Self-regulating childhood asthma: A developmental model of family change

Author(s): Bonner, S., Evans, D., Mellins, R. B.

Journal/Book: Health Educ Behav. 1999; 26: 2455 Teller Rd, Thousand Oaks, CA 91320, USA. Sage Publications Inc. 55-71.

Abstract: This article tests a model of self-regulatory development in which families' cognitive beliefs and behavioral skills for managing asthma symptoms emerge in four successive phases: asthma symptom avoidance, asthma acceptance, asthma compliance, and asthma self-regulation, Confirmatory factor analyses revealed that the hypothesized multiphase model provided the best factorial fit for phase items. Subsequent Guttman analyses of the families' phase scores revealed a high degree of sequential ordering. Finally, trend analyses of family phase differences revealed a significant negative linear relation with measures of asthma severity and a significant positive linear relation with physician care and concern measures, asthma regulatory measures, and beliefs in Western biomedical practices. Despite receiving primary care for asthma at a major metropolitan university hospital, 83% of me sample were classified as precompliant. The phase model of asthma self-regulatory development offers a qualitative approach for investigating the psychological determinants of asthma self-regulatory behavior.

Note: Article Zimmerman BJ, CUNY Grad Sch & Univ Ctr, 33 W 42nd St, New York,NY 10036 USA

Keyword(s): MANAGEMENT

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