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

Author

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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)

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.

Suggested Citation

  • Pavani Rangachari & Kathleen R. May & Lara M. Stepleman & Martha S. Tingen & Stephen Looney & Yan Liang & Nicole Rockich-Winston & R. Karl Rethemeyer, 2019. "Measurement of Key Constructs in a Holistic Framework for Assessing Self-Management Effectiveness of Pediatric Asthma," IJERPH, MDPI, vol. 16(17), pages 1-25, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3060-:d:260252
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    References listed on IDEAS

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    1. Ong, L. M. L. & de Haes, J. C. J. M. & Hoos, A. M. & Lammes, F. B., 1995. "Doctor-patient communication: A review of the literature," Social Science & Medicine, Elsevier, vol. 40(7), pages 903-918, April.
    2. Zandbelt, Linda C. & Smets, Ellen M.A. & Oort, Frans J. & de Haes, Hanneke C.J.M., 2005. "Coding patient-centred behaviour in the medical encounter," Social Science & Medicine, Elsevier, vol. 61(3), pages 661-671, August.
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    Cited by:

    1. Pavani Rangachari & Jie Chen & Nishtha Ahuja & Anjeli Patel & Renuka Mehta, 2021. "Demographic and Risk Factor Differences between Children with “One-Time” and “Repeat” Visits to the Emergency Department for Asthma," IJERPH, MDPI, vol. 18(2), pages 1-16, January.
    2. Pavani Rangachari & Dixie D. Griffin & Santu Ghosh & Kathleen R. May, 2020. "Demographic and Risk-Factor Differences between Users and Non-Users of Unscheduled Healthcare among Pediatric Outpatients with Persistent Asthma," IJERPH, MDPI, vol. 17(8), pages 1-12, April.
    3. Pavani Rangachari & Imran Parvez & Audrey-Ann LaFontaine & Christopher Mejias & Fahim Thawer & Jie Chen & Niharika Pathak & Renuka Mehta, 2023. "Effect of Disease Severity, Age of Child, and Clinic No-Shows on Unscheduled Healthcare Use for Childhood Asthma at an Academic Medical Center," IJERPH, MDPI, vol. 20(2), pages 1-25, January.

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