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J Pediatr. 2003 Oct;143(4):457-62.

Tales of pediatric asthma management: family-based strategies related to medical adherence and health care utilization.

Author information

  • 1Department of Psychology, 430 Huntington Hall, Syracuse University, Syracuse, NY 13244, USA. bhfiese@psych.syr.edu

Abstract

OBJECTIVES:

To examine how family management styles, garnered from parent interviews about the effect of asthma on family life, are related to medical adherence and health care utilization.

STUDY DESIGN:

Eighty parents with a child with asthma were interviewed. Computerized monitoring of medication use was collected every 2 months for 1 year. Parents and children completed measures of medical adherence and health care utilization at the time of the interview and at 1-year follow-up. Three categories of disease management were identified: reactive, coordinated care, and family partnerships. Group comparisons were made by using analysis of variance with medical adherence and health care utilization as dependent variables.

RESULTS:

Management strategies revealed in the interview were distinguishable by adherence rates at the time of interview and 1 year after. Interview categories were also predictive of emergency department use at 1-year follow-up. The reactive group received a diagnosis of asthma 1 year after noting symptoms, in contrast with the other groups, who received a diagnosis within 6 months.

CONCLUSIONS:

The use of semistructured interviews may reveal important information about how families manage asthma. Further work may help identify areas amenable to intervention and provide a better understanding of why some families delay treatment.

PMID:
14571219
[PubMed - indexed for MEDLINE]
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