Marilynne R. Wood
African American Parents'/Guardians' Health Literacy and Self-Efficacy and Their Child's Level of Asthma Control
University of Toledo
rationale 31 million americans diagnosed asthma lifetime health costs 12 billion year increases prevalence morbidity mortality made asthma major public health concern african americans disproportionately burdened asthma national efforts improve asthma care past decade reduced blackwhite gap methods fourpage valid reliable asthma questionnaire developed assess selfefficacy parentsguardians african american children asthma addition modified newest vital sign mnvs assessing health literacy given parentsguardians results total 198 interviews conducted statistically significant relationship among parentsguardians health literacy levels perceived efficacy expectations manage childs asthma study also found correlation level asthma control child efficacy expectations parentguardian efficacy expectations outcome expectations parentsguardians found significant predictors childs level asthma control conclusions evidence high parentalguardian selfefficacy successful asthma management contributes child well controlled asthma although adequate health literacy ideal may necessary parentguardian successfully manage childs asthma high level selfefficacy essential patient educators capitalize physician visits use time asthma education particularly increase efficacy expectations parentsguardians limited health literacy skills