title: Urban American Indian family caregivers' perceptions of barriers to management of childhood asthma.
abstract: American Indian family caregivers of children with asthma face numerous barriers to effective management of the illness. The purpose of this qualitative, community-based study is to identify those barriers as perceived by family caregivers in a large Midwestern city. An ecological perspective and principles of family-centered care provided the theoretical orientation for the study. Interviews were conducted with 16 urban Ojibwe family caregivers of children with asthma. Five categories of barriers characterize the families' experiences: provider (individual and system), condition-related, family caregiver, socioeconomic, and environmental. Examination of these findings suggests directions for improving care to American Indian children with asthma and their families.
authors.affiliation: Department of Nursing, Bemidji State University, MN, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Rose
authors.forename: Ann
authors.initials: A
authors.lastname: Garwick
mesh_terms: D001249:Asthma / Q000208:ethnology* / Q000628:therapy*; D017028:Caregivers / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003431:Cross-Cultural Comparison; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D008910:Minnesota; D010353:Patient Education as Topic / Q000592:standards; D011368:Professional-Family Relations; D012938:Social Perception; D012959:Socioeconomic Factors; D019037:Urban Health Services / Q000592:standards