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Assessing the Family Asthma Management System
Authors:Mary D. Klinnert   Leslie A. Gavin  Elizabeth L. McQuaid
Affiliation: a National Jewish Center for Immunology and Respiratory Medicine and University of Colorado Health Sciences Center, Denver, Coloradob Rhode Island Hospital and Brown University School of Medicine, Providence, Rhode Island
Abstract:The importance of “self-management” has been increasingly recognized in the treatment of asthma. In the case of childhood asthma, such management must be accomplished by the family system, including the caregivers, the asthmatic child, and the alternate caregivers in collaboration with the health care providers. This paper presents an assessment tool, the Family Asthma Management System Scale (FAMSS), for evaluating the effectiveness of the family asthma management system. The scale is internally consistent and has excellent inter-rater reliability. The FAMSS score, together with an asthma severity measure, jointly accounted for a significant portion of the variance when predicting the functional severity of asthma experienced by this group of children.
Keywords:Asthma  Pediatric  Self-management  Adherence  Chronic illness  Families  Physician-patient relationship  Assessment  Interview
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