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Theoretical Framework Assignment

Team 29: Emiri Inoue, Mignon-Ette Folifac, Teodora Pecingina, Charlotte Bowes, Taona Mwembela, Virginia Valayapathy

Case Study Recollection

  • S is a 10 year-old newly diagnosed with Asthma
  • Her first asthma attack was over the weekend
  • S and her family spent 20 hours in ER waiting for her diagnosis
  • They now have an appointment with the school nurse

Main Issue

  • Correct use of the pumps in order to keep the asthma under control

http://blogs.discovery.com/dfh-sara-novak/2011/10/obese-mothers-increase-risk-causing-asthma-in-their-kids.html

Theory & Goodness of Fit

Bandura's self-efficacy theory in asthma compliance (Womble, 2001)

Compliance with long term asthma therapy is often poor.

A behavioral approach to the management of asthma is the best way to attain compliance with asthma treatment.

Applying self-efficacy theory in asthma treatment will help patients master and sustain the skills required for effective management of asthma.

Main issue: skills to use pumps

Theory: Self-Efficacy Theory

Nursing Journal: it is recommended that school nurses use

the self-efficacy theory with parents of elementary aged children in the context of newly-diagnosed asthma (Stepney, et al., 2011)

SELF-EFFICACY MODEL

The Self-Efficacy model consists of four main concepts:

1) Performance Accomplishments which is successfully mastering a behaviour

2) Vicarious Experiences exemplifies modeled behaviours

3) Verbal Persuasion involves encouragement from support system which includes caretakers, educators and the client’s family

4) Emotional Arousal pertains to self-judgments regarding learned behaviours

Article Chosen: Heling African American Children Self-Manage Asthma: The Importance of Self-Efficacy

-Future implication

What is required in educational programs for asthma self-management?

-Opportunities for successful self-management trials

-Opportunities to have self-management modeled

-Constructive feedback on self-management behaviours

-Study conducted in US (81 African American children aged 7-11 completed ASTHMA INVENTORY for CHILDREN {AIC} and ASTHMA

BELIEF SURVEYS {ABS}) measuring asthma self-management behaviours and self-efficacy beliefs

-Highlighted that there is a positive correlation between self-efficacy beliefs and self-management behaviours

-Moreover, a strong support system which would include healthcare providers (eg. School nurses), counselors, teachers is highly beneficial to support the child’s efforts to manage their illness and to enhance their personal success to self-management

Study conducted in Austalia in 2013, by N. Brown, R. Gallagher, C. Flower and S. Wales, on 113 parents assessed the level of self efficacy in asthma management of there primary school age child:

-It is higher if the tasks are simple, skill based and performed frequently

-It is mostly affected by the use of a support person to provide individualized interventions

-It is influenced positively by parents knowledge on the pathology, health behaviors, health literacy and social support

- It is negatively influenced by the parents perception of the difficulties of asthma management tasks and parental depressive symptoms

Critique of Self Efficacy Theory

Conclusion

Self-Efficacy is a good predictor of behavior

Self-Efficacy theory is a good fit for our case study as shown

to be successful in previous case studies on self-management behavior

Found successful in empowering parents in this kind of setting in a study by Stepney, in 2011.

Theoretical Difficulties In Bandura's Self Efficacy Theory

Ambiguity

Contradictions in the Theory

Critique by: Williams

Critique by: C. Eastman and J. S. Marzillier

  • Bandura's definitions of efficacy expectation and outcome expectation.
  • Not conceptually distinct through use of "successfully" and "required to produce the outcomes"

  • Theory states there is no causal relationship between self-efficacy and expected outcomes
  • Research has shown that there is a causal relationship between the two
  • Bandura argues that "self-efficacy judgements remain valid when causally influenced by expected outcomes"

References

Brown N., Gallagher R., Flower C. and Wales S., (Feburary, 2013) Asthma management self-efficacy in parents of primary school-age children, journal of child health care, Retrieved from: http://chc.sagepub.com/content/18/2/133.full.pdf

Eastman, C., & Marzillier, J.S. (1984). Theoretical and Methodological Difficulties in Bandura’s Self-Efficacy Theory. Journal of Cognitive Therapy and Research, 8, 213-229.

Kaul T. Helping African American children self-manage asthma: the importance of self-efficacy. J Sch Health. 2011; 81:29-33.

Stepney, C., Kane, K., & Bruzzese, J.-M. (January, 2011). My Child is Diagnosed With Asthma, Now What?: Motivating Parents to Help Their Children Control Asthma.The Journal of School Nursing, 27, 5, 340-347.

Williams, D. (2010). Outcome expectancy and self efficacy: theoretical implications of an unresolved contradiction. Personality and Social Psychology Revie, 14(4), 1-10.

Womble, C.,(2001). Bandura’s Self-Efficacy Theory in Asthma Compliance. Retrieved from

https://research.wsulibs.wsu.edu/xmlui/bitstream/handle/2376/3931/C_Womble_097593179.pdf?sequence=1

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