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Published in: Annals of Behavioral Medicine 1/2008

01-08-2008 | Rapid Communication

Association of Asthma Self-efficacy to Asthma Control and Quality of Life

Authors: Kim L. Lavoie, Ph.D., Anne Bouchard, B.Sc., Maryann Joseph, B.A., Tavis S. Campbell, Ph.D., Helene Favreau, B.Sc., Simon L. Bacon, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 1/2008

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Abstract

Background

Achieving optimal asthma control relies upon several behavioral factors (self-monitoring, treatment adherence) that may be influenced by asthma self-efficacy (ASE).

Purpose

To assess the extent to which levels of ASE are associated with asthma control and asthma-related quality of life in patients with asthma.

Methods

A total of 557 adult patients with documented asthma completed a battery of questionnaires (Asthma Self-Efficacy Scale, ASES; Asthma Control Questionnaire, ACQ; Asthma Quality of Life Questionnaire, AQLQ) and standard spirometry. Patients also underwent a sociodemographic, medical history, and psychiatric interview. Partial correlations adjusting for covariates were conducted to assess associations between ASES scores and ACQ and AQLQ scores.

Results

Results indicated that ASES scores were negatively correlated with ACQ total score and individual items scores, indicating that higher levels of ASE were associated with improved asthma control, and positively correlated with AQLQ total and subscale scores, indicating that higher levels of ASE were associated with better asthma-related quality of life. All findings were independent of covariates.

Conclusions

Findings suggest that being confident in one’s ability to control asthma symptoms is associated with better asthma control and quality of life. Future studies should assess the direction of the association between self-efficacy and asthma morbidity in order to determine optimal treatment targets.
Literature
1.
go back to reference Global Initiative for Asthma. Global strategy for asthma management and prevention. NIH Publication No 02-3659; 2005. Global Initiative for Asthma. Global strategy for asthma management and prevention. NIH Publication No 02-3659; 2005.
2.
go back to reference Chapman KR, Boulet LP, FitzGerald MJ, McIvor RA, Zimmerman S. Patient factors associated with suboptimal asthma control in Canada: Results from the reality of asthma control study. Am J Respir Crit Care Med. 2005; 172: A678. Chapman KR, Boulet LP, FitzGerald MJ, McIvor RA, Zimmerman S. Patient factors associated with suboptimal asthma control in Canada: Results from the reality of asthma control study. Am J Respir Crit Care Med. 2005; 172: A678.
3.
go back to reference Bateman ED, Boushey HA, Bousquet J, et al. Can guideline-defined asthma control be achieved? The gaining optimal asthma control study. Am J Respir Crit Care Med. 2004; 170(8): 836–844.PubMedCrossRef Bateman ED, Boushey HA, Bousquet J, et al. Can guideline-defined asthma control be achieved? The gaining optimal asthma control study. Am J Respir Crit Care Med. 2004; 170(8): 836–844.PubMedCrossRef
4.
go back to reference Tobin DL, Wigal JK, Winder JA, Holroyd KA, Creer TL. The “Asthma Self-Efficacy Scale”. Ann Allergy. 1987; 59(4): 273–277.PubMed Tobin DL, Wigal JK, Winder JA, Holroyd KA, Creer TL. The “Asthma Self-Efficacy Scale”. Ann Allergy. 1987; 59(4): 273–277.PubMed
5.
go back to reference Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977; 84: 191–215.PubMedCrossRef Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977; 84: 191–215.PubMedCrossRef
6.
go back to reference van Es SM, Kaptein AA, Bezemer PD, et al. Predicting adherence to prophylactic medication in adolescents with asthma: An application of the ASE-model. Patient Educ Couns. 2002; 47(2): 165–171.PubMedCrossRef van Es SM, Kaptein AA, Bezemer PD, et al. Predicting adherence to prophylactic medication in adolescents with asthma: An application of the ASE-model. Patient Educ Couns. 2002; 47(2): 165–171.PubMedCrossRef
7.
go back to reference Scherer YK, Bruce S. Knowledge, attitudes, and self-efficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma. Heart Lung. 2001; 30(4): 250–257.PubMedCrossRef Scherer YK, Bruce S. Knowledge, attitudes, and self-efficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma. Heart Lung. 2001; 30(4): 250–257.PubMedCrossRef
8.
go back to reference Mancuso CA, Rincon M, McCulloch CE, Charlson ME. Self-efficacy, depressive symptoms, and patients’ expectations predict outcomes in asthma. Med Care. 2001; 39(12): 1326–1338.PubMedCrossRef Mancuso CA, Rincon M, McCulloch CE, Charlson ME. Self-efficacy, depressive symptoms, and patients’ expectations predict outcomes in asthma. Med Care. 2001; 39(12): 1326–1338.PubMedCrossRef
9.
go back to reference Hesselink AE, Penninx BWJH, Schlosser MAG, Wijnhoven HAH, van der Windt DAWM, Kriegsman DMW, et al. The role of coping resources and coping style in quality of life of patients with asthma or COPD. Qual Life Res. 2004; 13: 509–518.PubMedCrossRef Hesselink AE, Penninx BWJH, Schlosser MAG, Wijnhoven HAH, van der Windt DAWM, Kriegsman DMW, et al. The role of coping resources and coping style in quality of life of patients with asthma or COPD. Qual Life Res. 2004; 13: 509–518.PubMedCrossRef
10.
go back to reference American Thoracic Society. Standardization of spirometry, 1994 update. Am J Respir Crit Care Med. 1995; 152(3): 1107–1136. American Thoracic Society. Standardization of spirometry, 1994 update. Am J Respir Crit Care Med. 1995; 152(3): 1107–1136.
11.
go back to reference Lavoie KL, Cartier A, Labrecque M, Bacon SL, Lemiere C, Malo JL, et al. Are psychiatric disorders associated with worse asthma control and quality of life in asthma patients? Respir Med. 2005; 99(10): 1249–1257.PubMedCrossRef Lavoie KL, Cartier A, Labrecque M, Bacon SL, Lemiere C, Malo JL, et al. Are psychiatric disorders associated with worse asthma control and quality of life in asthma patients? Respir Med. 2005; 99(10): 1249–1257.PubMedCrossRef
12.
go back to reference Aboussafy D, Campbell TS, Lavoie K, Aboud FE, Ditto B. Airflow and autonomic responses to stress and relaxation in asthma: The impact of stressor type. Int J Psychophysiol. 2005; 57(3): 195–201.PubMedCrossRef Aboussafy D, Campbell TS, Lavoie K, Aboud FE, Ditto B. Airflow and autonomic responses to stress and relaxation in asthma: The impact of stressor type. Int J Psychophysiol. 2005; 57(3): 195–201.PubMedCrossRef
13.
go back to reference Campbell TS, Lavoie KL, Bacon SL, et al. Asthma self-efficacy, high frequency heart rate variability, and airflow obstruction during negative affect in daily life. Int J Psychophysiol. 2006; 62: 109–114.PubMedCrossRef Campbell TS, Lavoie KL, Bacon SL, et al. Asthma self-efficacy, high frequency heart rate variability, and airflow obstruction during negative affect in daily life. Int J Psychophysiol. 2006; 62: 109–114.PubMedCrossRef
14.
go back to reference Juniper EF, O’Byrne PM, Guyatt GH, Ferrie PJ, King DR. Development and validation of a questionnaire to measure asthma control. Eur Respir J. 1999; 14(4): 902–907.PubMedCrossRef Juniper EF, O’Byrne PM, Guyatt GH, Ferrie PJ, King DR. Development and validation of a questionnaire to measure asthma control. Eur Respir J. 1999; 14(4): 902–907.PubMedCrossRef
15.
go back to reference Juniper EF, Bousquet J, Abetz L, Bateman ED, The Goal Committee. Identifying ‘well-controlled’ and ‘not well-controlled’ asthma using the Asthma Control Questionnaire. Respir Med. 2006; 100: 616–621.PubMedCrossRef Juniper EF, Bousquet J, Abetz L, Bateman ED, The Goal Committee. Identifying ‘well-controlled’ and ‘not well-controlled’ asthma using the Asthma Control Questionnaire. Respir Med. 2006; 100: 616–621.PubMedCrossRef
16.
go back to reference Schatz M, Sorkness CA, Li JT, Marcus P, Murray JJ, Nathan RA, et al. Asthma control test: Reliability, validity, and responsiveness in patients not previously followed by asthma specialists. J Allergy Clin Immunol. 2006; 117(3): 549.PubMedCrossRef Schatz M, Sorkness CA, Li JT, Marcus P, Murray JJ, Nathan RA, et al. Asthma control test: Reliability, validity, and responsiveness in patients not previously followed by asthma specialists. J Allergy Clin Immunol. 2006; 117(3): 549.PubMedCrossRef
18.
go back to reference Juniper EF, Guyatt GH, Ferrie PJ, Griffith LE. Measuring quality of life in asthma. Am Rev Respir Dis. 1993; 147(4): 832–838.PubMed Juniper EF, Guyatt GH, Ferrie PJ, Griffith LE. Measuring quality of life in asthma. Am Rev Respir Dis. 1993; 147(4): 832–838.PubMed
19.
go back to reference Leidy NK, Coughlin C. Psychometric performance of the asthma quality of life questionnaire in a US sample. Qual Life Res. 1998; 7(2): 127–134.PubMedCrossRef Leidy NK, Coughlin C. Psychometric performance of the asthma quality of life questionnaire in a US sample. Qual Life Res. 1998; 7(2): 127–134.PubMedCrossRef
20.
go back to reference Spitzer RL, Williams JB, Kroenke K, Linzer M, deGruy FV 3rd, Hahn SR, et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 Study. J Am Med Assoc. 1994; 272(22): 1749–1756.CrossRef Spitzer RL, Williams JB, Kroenke K, Linzer M, deGruy FV 3rd, Hahn SR, et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 Study. J Am Med Assoc. 1994; 272(22): 1749–1756.CrossRef
21.
go back to reference Goodwin RD, Olfson M, Shea S, et al. Asthma and mental disorders in primary care. Gen Hosp Psych. 2003; 25(6): 479–483.CrossRef Goodwin RD, Olfson M, Shea S, et al. Asthma and mental disorders in primary care. Gen Hosp Psych. 2003; 25(6): 479–483.CrossRef
22.
go back to reference Goldney RD, Ruffin R, Fisher LJ, Wilson DH. Asthma symptoms associated with depression and lower quality of life: A population survey. Med J Aust. 2003; 178(9): 437–441.PubMed Goldney RD, Ruffin R, Fisher LJ, Wilson DH. Asthma symptoms associated with depression and lower quality of life: A population survey. Med J Aust. 2003; 178(9): 437–441.PubMed
23.
go back to reference Lavoie KL, Bacon SL, Labrecque M, Cartier A, Ditto B. Higher BMI is associated with worse asthma control and quality of life but not asthma severity. Respir Med. 2006; 100: 648–657.PubMedCrossRef Lavoie KL, Bacon SL, Labrecque M, Cartier A, Ditto B. Higher BMI is associated with worse asthma control and quality of life but not asthma severity. Respir Med. 2006; 100: 648–657.PubMedCrossRef
24.
go back to reference Altman DG, Schulz KF, Moher D, Group. ftC. The revised CONSORT statement for reporting randomized trials: Explanation and elaboration. Ann Intern Med. 2001; 134: 663–694.PubMed Altman DG, Schulz KF, Moher D, Group. ftC. The revised CONSORT statement for reporting randomized trials: Explanation and elaboration. Ann Intern Med. 2001; 134: 663–694.PubMed
25.
go back to reference Freedland KE, Babyak MA, McMahon RJ, et al. Statistical guidelines for psychosomatic medicine. Psychosom Med. 2005; 67(2): 167.CrossRef Freedland KE, Babyak MA, McMahon RJ, et al. Statistical guidelines for psychosomatic medicine. Psychosom Med. 2005; 67(2): 167.CrossRef
26.
go back to reference Teixeira PJ, Going SB, Sardinha LB, Lohman TG. A review of psychosocial pre-treatment predictors of weight control. Obes Rev. 2005; 6(1): 43–65.PubMedCrossRef Teixeira PJ, Going SB, Sardinha LB, Lohman TG. A review of psychosocial pre-treatment predictors of weight control. Obes Rev. 2005; 6(1): 43–65.PubMedCrossRef
27.
go back to reference Ronmark E, Andersson C, Nystrom L, et al. Obesity increases the risk of incident asthma among adults. Eur Respir J. 2005; 25(2): 282–288.PubMedCrossRef Ronmark E, Andersson C, Nystrom L, et al. Obesity increases the risk of incident asthma among adults. Eur Respir J. 2005; 25(2): 282–288.PubMedCrossRef
29.
go back to reference Ludman E, Katon W, Bush T, et al. Behavioural factors associated with symptom outcomes in a primary care-based depression prevention intervention trial. Psychol Med. 2003; 33(6): 1061–1070.PubMedCrossRef Ludman E, Katon W, Bush T, et al. Behavioural factors associated with symptom outcomes in a primary care-based depression prevention intervention trial. Psychol Med. 2003; 33(6): 1061–1070.PubMedCrossRef
30.
go back to reference Katon WJ, Richardson L, Lozano P, McCauley E. The relationship of asthma and anxiety disorders. Psychosom Med. 2004; 66(3): 349–355.PubMedCrossRef Katon WJ, Richardson L, Lozano P, McCauley E. The relationship of asthma and anxiety disorders. Psychosom Med. 2004; 66(3): 349–355.PubMedCrossRef
31.
go back to reference Gibson PC, Caughlan J, Wilson AJ, et al. Limited (information-only) asthma education on health outcomes of adults with asthma. Oxford, England: Cochrane Library; 2001. Gibson PC, Caughlan J, Wilson AJ, et al. Limited (information-only) asthma education on health outcomes of adults with asthma. Oxford, England: Cochrane Library; 2001.
32.
go back to reference Put C, van den Bergh O, Lemaigre V, Demedts M, Verleden G. Evaluation of an individualised asthma programme directed at behavioural change. Eur Respir J. 2003; 21(1): 109–115.PubMedCrossRef Put C, van den Bergh O, Lemaigre V, Demedts M, Verleden G. Evaluation of an individualised asthma programme directed at behavioural change. Eur Respir J. 2003; 21(1): 109–115.PubMedCrossRef
33.
go back to reference van der Palen J, Klein JJ, Zielhuis GA, Van Herwaarden CLA, Seydel E. Behavioral effect of self-management guidelines in a self-management program for adults with asthma. Patient Educ Couns. 2001; 43: 161–169.PubMedCrossRef van der Palen J, Klein JJ, Zielhuis GA, Van Herwaarden CLA, Seydel E. Behavioral effect of self-management guidelines in a self-management program for adults with asthma. Patient Educ Couns. 2001; 43: 161–169.PubMedCrossRef
Metadata
Title
Association of Asthma Self-efficacy to Asthma Control and Quality of Life
Authors
Kim L. Lavoie, Ph.D.
Anne Bouchard, B.Sc.
Maryann Joseph, B.A.
Tavis S. Campbell, Ph.D.
Helene Favreau, B.Sc.
Simon L. Bacon, Ph.D.
Publication date
01-08-2008
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 1/2008
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-008-9053-8

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