Forty-five families did not enroll in the study procedures due to a variety of reasons e. The hypothesis tested was that the child psychological functioning, rather than family functioning would be the primary exogenous variable for predicting quality of life. essay writer funny moment in life These findings are complicated by several limitations in prior research. There was a problem providing the content you requested Please contact us via our support center for more information and provide the reference number below.
Studies to date indicate that degree of lung function impairment, regularity of symptoms, and functional impairment in activities all influence reports of asthma control. Table I reports the standardized alpha coefficients for each of the latent constructs to be evaluated in the SEM procedure. online essay proofreader uk Attitudes held by parents and children about asthma care and quality of life were assessed in this item questionnaire developed for these two studies. In the case of asthma related quality of life, this analysis offers the perspective that research directed at addressing chronic health status factors as well as psychosocial functioning offers the greatest promise of benefit for both children with asthma and their parents.
Parents and children together completed this questionnaire. Development and validation of an instrument to measure asthma symptom control in children. custom papers review mystery The proposed conceptual model uniquely includes both child and parent perspectives on the family psychological functioning to better understand quality of life outcomes. Remarkably, Vila and colleagues did not find any contribution of health status measures to the relationship between psychological functioning and quality of life.
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It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Total raw score from each domain of was calculated. Annett, Charles Turner, Janet L. The analysis for this hypothesis began with assessing the zero-order correlations, means and standard deviations for the latent constructs used in the parent conceptual model see Supplementary Table SI.
Parents and children were compensated for their time and then debriefed regarding study procedures. Based upon the literature on psychological functioning in pediatric asthma e. Close mobile search navigation Article navigation. All correspondence concerning this article should be addressed to Robert D. Informed consent was provided by parents and assent by children prior to beginning study procedures.
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Thus, if the latent variable quality of life were to be broadened or changed, a different structural model may be obtined. Likewise, these findings suggest that both acute and long-term asthma health status outcomes have different determinants. buy a college paper values Each of the models hypothesizes inter-relationships among variables that may function as either mediators or moderators of asthma health status and quality of life and provide both an important stimulus for pediatric asthma research as well as complex analytic challenges. Thus, a key strength of the SEM approach is that it offers a contextualized picture of the factors that provide unique and independent contributions to a particular outcome.
It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Long-term asthma symptom control is the only health status variable that impacts quality of life. dissertation writing advice fellowships humanities The approach to analyses assumed independence of the reports for measures that were separately completed by parent and child i. What remains unknown is whether the relationships observed in the current study can be applied to families that enroll in biomedical clinical trials. Mother-child dyads comprised the majority of participants, with 38 families completing procedures with both parents.
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The approach to analyses assumed independence of the reports for measures that were separately completed by parent and child i. Table I presents parent reports of child psychological functioning and parent perception of family relationships. Each structural model was supported by the data, though each model required the deletion of paths from three health status variables in order to avoid a poor fit. Questions were developed from the NHLBI guidelines for diagnosis and management of asthma, with a subset of items being used to reflect asthma health status outcomes, and these items estimated the latent constructs in subsequent analyses.
Thus, a key strength of the SEM approach is that it offers a contextualized picture of the factors that provide unique and independent contributions to a particular outcome. Parents and children were compensated for their time and then debriefed regarding study procedures. A total of ethnically diverse study participants enrolled in the two studies. Thus, items comprising a single construct statistically share common variance that is greater than that shared with other items not part of the construct and other constructs within the model.