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Randomized Controlled Trial
. 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

Deborah A Ellis  1 , Pamela King, Sylvie Naar-King, Phebe Lam, Phillippe B Cunningham, Elizabeth Secord
Affiliations
Randomized Controlled Trial

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

Deborah A Ellis et al. J Dev Behav Pediatr. 2014 Oct.

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.

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Figures

Figure 1
Figure 1
Intervention effects on parent report of the importance of asthma-related parenting by treatment group (MST vs. FS). Points plotted are based on results from multilevel modeling, after controlling for adolescent age, gender, and single-parent status.
Figure 2
Figure 2
Intervention effects on parent report of their confidence in asthma-related parenting by treatment group (MST vs. FS). Points plotted are based on results from multilevel modeling, after controlling for adolescent age, gender, and single-parent status.
See this image and copyright information in PMC

References

    1. Akinbami OJ, Moorman JE, Liu X. Asthma prevalence, health care use, and mortality: United States, 2005–2009. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2011.
    1. Bruzzese J, Chew G, Evans D. Asthma prevalence, severity, and management among New York City adolescents. Journal of Allergy Clinical Immunology. 2002;109:S175.
    1. CDC. Youth Risk Behavior Surveillance - United States, 2009. MMWR June 4, 2010. 2010;59(SS-5):1–142. - PubMed
    1. Akinbami LJ, Moorman JE, Garbe PL, et al. Status of childhood asthma in the United States, 1980–2007. Pediatrics. 2009;123(Supplement 3):S131–S145. - PubMed
    1. Forno E, Celedón JC. Predicting asthma exacerbations in children. Current opinion in pulmonary medicine. 2012;18(1):63. - PMC - PubMed

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