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Validity of the Family Asthma Management System Scale with an urban African-American sample
Marianne Celano1, Mary D Klinnert, Chanda Nicole Holsey
1Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, 49 Jesse Hill Jr. Dr., SE, Atlanta, GA 30303, USA. mcelano@emory.edu
Insights
The Family Asthma Management System Scale (FAMSS) is a reliable tool for assessing asthma care in low-income African-American families. It correlates with better inhaler technique and family functioning.
Area of Science:
- Pediatric Pulmonology
- Family Medicine
- Health Services Research
Background:
- Asthma management in low-income African-American children is complex.
- Caregiver stress impacts a child's asthma control.
- A validated tool is needed to assess family-centered asthma management.
Purpose of the Study:
- To evaluate the reliability and validity of the Family Asthma Management System Scale (FAMSS).
- To assess asthma management in low-income African-American children with poor asthma control and stressed caregivers.
Main Methods:
- The FAMSS was administered to 43 children (8-13 years) and their caregivers.
- Caregivers completed measures of primary care quality, family functioning, and stress.
- Children's inhaler technique and medical records were assessed.
Main Results:
- The FAMSS showed good internal consistency.
- Higher FAMSS scores correlated with better inhaler technique, recent outpatient care, reduced parenting stress, and improved family functioning.
- The Collaborative Relationship with Provider subscale linked to higher perceived primary care quality.
Conclusions:
- The FAMSS is a reliable and valid measure for assessing asthma management in this population.
- The scale shows relevant associations with asthma care criteria and family dynamics.
Objective:
To examine the reliability and validity of the Family Asthma Management System Scale for low-income African-American children with poor asthma control and caregivers under stress. The FAMSS assesses eight aspects of asthma management from a family systems perspective.
Methods:
Forty-three children, ages 8-13, and caregivers were interviewed with the FAMSS; caregivers completed measures of primary care quality, family functioning, parenting stress, and psychological distress. Children rated their relatedness with the caregiver, and demonstrated inhaler technique. Medical records were reviewed for dates of outpatient visits for asthma.
Results:
The FAMSS demonstrated good internal consistency. Higher scores were associated with adequate inhaler technique, recent outpatient care, less parenting stress and better family functioning. Higher scores on the Collaborative Relationship with Provider subscale were associated with greater perceived primary care quality.
Conclusions:
The FAMSS demonstrated relevant associations with asthma management criteria and family functioning for a low-income, African-American sample.
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