The impact of various influences on self-management of adult African-Americans with asthma
James Daniel Holland, RN, CNL, RRT, RCP
- Sigma Affiliation
- Epsilon Pi
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Holland, James Daniel by View
Popular Works for Holland, James Daniel by Download
Session presented on Tuesday, November 10, 2015:
There are approximately 22.2 million Americans who are living with asthma and of those 18.4 millon are adults. African Americans are more likely to be diagnosed with asthma comparted to Caucasions and experience more asthma attacks. This research study used the Social Cognitive Theory to examine relationships among personal characteristics, environment factors, asthma self-efficacy, self-management behaviors, and quality of life (QOL) in African Americans adults with asthma. A correlational design was used. Data were collected from a non-random sample of adult African Americans with asthma (N=39) using the following self-report questionnaires: the Knowledge, Attitude, and Self-Efficacy of Asthma Questionnnaire (KASE), the short form of the Rapid Estimate of Adult Literacy in Medicine (REALM-SF), the Medical Outcomes Study (MOS) for social support, the Asthma Trigger Inventory (ATI), the Morisky Medication Adherence Questionnaire, Asthma Self-Management (ASMQ), the Modified Pittsburgh Sleep Quality Index (PSQI), the Asthma Control Test (ACT), and the Asthma Quality of Life Standardized (AQLQ-S). Data analyses included descriptive statistics, Pearson Product correlations, and hierarchical multiple regression. On average, participants (N=39) were middled aged (M=55.97.9) years, female (65%), did not smoke (87%), did not use a peak flow meter (PEFR) to self-manage their asthma (72%) and were obese (M = 34.96, SD=10.78). Partcipants reported high confidence in asthma self-management; however, had low medication adherence and scores indicating uncontrolled asthma (M=16.10, SD = 4.29). More than half (67%) of the participants reported poor sleep quality (PSQI). BMI and sleep quality accounted for significant variance (38%) in asthma QOL (F (2,38) = 7.08, p = .001). Social support was an independent predictor of asthma self-efficacy (F (2,38) = 5.65, p = .02). Better control of weight and asthma symptoms may improve sleep quality. Health care providers need to address the ongoing challenges of asthma self-manage and monitor sleep quality. Encouraging the use of peak flow meters, which have been shown to improve self-management an asthm control, may result in better quality of life for African Americans with asthma.
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
|Review Type||Abstract Review Only: Reviewed by Event Host|
|Keywords||Asthma Quality of Life;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Holland, James Daniel (2018-05-07)There are approximately 22.2 million Americans’ who are living with asthma and of those 18.4 million are adults. African Americans’ are more likely to be diagnosed with asthma compared to Caucasians, ...
Crowder, Sharron J. (2016-03-17)Session presented on Friday, July 24, 2015: Purpose: Many African American adolescents have inadequate self-management behaviors, particularly during middle adolescence (14-16 years of age). Inaccurate beliefs, degree of ...
The relationship between self-efficacy beliefs toward self-management of asthma and asthma self-management behaviors in urban African American children Kaul, Teresa LouiseAfrican American children in the United States are disproportionately affected by childhood asthma. Despite the enormous effort that has gone into developing educational interventions to teach patients and families ...
Martin-Holland, Judith L.African Americans are disproportionately affected by asthma in the U.S. with a mortality rate that is three to five times that of Caucasians. Asthma-related mortality rates have soared in the older adult and elderly African ...
Horner, Sharon D. (2017-06-13)Purpose: Asthma is a major public health problem in childhood. Frequent symptomatic days requiring urgent management, disturbed sleep, and limitations in daily activities due to asthma contribute to worsening quality of ...