Pranav Gandhi|Kelly Kenzik|Lindsay A. Thompson|Darren A. DeWalt|Dennis A. Revicki|Louis Shenkman|I?Chan Huang
Exploring factors influencing asthma control and asthma-specific health-related quality of life among children
South College|University of Florida|University of Florida|University of North Carolina at Chapel Hill|University of Florida|University of Florida|University of Florida
abstract background little known factors contributing childrens asthma control status healthrelated quality life hrqol study objectives assess relationship asthma control asthmaspecific hrqol asthmatic children examine extent parental health literacy perceived selfefficacy patientphysician interaction satisfaction shared decisionmaking sdm contribute childrens asthma control asthmaspecific hrqol methods crosssectional study utilized data collected sample asthmatic children n 160 aged 817 years parents n 160 visited university medical center asthmaspecific hrqol selfreported children using national institutes healths patientreported outcomes measurement information system promis pediatric asthma impact scale satisfaction sdm perceived selfefficacy patientphysician interaction parental health literacy asthma control reported parents using standardized measures structural equation modeling sem performed test hypothesized pathways results path analysis revealed children better asthma control reported higher asthmaspecific hrqol 04 p lt 0001 parents higher health literacy greater perceived selfefficacy patientphysician interactions associated higher satisfaction sdm 038 p lt 005 058 p lt 0001 respectively greater satisfaction sdm turn associated better asthma control 026 p lt 001 conclusion childrens asthma control status influenced asthmaspecific hrqol however parental factors perceived selfefficacy patientphysician interaction satisfaction shared decisionmaking indirectly influenced childrens asthma control status asthmaspecific hrqol