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Team 29: Emiri Inoue, Mignon-Ette Folifac, Teodora Pecingina, Charlotte Bowes, Taona Mwembela, Virginia Valayapathy
http://blogs.discovery.com/dfh-sara-novak/2011/10/obese-mothers-increase-risk-causing-asthma-in-their-kids.html
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
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
-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
-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
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.
Critique by: Williams
Critique by: C. Eastman and J. S. Marzillier
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