Exploring factors influencing asthma control and asthma-specific health-related quality of life among children.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Ltd Country of Publication: England NLM ID: 101090633 Publication Model: Electronic Cited Medium: Internet ISSN: 1465-993X (Electronic) Linking ISSN: 14659921 NLM ISO Abbreviation: Respir Res Subsets: MEDLINE
    • Publication Information:
      Publication: 2001- : London : BioMed Central Ltd.
      Original Publication: London : Current Science Ltd., c2000-
    • Subject Terms:
      Self Efficacy*; Asthma/*psychology ; Asthma/*therapy ; Health Literacy/*statistics & numerical data ; Patient Satisfaction/*statistics & numerical data ; Patients/*psychology; Adolescent ; Child ; Cross-Sectional Studies ; Decision Making ; Female ; Humans ; Male ; Parents ; Physician-Patient Relations ; Quality of Life ; Surveys and Questionnaires ; United States
    • Abstract:
      Background: Little is known about factors contributing to children's asthma control status and health-related quality of life (HRQoL). The study objectives were to assess the relationship between asthma control and asthma-specific HRQoL in asthmatic children, and to examine the extent to which parental health literacy, perceived self-efficacy with patient-physician interaction, and satisfaction with shared decision-making (SDM) contribute to children's asthma control and asthma-specific HRQoL.
      Methods: This cross-sectional study utilized data collected from a sample of asthmatic children (n = 160) aged 8-17 years and their parents (n = 160) who visited a university medical center. Asthma-specific HRQoL was self-reported by children using the National Institutes of Health's Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Asthma Impact Scale. Satisfaction with SDM, perceived self-efficacy with patient-physician interaction, parental health literacy, and asthma control were reported by parents using standardized measures. Structural equation modeling (SEM) was performed to test the hypothesized pathways.
      Results: Path analysis revealed that children with better asthma control reported higher asthma-specific HRQoL (β = 0.4, P < 0.001). Parents with higher health literacy and greater perceived self-efficacy with patient-physician interactions were associated with higher satisfaction with SDM (β = 0.38, P < 0.05; β = 0.58, P < 0.001, respectively). Greater satisfaction with SDM was in turn associated with better asthma control (β = -0.26, P < 0.01).
      Conclusion: Children's asthma control status influenced their asthma-specific HRQoL. However, parental factors such as perceived self-efficacy with patient-physician interaction and satisfaction with shared decision-making indirectly influenced children's asthma control status and asthma-specific HRQoL.
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    • Grant Information:
      K23 HD057146 United States HD NICHD NIH HHS; U01 AR052181 United States AR NIAMS NIH HHS; U01 AR052181-06 United States AR NIAMS NIH HHS; NIH U01 AR052181 United States AR NIAMS NIH HHS
    • Publication Date:
      Date Created: 20130226 Date Completed: 20130916 Latest Revision: 20240408
    • Publication Date:
      20240408
    • Accession Number:
      PMC3599064
    • Accession Number:
      10.1186/1465-9921-14-26
    • Accession Number:
      23432913