Family asthma management routines: Connections to medical adherence and quality of life

To develop a reliable measure of asthma management routines and examine its association with health care utilization, medical adherence, and quality of life. Families (n = 153) with a child with asthma, drawn from two sites, participated in the study. Parents completed the Asthma Routines Questionna...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of pediatrics 2005-02, Vol.146 (2), p.171-176
Main Authors: Fiese, Barbara H., Wamboldt, Frederick S., Anbar, Ran D.
Format: Article
Language:English
Subjects:
Anti-Asthmatic Agents - therapeutic use
Asthma - drug therapy
Biological and medical sciences
Child
Chronic obstructive pulmonary disease, asthma
Delivery of Health Care - methods
Delivery of Health Care - standards
Family
Family Health
General aspects
Humans
Medical sciences
Parenting
Patient Compliance
Pneumology
Quality of Life
Surveys and Questionnaires
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To develop a reliable measure of asthma management routines and examine its association with health care utilization, medical adherence, and quality of life. Families (n = 153) with a child with asthma, drawn from two sites, participated in the study. Parents completed the Asthma Routines Questionnaire, Adherence to Clinical Trials interview, Functional Severity of Asthma Questionnaire, and Caregiver Quality of Life. Children completed the Pediatric Quality of Life. Electronic monitoring of medication use over a period of 12 months was available for children at one study site. A principal component factor analysis revealed two dimensions to the Asthma Routines Questionnaire: Medication Routines and Routine Burden. Medication Routines were related to medical adherence and to health care utilization. Routine Burden was related to caregiver and child quality of life. The Asthma Routine Questionnaire holds promise as a reliable assessment of family practices related to medication use. The emotional burden of daily care can be distinguished from medication use, which is more closely linked to adherence issues. Targeted questions during regular care may reveal family routine practices amenable to intervention.
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2004.08.083