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Journal of Pediatric Psychology Advance Access published online on September 23, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp083
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Validity of the Family Asthma Management System Scale with an Urban African-American Sample

Marianne Celano, PhD1, Mary D Klinnert, PhD2, Chanda Nicole Holsey, DrPH, MPH, AE-C3 and Elizabeth L McQuaid, PhD4

1Emory University School of Medicine, 2National Jewish Health University of Colorado Denver, 3San Diego State University, and 4Warren Alpert Medical School of Brown University

All correspondence concerning this article should be addressed to Marianne Celano, PhD, at the Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, 49 Jesse Hill Jr. Dr., SE, Atlanta, GA 30303, USA. E-mail: mcelano{at}emory.edu


  Abstract

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.

Key words: adherence; asthma; family functioning; parent stress..

Received December 31, 2008; revision received August 15, 2009; accepted August 19, 2009


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