Patient and family management of asthma: theory-based techniques for the clinician.
Several model asthma education programs are available to improve patient self-management, and elements of these models are discussed as they relate to the teaching role of health-care providers. Self-regulation is being explored in current asthma education research, and preliminary findings of a study are presented that show self-regulation behaviors to be associated with more frequent use of asthma management strategies by patients. Using more management strategies was associated with being observant of symptoms (p = .0001) and feeling confident to manage them (p = .01). Taking more preventive actions was associated with being observant (p = .001) and feeling confident to keep the child out of the triggering situation (p = .02) and prevent symptoms (p = .001). Important issues arising from recent psychosocial research are outlined for consideration by the clinician. These include ways that counseling by the health professional can encourage self-regulation and better at-home management of asthma.
Clark
N M
NM
Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor 48109-2029.
Evans
D
D
Zimmerman
B J
BJ
Levison
M J
MJ
Mellins
R B
RB
D000328:Adult; D001249:Asthma / Q000517:prevention & control / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005190:Family; D005260:Female; D006801:Humans; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000379:methods; D012044:Regression Analysis; D012648:Self Care / Q000379:methods*