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Journal of Pediatric Psychology Advance Access originally published online on March 3, 2005
Journal of Pediatric Psychology 2005 30(6):492-502; doi:10.1093/jpepsy/jsi074
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Journal of Pediatric Psychology vol. 30 no. 6 © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Pediatric Asthma Management in the Family Context: The Family Asthma Management System Scale

Elizabeth L. McQuaid, PhD1,2, Natalie Walders, PhD3, Sheryl J. Kopel, MSc1, Gregory K. Fritz, MD1,2 and Mary D. Klinnert, PhD3

1 Bradley/Hasbro Research Center, 2 Brown Medical School, and 3 National Jewish Medical and Research Center

All correspondence concerning this article should be addressed to Elizabeth L. McQuaid, Box G-RIH, Brown University, Providence, Rhode Island 02912-G. E-mail: elizabeth_mcquaid{at}brown.edu.

Received April 30, 2004; revisions received August 13, 2004 and October 14, 2004; accepted October 14, 2004

Objective To examine psychometric properties of a revised version of the Family Asthma Management System Scale (FAMSS), a clinical interview to assess asthma management. Methods The FAMSS was administered to 115 children with asthma and their primary caregivers, along with a measure of asthma morbidity. A subset of families (n = 53) participated also in objective-adherence monitoring and completed measures of asthma knowledge and self-efficacy. Results The FAMSS demonstrated good internal consistency ({alpha} = .84). The FAMSS summary score was unrelated to age, gender, race, or minority status, but was related to socioeconomic status (SES) and to functional morbidity at baseline and prospectively. Convergent validity of the FAMSS was documented. The FAMSS explained additional variance in concurrent-asthma morbidity beyond self-reports or objective adherence monitoring. Conclusion The FAMSS is a valuable tool to assess family-based asthma management that addresses gaps in available assessment methodologies and holds promise for research and clinical applications.

Key words: assessment; asthma; family system.


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