Validation of the Asthma Illness Representation Scale (AIRS).
Validation of the Asthma Illness Representation Scale (AIRS).
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DOI：
10.3109/02770900903362668
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发表时间：
2010-02
期刊：
影响因子：
--
通讯作者：
Spray A
中科院分区：
文献类型：
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作者：
Sidora-Arcoleo K;Feldman J;Serebrisky D;Spray A
研究表明，父母的疾病陈述（IR），补充和替代药物的使用，吸入/口服皮质类固醇和白三烯拮抗剂与儿童的健康结果之间存在联系。哮喘疾病表征量表（AIRS©）提供了哮喘IR关键组成部分的结构化评估，允许医疗保健提供者（HCP）快速识别与哮喘管理专业模型不一致的区域。这些分析扩展了AIRS©的初始验证，并将在纽约州罗切斯特（N = 228）的主要白色和非洲裔美国人样本中进行的原始研究的数据与从纽约布朗克斯（N = 109）的主要内城少数民族样本（波多黎各人、非洲裔美国人和非洲裔加勒比人）获得的数据进行了比较。在罗切斯特的样本中，有更大比例的人是白色、非贫困人口，并且已经高中毕业。与罗切斯特的父母相比，布朗克斯的父母更可能认为他们的孩子患有中度或重度哮喘。布朗克斯儿童年龄较大，哮喘持续时间较长，报告了更多的急性医疗保健访问（过去一年）。与罗切斯特的父母相比，布朗克斯的父母报告的总AIRS©评分更接近于外行模型。AIRS©仪器在布朗克斯样本中表现出可接受的内部可靠性（总分α = 0.82），并且AIRS©子量表Cronbach的α系数与原始验证研究中获得的系数非常相似（范围= 0.54-0.83）。贫穷的父母和高中教育程度以下的父母的AIRS©总分低于他们的同龄人。与每个种族亚组相比，白色父母的AIRS©评分更接近专业模型。哮喘严重程度较低、较少的哮喘和躯体化症状报告以及积极的HCP关系与符合专业模式的IR相关。与专业模型一致的IR与较少的急性哮喘相关的医疗保健就诊相关。AIRS©工具表现出良好的内部可靠性，外部效度，并区分基于种族，贫困和教育的父母。在医疗访视期间评估哮喘IR将允许HCP和家长讨论和协商儿童的共享哮喘管理计划，这有望改善药物依从性和哮喘健康结局。
Research has suggested a link between parents' illness representations (IRs), use of complementary and alternative medicine, inhaled/oral corticosteroids and leukotriene antagonists, and children's health outcomes. The Asthma Illness Representation Scale (AIRS©) provides a structured assessment of the key components of asthma IRs allowing the healthcare provider (HCP) to quickly identify areas of discordance with the professional model of asthma management. These analyses extend the initial validation of the AIRS© and compares data from the original study conducted among a primarily white and African American sample in Rochester, NY (N = 228) with data obtained from a predominantly inner-city, ethnic minority sample (Puerto Rican, African American, and Afro-Caribbean) from the Bronx, New York (N = 109). A larger proportion of the Rochester sample was white and non-poor and had graduated high school. Bronx parents were more likely to perceive their child's asthma to be moderate or severe than the Rochester parents. Bronx children were older and had longer duration of asthma and reported more acute health care visits (past year). Bronx parents reported total AIRS© scores more closely aligned with the lay model than Rochester parents. The AIRS© instrument demonstrated acceptable internal reliability among the Bronx sample (total score α = 0.82) and the AIRS© subscale Cronbach's alpha coefficients were remarkably similar to those obtained from the original validation study (range = 0.54–0.83). Poor parents and those with less than a high school education had lower total AIRS© scores than their counterparts. White parents had AIRS© scores more closely aligned with the professional model compared to each of the ethnic subgroups. A perception of less severe asthma, fewer reports of asthma and somatization symptoms, and a positive HCP relationship were associated with IRs congruent with the professional model. IRs aligned with the professional model were associated with fewer acute asthma-related healthcare visits. The AIRS© instrument exhibited good internal reliability, external validity, and differentiated parents based on ethnicity, poverty, and education. Assessment of asthma IRs during the healthcare visit will allow the HCP and parent to discuss and negotiate a shared asthma management plan for the child, which will hopefully lead to improved medication adherence and asthma health outcomes.