期刊
JOURNAL OF PEDIATRIC HEALTH CARE
卷 33, 期 6, 页码 684-693出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.pedhc.2019.05.004
关键词
Asthma; self-management; poverty; health beliefs
资金
- National Institute of Nursing Research, National Institutes of Health (NIH) [R01 NR013486]
- National Center for Advancing Translational Sciences, a component of the NIH [UL1 TR 000424-06]
- NIH Roadmap for Medical Research
Introduction: The process of self-management knowledge, behavior, and skill development in children with asthma from families with low income is understudied. Method: Fifteen mothers of children with uncontrolled asthma participated in semistructured interviews exploring the transfer of asthma self-management responsibilities from parent to child. Team members performed thematic analysis of written transcripts. Results: All participants were all the biological mothers and were impoverished, with most (73%) reporting an annual family income of less than $30,000. Their children ranged from 5 to 15 years old, were African American (100%), and had uncontrolled asthma based on national guidelines. Themes showed that child asthma self-management is difficult to achieve, that the transfer of asthma responsibility from mother to child is variable, and that mothers overestimate their child's developmental capacities for independent asthma self-management and have poor understanding of what well-controlled asthma means. Discussion: Ongoing assessment and tailored guidance from health care providers are critical to support the pivotal role of mothers in their child's self-management development process.
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