Validity of the Family Asthma Management System Scale with an urban African-American sample.
OBJECTIVE
To examine the reliability and validity of the Family Asthma Management System Scale for low-income African-American children with poor asthma control and caregivers under stress. The FAMSS assesses eight aspects of asthma management from a family systems perspective.


METHODS
Forty-three children, ages 8-13, and caregivers were interviewed with the FAMSS; caregivers completed measures of primary care quality, family functioning, parenting stress, and psychological distress. Children rated their relatedness with the caregiver, and demonstrated inhaler technique. Medical records were reviewed for dates of outpatient visits for asthma.


RESULTS
The FAMSS demonstrated good internal consistency. Higher scores were associated with adequate inhaler technique, recent outpatient care, less parenting stress and better family functioning. Higher scores on the Collaborative Relationship with Provider subscale were associated with greater perceived primary care quality.


CONCLUSIONS
The FAMSS demonstrated relevant associations with asthma management criteria and family functioning for a low-income, African-American sample.
Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, 49 Jesse Hill Jr. Dr., SE, Atlanta, GA 30303, USA. mcelano@emory.edu
Marianne
M
Celano
Mary D
MD
Klinnert
Chanda Nicole
CN
Holsey
Elizabeth L
EL
McQuaid
D000293:Adolescent; D001741:Black or African American / Q000523:psychology*; D001249:Asthma / Q000523:psychology / Q000628:therapy*; D017028:Caregivers / Q000523:psychology*; D002648:Child; D005190:Family / Q000523:psychology*; D006801:Humans; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000523:psychology*; D011203:Poverty / Q000523:psychology; D015203:Reproducibility of Results; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires; D014505:Urban Population