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Reformulating the Common Sense Model of Self-Regulation: Toward Parent-Child Shared Regulation

Jennifer T Sonney1, Kathleen C Insel2

  • 1Senior Lecturer, University of Washington, Seattle, WA.

Nursing Science Quarterly
|March 17, 2016
PubMed

Insights

Pediatric asthma controller medication nonadherence increases illness. A reformulated common sense model emphasizes parent-child shared regulation for better pediatric asthma self-management.

Area of Science:

  • Pediatric Pulmonology
  • Health Psychology
  • Behavioral Medicine

Background:

  • Asthma is a leading chronic childhood illness in the U.S.
  • Medication nonadherence significantly worsens pediatric asthma outcomes.
  • The Common Sense Model (CSM) is effective for adult chronic disease self-management but underutilized in pediatrics.

Purpose of the Study:

  • To evaluate the applicability of the Common Sense Model (CSM) in pediatric asthma.
  • To propose a modified CSM framework for pediatric asthma self-management.
  • To address medication nonadherence in children with asthma.

Main Methods:

  • Analysis and evaluation of the Common Sense Model (CSM) using Fawcett's conceptual framework.
  • Literature review on pediatric asthma self-management and theoretical models.
  • Theoretical reformulation of the CSM for pediatric application.

Main Results:

  • The standard CSM requires adaptation for pediatric chronic disease contexts.
  • Parental influence and child participation are critical in pediatric asthma self-management.
  • Shared regulation between parents and children is a key factor.

Conclusions:

  • The Common Sense Model (CSM) can be adapted for pediatric asthma.
  • A reformulated CSM incorporating parent-child shared regulation is proposed.
  • This revised model offers a framework to improve adherence and outcomes in pediatric asthma.

Keywords:
Common Sense Model of Self-Regulationasthmashared management

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