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J Dev Behav Pediatr. 2014 Oct;35(8):486-93. doi: 10.1097/DBP.0000000000000093.

Effects of family treatment on parenting beliefs among caregivers of youth with poorly controlled asthma.

Author information

1
*Carman and Ann Adams Department of Pediatrics, Wayne State University, Detroit, MI; †Department of Psychiatry, Medical University of South Carolina, Charleston, SC.

Abstract

OBJECTIVE:

Caregiver involvement is critical in ensuring optimal adolescent asthma management. The study investigated whether multisystemic therapy (MST), an intensive home-based family therapy, was superior to family support for changing beliefs regarding asthma-related positive parenting among caregivers of African-American youth with poorly controlled asthma. The relationship between parenting beliefs and asthma management at the conclusion of the intervention was also assessed.

METHODS:

A randomized controlled trial was conducted with 167 adolescents with moderate-to-severe, persistent, poorly controlled asthma and their primary caregivers. Families were randomly assigned to MST or family support (FS), a home-based family support condition. Data were collected at baseline and 7-month posttest. Changes in caregiver ratings of importance and confidence for engaging in asthma-related positive parenting were assessed through questionnaire. Illness management was assessed by the Family Asthma Management System Scale.

RESULTS:

Participation in MST was associated with more change in caregiver beliefs as compared with FS for both importance (t = 2.39, p = .02) and confidence (t = 2.04, p = .04). Caregiver beliefs were also significantly related to youth controller medication adherence at the conclusion of treatment (importance: r = .21, p = .01; confidence: r = .23, p = .004).

CONCLUSION:

Results support the effectiveness of MST for increasing parental beliefs in the value of asthma-related positive parenting behaviors and parental self-efficacy for these behaviors among families of minority adolescents with poorly controlled asthma.

PMID:
25186121
PMCID:
PMC4180784
DOI:
10.1097/DBP.0000000000000093
[Indexed for MEDLINE]
Free PMC Article

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