Cognitive-Behavioral Predictors of Asthma Morbidity in Inner-City Children
Abstract
Asthma is a growing health problem among children in the United States, particularly in urban, inner-city areas. This article examines the relationship between cognitive-behavioral aspects of asthma management (caretaker asthma knowledge, expectations, and problem-solving) and asthma morbidity in a sample of 1,376 inner-city children with physician-diagnosed asthma. In the analyses, baseline symptom severity served as a covariate, and the average of the 3-, 6-, and 9-month follow-up data served as the outcome measure. Children of caregivers with ineffective problem-solving strategies had significantly more days of wheezing over a 14-day period. Ineffective problem-solving capabilities were also associated with poorer functional status; however, positive caregiver expectations were associated with better functional status. Of the cognitive-behavioral factors studied in a high-risk urban population, caregiver problem-solving skills and expectations emerged as meriting further investigation and possible intervention.
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Young patients still face problems related to both cognitive and behavioral skills that hinder their ability to effectively administer asthma medications.
“However, young patients still face problems related to both cognitive and behavioral skills that hinder their ability to effectively administer asthma medications [30-35].”
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Pediatric Asthma Management in the Family Context: The Family Asthma Management System Scale
McQuaid, E. L., Walders, N., Kopel, S. J., Fritz, G. K., & Klinnert, M. D. (2005) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsi074 · Cited by 125 · see citing works
Parenting interventions for childhood chronic illness
Morawska, A., Calam, R. M., & Fraser, J. (2014) · Journal of Child Health Care · doi:10.1177/1367493513496664 · Cited by 120 · see citing works
Relations among asthma knowledge, treatment adherence, and outcome
Ho, J., Bender, B. G., Gavin, L. A., et al. (2003) · Journal of Allergy and Clinical Immunology · doi:10.1067/mai.2003.160 · Cited by 114 · see citing works
Kowatsch, T., Schachner, T., Harperink, S., Barata, F., Dittler, U., Xiao, G., Stanger, C., v Wangenheim, F., Fleisch, E., Oswald, H., et al. (2021) · Journal of Medical Internet Research · doi:10.2196/25060 · Cited by 103 · see citing works
“However, young patients still face problems related to both cognitive and behavioral skills that hinder their ability to effectively administer asthma medications [30-35].”
Psychological interventions in childhood chronic illness.
Drotar, D. (2006) · American Psychological Association eBooks · doi:10.1037/11412-000 · Cited by 80 · see citing works
Seid, M., Opipari‐Arrigan, L., Gelhard, L. R., Varni, J. W., & Driscoll, K. A. (2009) · Academic Pediatrics · doi:10.1016/j.acap.2008.12.003 · Cited by 59 · see citing works
A systematic review of parenting interventions for child chronic health conditions
Mitchell, A. E., Morawska, A., & Mihelic, M. (2019) · Journal of Child Health Care · doi:10.1177/1367493519882850 · Cited by 54 · see citing works
“…et al., 2005) and use of less effective parenting strategies (e.g. over- or under-involvement, overprotection or neglect, and rigid expectations or lack of routine) (Gustafsson et al., 2002; Wade et al., 2000) are associated with poorer health and more child emotional and behavioural problems.”
BackgroundOutcome Expectancy and Self-Efficacy in Adolescent Asthma Self-Management
Zebracki, K., & Drotar, D. (2004) · Children s Health Care · doi:10.1207/s15326888chc3302_4 · Cited by 60 · see citing works
“Wade et al. (2000) found that poor problem-solving abilities in caregivers of children with asthma were associated with less adequate management of asthma and increased asthma morbidity.”
BackgroundResultInfluentialBarriers to Care and Primary Care for Vulnerable Children With Asthma
Seid, M. (2008) · PEDIATRICS · doi:10.1542/peds.2007-3114 · Cited by 39 · see citing works
Impoverished Children With Asthma: A Pilot Study of Urban Healthcare Access
Wallace, A. S., Scott, J., Klinnert, M. D., et al. (2004) · Journal for Specialists in Pediatric Nursing · doi:10.1111/j.1088-145x.2004.00050.x · Cited by 19 · see citing works
The Role of Asthma Management Beliefs and Behaviors in Childhood Asthma Immune and Clinical Outcomes
Walker, H. A., Chim, L. S., & Chen, E. (2008) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn084 · Cited by 13 · see citing works
“For example, greater knowledge about asthma was associated with better management behaviors in African-American adolescents (Sin, Kang, & Weaver, 2005), although other studies have not found significant effects of knowledge (McQuaid et al., 2005; Wade et al., 2000).”
BackgroundResultThe Role of Maternal Illness Perceptions in Perceived Asthma Symptoms in School-Aged Children
Ringlever, L., Otten, R., van Schayck, O. V., & Engels, R. (2012) · Journal of Asthma · doi:10.3109/02770903.2012.726305 · Cited by 13 · see citing works
The impact of family asthma management on biology: a longitudinal investigation of youth with asthma
Walker, H. A., & Chen, E. (2010) · Journal of Behavioral Medicine · doi:10.1007/s10865-010-9258-8 · Cited by 10 · see citing works
“…beliefs about the helpfulness of asthma management behaviors, have been linked to clinical outcomes, such as fewer symptoms among children with asthma, fewer days of wheezing, better health status, as well as fewer days of school missed (Bursch et al. 1999; Wade et al. 2000; Grus et al. 2001).”
BackgroundResultMorawska, A., Gregory, C., & Burgess, S. (2012) · Journal of Child Health Care · doi:10.1177/1367493511426278 · Cited by 9 · see citing works
“Parents of children with asthma use many ineffective parenting strategies to manage their child’s asthma (Wade et al., 2000), and mothers and fathers often do not agree on the severity of their child’s asthma and how best to manage it (Eiser et al.”
BackgroundResultInfluentialSockrider, M. M., & Czyzewski, D. I. (2008) · Elsevier eBooks · doi:10.1016/b978-032304289-5.10047-5 · Cited by 5 · see citing works
Kintner, E. K., Cook, G., Hull, L., et al. (2013) · Journal of Nursing Measurement · doi:10.1891/1061-3749.21.3.360 · Cited by 2 · see citing works
“…Mitchell, & Ewart, 2000; Wade et al., 1997; Wroe, 2002) and reasoning and information processing (Burkhart & Ward, 2003; Comino, Zwar, & Harris, 2002; Jaing, Sepulveda, & Casillas, 2001; Rich, Patashnick, & Chalfen, 2002; Ringsberg, Lepp, & Finnström, 2002; Wade et al., 2000) in asthma management.”
Assessment of the knowledge of asthma amongst adult asthmatics and their quality of life
Williams, Z. (2009) · Unisa Institutional Repository (University of South Africa) · Cited by 2 · see citing works
Lima, L., & de Lemos, M. S. (2016) · Children s Health Care · doi:10.1080/02739615.2015.1124778 · Cited by 1 · see citing works
Kattan, M. (2015) · Elsevier eBooks · doi:10.1016/b978-0-323-29875-9.00033-1 · Cited by 1 · see citing works
The interaction between paediatric asthma and family functioning
Jones, S. L. (2009) · Unisa Institutional Repository (University of South Africa) · Cited by 1 · see citing works
Kattan, M. (2005) · CRC Press eBooks · doi:10.1201/b14123-23 · Cited by 1 · see citing works
Childhood asthma: Parents’ role in smoking prevention and asthma perception
Ringlever, L. (2008) · Radboud Repository (Radboud University)
Estudo de perfis de adaptação psicológica e de algumas variáveis preditivas
Asma, A. C. C. (2005)
- Authors
- WADE, S. L., HOLDEN, G., LYNN, H., MITCHELL, H., & EWART, C.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- New York University (US)
- Rho (United States) (US)
- Venue
- Journal of Developmental & Behavioral Pediatrics
- Published
- 2000-10
- Volume
- 21
- Issue
- 5
- Pages
- 340-346
- ISSN
- 0196-206X (ISSN-L)
- OpenAlex
- W2034448706
- Cited by
- 23
- References
- 0
- Citations by year
- 2021: 1 · 2019: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 0.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Developmental & Behavioral Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (A1-30756, UO1 A1-30751, A1-30752)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- childhood asthma, asthma morbidity, inner-city children, caregiver expectations, problem-solving skills, cognitive-behavioral factors, wheezing, functional status, urban health disparities
- MeSH terms
- Asthma, Child, Child, Preschool, Follow-Up Studies, Humans, Interviews as Topic, Health Knowledge, Attitudes, Practice, Problem Solving, Surveys and Questionnaires, Regression Analysis, Severity of Illness Index, United States, Urban Population, Caregivers
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