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Journal of Pediatric Psychology Advance Access published online on March 3, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsi074
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Journal of Pediatric Psychology © 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
Received April 30, 2004
Revised October 14, 2004
Accepted October 14, 2004

Article

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

Elizabeth L. McQuaid PhD1*, Natalie Walders PhD2, Sheryl J. Kopel MSc3, Gregory K. Fritz MD1, and Mary D. Klinnert PhD2

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

* To whom correspondence should be addressed.
Elizabeth L. McQuaid, E-mail: elizabeth_mcquaid{at}brown.edu


  Abstract

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.

Keywords: assessment; asthma; family system.
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