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      Self-regulating childhood asthma: a developmental model of family change.

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          Abstract

          This article tests a model of self-regulatory development in which families' cognitive beliefs and behavioral skills for managing asthma symptoms emerge in four successive phases: asthma symptom avoidance, asthma acceptance, asthma compliance, and asthma self-regulation. Confirmatory factor analyses revealed that the hypothesized multiphase model provided the best factorial fit for phase items. Subsequent Guttman analyses of the families' phase scores revealed a high degree of sequential ordering. Finally, trend analyses of family phase differences revealed a significant negative linear relation with measures of asthma severity and a significant positive linear relation with physician care and concern measures, asthma regulatory measures, and beliefs in Western biomedical practices. Despite receiving primary care for asthma at a major metropolitan university hospital, 83% of the sample were classified as precompliant. The phase model of asthma self-regulatory development offers a qualitative approach for investigating the psychological determinants of asthma self-regulatory behavior.

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          Author and article information

          Affiliations
          [1 ] Educational Psychology, City University of New York Graduate Center, NY 10036-8099, USA. bzimmerm@email.gc.cuny.edu
          Journal
          Health Educ Behav
          Health education & behavior : the official publication of the Society for Public Health Education
          SAGE Publications
          1090-1981
          1090-1981
          Feb 1999
          : 26
          : 1
          10.1177/109019819902600106
          9952052

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