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 Westem 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.
Mots-clés Pascal : Asthme, Etats Unis, Amérique du Nord, Amérique, Enfant, Homme, Education santé, Milieu familial, Méthodologie, Enquête, Croyance, Coping, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, United States, North America, America, Child, Human, Health education, Family environment, Methodology, Survey, Belief, Coping, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0127481
Code Inist : 002B11B. Création : 16/11/1999.