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.
Abstract

Related Concept Videos

Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include: