Asthma, Rhinitis, Other Respiratory DiseasesRelations among asthma knowledge, treatment adherence, and outcome☆,☆☆
Section snippets
Participants
All subjects participated in a large longitudinal study of family influences on childhood asthma treatment adherence and outcome. The research protocol was reviewed and approved by the National Jewish Institutional Review Board. Informed consent/assent was obtained from all participating parents and children. Subjects were recruited from two sources. These sources were selected to provide informative contrasts: the Public School sample to be more reflective of the “average” level of asthma care
Psychometric properties
Table I includes the 25 Asthma Knowledge Questionnaire items and their correct response rates. For 9 of the 25 questions, 95% or more of the parents gave the correct response. The mean parental knowledge score for this sample was 88% correct (SD = 10.5%; range = 52% to 100%).
Internal consistency reliability was low but adequate (Cronbach α = 0.69), providing marginal support that asthma knowledge as measured by this questionnaire was unidimensional. On the other hand, a principle component
Discussion
The Asthma Knowledge Questionnaire was carefully developed, drawing on previously published measures, using a panel of nationally recognized experts in pediatric asthma, and incorporating the latest practice guidelines for childhood asthma. Despite these efforts, the results suggest that the questionnaire's reliability was adequate at best. Most importantly, no association was found between scores on the questionnaire and treatment adherence or outcome. This finding suggests a problem with
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2018, Annals of Allergy, Asthma and ImmunologyImpact of maternal education level on risk of low Apgar score
2016, Public HealthCitation Excerpt :Furthermore, some perinatal infections have been associated with maternal education.40 Finally, patient education seems to affect treatment adherence in several diseases,41–43 and could be connected to the ability of pregnant women to recognise disease and to obtain, understand and follow instructions from health professionals. Therefore, it can be assumed that the studied risk factors, particularly maternal education level, do characterise pregnancies at increased risk of a low 5-min Apgar score, and these pregnancies should be monitored more closely.
Comparability of asthma control test scores between self and physician-administered test
2020, Respiratory MedicineCitation Excerpt :These findings may raise the issue as to whether this difference in the method of administration of the ACT questionnaire affects the reporting of asthma control data, and more importantly, the final asthma clinical assessment. This is in keeping with previous studies showing a relationship between asthma knowledge and patients' education, with a higher education level associated with more knowledge of their disease [26–28]. This is probably because patients with less education may not fully understand the information given by health-care providers.
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Supported by NIH grants R01-HL53391 and M01-RR00051.
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Reprint requests: Dr F. Wamboldt, A114, National Jewish Medical and Research Center, 1400 Jackson St, Denver, CO 80206.