abstract: 'OBJECTIVE. Providing asthma education in a primary care setting can be

  challenging because of time and resource constraints. The purpose of

  this work was to determine factors associated with the provision of

  different asthma self-management tools.

  METHODS. We conducted a cross-sectional survey with 896 parents of

  children with asthma (age 2-12 years). We collected information

  regarding demographics and asthma care, including parent receipt of an

  asthma action plan, a symptom diary, and asthma information materials;

  whether an asthma management plan was sent to the child''s school; and

  whether the physician reviewed written instructions on use of a

  metereddose inhaler. We used multivariate logistic regression methods to

  determine factors associated with receipt of different asthma

  self-management tools controlling for demographic factors.

  RESULTS. For families where parents only completed high school, there

  was greater likelihood of receipt of an asthma action plan and physician

  review of written instructions about how to use an inhaler. For families

  with a household income less than twice the poverty line, there was

  greater likelihood of receipt of an asthma action plan, the physician

  sending a letter to the child''s school regarding the child''s asthma, and

  receipt of an asthma symptom diary.

  CONCLUSIONS. In our sample, primary care pediatricians do not routinely

  provide asthma education in accordance with National Heart, Lung, and

  Blood Institute asthma guidelines and ``triage{''''} which families

  receive additional asthma education. We believe that the use of targeted

  asthma education is a symptom of the limited time and competing demands

  during a typical visit. As a result, those involved in quality

  improvement need to help physicians become more efficient and effective

  at providing asthma education within such time constraints or develop

  alternative systems of providing asthma education.'
affiliation: 'Cabana, MD (Corresponding Author), Univ Calif San Francisco, Div Gen
  Pediat, 3333 Calif St,Laurel Hts,Bldg 245, San Francisco, CA 94118 USA.

  Cabana, Michael D.; Jarlsberg, Leah G.; Thyne, Shannon M., Univ Calif San Francisco,
  Dept Pediat, San Francisco, CA USA.

  Cabana, Michael D., Univ Calif San Francisco, Dept Epidemiol \& Biostat, San Francisco,
  CA USA.

  Cabana, Michael D., Univ Calif San Francisco, Inst Hlth Policy Studies, San Francisco,
  CA USA.

  Chaffin, D. Curt, Univ Michigan Hlth Syst, Dept Med, Div Allergy, Ann Arbor, MI
  USA.

  Clark, Noreen M., Univ Michigan, Ctr Managing Chron Dis, Ann Arbor, MI USA.'
author: Cabana, Michael D. and Chaffin, D. Curt and Jarlsberg, Leah G. and Thyne,
  Shannon M. and Clark, Noreen M.
author-email: michael.cabana@ucsf.edu
author_list:
- family: Cabana
  given: Michael D.
- family: Chaffin
  given: D. Curt
- family: Jarlsberg
  given: Leah G.
- family: Thyne
  given: Shannon M.
- family: Clark
  given: Noreen M.
da: '2023-09-28'
doi: 10.1542/peds.2007-1559
files: []
issn: 0031-4005
journal: PEDIATRICS
keywords: 'asthma action plan; asthma diary; physician practice patterns; physician

  guideline adherence'
keywords-plus: 'HEALTH-CARE UTILIZATION; INNER-CITY; CHILDREN; PHYSICIANS; MEDICATIONS;

  GUIDELINES; PREDICTORS; ADHERENCE; BARRIERS; OUTCOMES'
language: English
month: APR
number: '4'
number-of-cited-references: '24'
orcid-numbers: Jarlsberg, Leah/0000-0001-6548-6337
pages: E900-E905
papis_id: 750913fb00b597e91c3af55198156cf0
ref: Cabana2008selectiveprovision
times-cited: '24'
title: Selective provision of asthma self-management tools to families
type: article
unique-id: WOS:000254576800069
usage-count-last-180-days: '0'
usage-count-since-2013: '8'
volume: '121'
web-of-science-categories: Pediatrics
year: '2008'