Self-regulating childhood asthma: a developmental model of family change.
Health Educ Behav
; 26(1): 55-71, 1999 Feb.
Article
em En
| MEDLINE
| ID: mdl-9952052
ABSTRACT
This article tests a model of self-regulatory development in which families' cognitive beliefs and behavioral skills for managing asthma symptoms emerge in four successive phases asthma symptom avoidance, asthma acceptance, asthma compliance, and asthma self-regulation. Confirmatory factor analyses revealed that the hypothesized multiphase model provided the best factorial fit for phase items. Subsequent Guttman analyses of the families' phase scores revealed a high degree of sequential ordering. Finally, trend analyses of family phase differences revealed a significant negative linear relation with measures of asthma severity and a significant positive linear relation with physician care and concern measures, asthma regulatory measures, and beliefs in Western biomedical practices. Despite receiving primary care for asthma at a major metropolitan university hospital, 83% of the sample were classified as precompliant. The phase model of asthma self-regulatory development offers a qualitative approach for investigating the psychological determinants of asthma self-regulatory behavior.
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Base de dados:
MEDLINE
Assunto principal:
Asma
/
Autocuidado
/
Adaptação Psicológica
/
Família
/
Hispânico ou Latino
/
Conhecimentos, Atitudes e Prática em Saúde
/
Modelos Psicológicos
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
1999
Tipo de documento:
Article