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Pediatric asthma management in the family context: the family asthma management system scale

Elizabeth L McQuaid1, Natalie Walders, Sheryl J Kopel

  • 1Bradley/Hasbro Research Center, USA. elizabeth_mcquaid@brown.edu

Journal of Pediatric Psychology
|August 2, 2005
PubMed

Insights

The revised Family Asthma Management System Scale (FAMSS) is a reliable clinical interview for assessing asthma management in children. It shows promise for research and clinical use in improving pediatric asthma care.

Area of Science:

  • Pediatric Pulmonology
  • Health Services Research
  • Psychometrics

Background:

  • Effective asthma management requires accurate assessment of family-based strategies.
  • Existing assessment tools may have limitations in capturing comprehensive family asthma management.
  • The Family Asthma Management System Scale (FAMSS) was revised to improve its utility.

Purpose of the Study:

  • To evaluate the psychometric properties of the revised Family Asthma Management System Scale (FAMSS).
  • To determine the reliability and validity of the FAMSS as a clinical interview for assessing asthma management.
  • To explore the FAMSS's ability to predict asthma morbidity.

Main Methods:

  • The revised FAMSS was administered to 115 children with asthma and their caregivers.
  • Asthma morbidity was assessed concurrently.
  • A subset of families (n=53) underwent objective adherence monitoring and completed knowledge/self-efficacy measures.

Main Results:

  • The FAMSS demonstrated good internal consistency (alpha = .84).
  • FAMSS scores were associated with socioeconomic status and asthma morbidity.
  • The FAMSS explained additional variance in asthma morbidity beyond self-reports and objective adherence.

Conclusions:

  • The revised FAMSS is a psychometrically sound tool for assessing family-based asthma management.
  • It addresses limitations in current assessment methodologies.
  • The FAMSS holds significant potential for both research and clinical applications in pediatric asthma care.
Abstract

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