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Published on: May 14, 2012
The pediatric self-management model in asthma: A theory analysis and evaluation
Aymee Steidl1, Jennifer Sonney1
1University of Washington School of Nursing, Department of Child, Family, and Population Health Nursing, 1959 NE Pacific St., Seattle, WA 98195, USA.
Insights
The Pediatric Self-management Model (PSMM) offers a new framework for understanding pediatric asthma management. This family-centered approach highlights the child-parent relationship for improved adherence and outcomes.
Area of Science:
- Pediatric Nursing
- Chronic Illness Management
- Health Theory Application
Background:
- Pediatric asthma affects millions of children, leading to significant healthcare utilization and missed school days.
- Effective management requires understanding factors influencing children's chronic illness self-care.
- The Pediatric Self-management Model (PSMM) is a family-centered theory for pediatric chronic illness.
Purpose of the Study:
- To analyze the Pediatric Self-management Model (PSMM) using the Walker and Avant framework.
- To evaluate the applicability of the PSMM to pediatric asthma management and adherence.
- To explore the PSMM as a framework for identifying barriers and facilitators in pediatric asthma care.
Main Methods:
- Theory analysis using the established Walker and Avant framework.
- Application of the PSMM to the specific context of pediatric asthma.
- Evaluation of the model's relevance to shared management and adherence in pediatric asthma.
Main Results:
- The PSMM provides a relevant framework for pediatric asthma management.
- The model emphasizes the critical dyadic relationship between child and parent in shared healthcare responsibility.
- PSMM application can illuminate barriers and facilitators to effective asthma self-management in children.
Conclusions:
- The PSMM is a valuable theoretical lens for understanding and improving pediatric asthma management.
- Shared responsibility between child and parent is crucial for successful asthma outcomes.
- Further research applying the PSMM can enhance preventative medicine and home care strategies for pediatric asthma.
Theoretical Principles:
The Pediatric Self-management Model (PSMM) is a middle-range theory geared at understanding the relationship between factors influencing chronic illness management in children. PSMM is a family-centered model that focuses on the unique factors present in the pediatric population.
Phenomena Addressed:
Pediatric asthma is a leading chronic respiratory illness in the United States, affecting over 4.6 million children in 2020. Over 40% of children with asthma will have at least one exacerbation per year. On average, a child with asthma will miss nine additional school days annually. Using the Walker and Avant framework for theory analysis, the PSMM is examined through the lens of pediatric asthma to evaluate its applicability to pediatric asthma shared management and adherence.
Research Linkages:
The PSMM has been used as a framework for understanding the roles of managing chronic illness in children, but it has yet to be applied to pediatric asthma. Asthma outcomes inherently depend on preventative medicine and home care strategies for symptom management and response outside the healthcare facility. The PSMM is a new framework for understanding barriers and facilitators within pediatric asthma management and highlights the importance of the dyadic relationship between child and parent to successfully share healthcare responsibility.
Related Concept Videos
Asthma-IV: Nursing Management
First, in...
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-I: Introduction
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-II: Pathophysiology and Classification
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:
Asthma-III: Symptoms and Complications
Classification of Asthma

