title: Caregiver quality of life in pediatric asthma: associations with beliefs and concerns about medications and emergency department use.
abstract: OBJECTIVE
  To examine caregiver quality of life (QOL) related to pediatric asthma among families from Latino, African American, and non-Latino white (NLW) backgrounds.
  
  
  METHODS
  In all, 94 children with persistent asthma (6-15 years) and their primary caregivers completed interview-administered questionnaires.
  
  
  RESULTS
  Overall QOL and subscale scores differed across race/ethnicity, with NLW caregivers reporting higher QOL. Caregivers who expressed more concerns about their child's medications and more beliefs in the necessity of asthma medications had lower QOL. In African American and Latino families, caregiver QOL mediated the association between beliefs about the necessity of asthma medications and child emergency department (ED) use.
  
  
  CONCLUSIONS
  Caregiver beliefs and concerns related to child asthma medications may begin to explain differences in caregiver QOL across NLW, Latino, and African American caregivers. Caregiver QOL may be a mechanism by which caregiver beliefs and concerns about asthma medications are associated with child ED use.
authors.affiliation: Virginia Commonwealth University, Richmond, VA, USA reverhart@vcu.edu.
authors.forename: Robin S
authors.initials: RS
authors.lastname: Everhart
authors.affiliation: University of Florida, Gainesville, FL, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Fedele
authors.affiliation: Virginia Commonwealth University, Richmond, VA, USA.
authors.forename: Samantha A
authors.initials: SA
authors.lastname: Miadich
authors.affiliation: Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Daphne
authors.initials: D
authors.lastname: Koinis-Mitchell
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use*; D001249:Asthma / Q000188:drug therapy / Q000523:psychology*; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D002648:Child; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data
chemical_list: D018927:Anti-Asthmatic Agents
keywords: asthma; caregiver; emergency department; quality of life