Health 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 for measuring 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 children with 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.

Keywords: asthma management; pediatric asthma; evidence-based guidelines; self-management effectiveness measures; medication adherence; holistic framework; practice improvement (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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