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

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Department of Interdisciplinary Health Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA 30912, USA
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Division of Allergy-Immunology and Pediatric Rheumatology, Department of Pediatrics, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
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Department of Psychiatry & Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
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Georgia Prevention Institute, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
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Department of Population Health Sciences, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
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Department of Pharmacology & Toxicology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
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Rockefeller College of Public Affairs & Policy, University at Albany, State University of New York, Albany, NY 12222, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(17), 3060; https://doi.org/10.3390/ijerph16173060
Received: 29 May 2019 / Revised: 14 August 2019 / Accepted: 19 August 2019 / Published: 23 August 2019
(This article belongs to the Special Issue Current Perspectives in Respiratory Diseases)
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. View Full-Text
Keywords: asthma management; pediatric asthma; evidence-based guidelines; self-management effectiveness measures; medication adherence; holistic framework; practice improvement asthma management; pediatric asthma; evidence-based guidelines; self-management effectiveness measures; medication adherence; holistic framework; practice improvement
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Rangachari, P.; May, K.R.; Stepleman, L.M.; Tingen, M.S.; Looney, S.; Liang, Y.; Rockich-Winston, N.; Rethemeyer, R.K. Measurement of Key Constructs in a Holistic Framework for Assessing Self-Management Effectiveness of Pediatric Asthma. Int. J. Environ. Res. Public Health 2019, 16, 3060.

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