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Western Journal of Nursing Research, Vol. 29, No. 4, 410-431 (2007)
DOI: 10.1177/0193945907299657

Testing the Acceptance of Asthma Model With Children and Adolescents

Eileen Kae Kintner

Michigan State University, kintner{at}msu.edu

Older school-age children and early adolescents with asthma have demonstrated and verbalized difficulty in accepting their condition. Although researchers have explored adult acceptance, few have explored child or adolescent acceptance. The purpose was to explore the fit of the data to a specified latent variable acceptance of asthma model. School-age children and early adolescents (N = 118), ages 9 to 14 years enrolled in Grades 4 to 9, diagnosed with asthma and their parents completed self-report instruments. EQS was used for structural equation modeling analyses. The specified model was a good fit to the data and accounted for more than 70% in the explained variance of vigilance, 30% of participation in life activities, 25% of taking control, and 20% of asthma health behaviors. Support for the model possess implications for development of theory-based education and counseling interventions to support participation in life activities by targeting cognitive, behavioral, and psychosocial aspects of living with the asthma.

Key Words: asthma knowledge • connectedness • control • health behaviors • openness • participation in activities • psychosocial adjustment • quality of life • reasoning and/or decision making • responsibility • self-management • severity of illness • vigilance


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