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Review
. 2019 Aug 23;16(17):3060.
doi: 10.3390/ijerph16173060.

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

Pavani Rangachari  1 , Kathleen R May  2 , Lara M Stepleman  3 , Martha S Tingen  4 , Stephen Looney  5 , Yan Liang  6 , Nicole Rockich-Winston  7 , R Karl Rethemeyer  8
Affiliations
Review

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

Pavani Rangachari et al. Int J Environ Res Public Health. .

Abstract

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.

Keywords: asthma management; evidence-based guidelines; holistic framework; medication adherence; pediatric asthma; practice improvement; self-management effectiveness measures.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
A Holistic Framework for Assessing Self-Management Effectiveness of Pediatric Asthma.
See this image and copyright information in PMC

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