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Parental Self-Efficacy and Asthma Self-Management Skills |
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| Authors: | Jean Hanson |
| Institution: | Jean Hanson, PhD, RN, is Program Manager, Continuing Education Nursing and Allied Health Professional Development Program, and Coordinator, Healthy Peers, a mentoring program with the Student Health Center, University of New Mexico, Albuquerque, NM. |
| Abstract: | P urpose . To determine whether a formal asthma self-management program and social support using lay health advisors increases parent self-efficacy in the management of their child's asthma, and whether parent self-efficacy predicts asthma self-management skills. DESIGN.DESIGN. Quasi-experimental with four time points measured over 2 years. PARTICIPANTS.PARTICIPANTS. Low-income, primarily Hispanic parents (N = 303) of children with moderately severe to severe asthma. SETTING.SETTING. A Southwestern university medical setting in a rural state. MAIN OUTCOME MEASURES.MAIN OUTCOME MEASURES. Parent self-efficacy and parent asthma self-management skill score scales. RESULTS.RESULTS. Parent self-efficacy increased significantly from baseline, but there were no significant differences between the control and treatment groups. The increase in self-efficacy was apparent at 6 months, then leveled off. Parent self-efficacy at either baseline or 12 months did not predict parents' asthma self-management skill score. CONCLUSIONS.CONCLUSIONS. Individual education was just as effective as group education in increasing parental self-efficacy. Parents felt more comfortable treating asthma episodes than preventing them, thus clinicians need to spend time teaching preventive strategies. |
| Keywords: | Asthma self-management lay health advisors pediatric asthma self-efficacy |