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Children with asthma: initial development of the child resilience model

Judith A Vinson1

  • 1Michigan State University, College of Nursing, East Lansing, MI, USA.

Pediatric Nursing
|April 19, 2002
PubMed

Insights

This study developed a resilience model for children with asthma, showing family environment and child characteristics significantly impact health outcomes. Healthcare providers can partner with parents to enhance child resilience and manage asthma effects.

Area of Science:

  • Pediatric Health
  • Child Psychology
  • Health Outcomes Research

Background:

  • Resilience is crucial for children managing chronic conditions like asthma.
  • Understanding factors influencing resilience can improve health outcomes.
  • A conceptual model is needed to guide interventions for pediatric asthma.

Purpose of the Study:

  • To develop a clinically relevant conceptual model of resilience in children.
  • To explore relationships between family environment, child characteristics, and health outcomes in pediatric asthma.
  • To identify key factors influencing resilience in children with asthma.

Main Methods:

  • Correlational study design.
  • Nonprobability, volunteer sample of 235 children diagnosed with asthma on daily medication.
  • Statistical analysis to determine significant paths in the resilience model.

Main Results:

  • The inner core paths of the resilience model were statistically significant.
  • Family environment, child characteristics, appraisal, coping, and quality of life explained 15% of the variance in illness indices.
  • Child's sense of coherence and self-esteem, mediated by asthma appraisal, explained 37% of perceived quality of life variance.

Conclusions:

  • Nurses and physicians can foster child characteristics that positively impact asthma.
  • Partnerships between healthcare providers and parents are essential for enhancing resilience.
  • The conceptual model provides a framework for interventions to improve health outcomes in children with asthma.
Abstract

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