Evidence map›Paper›PMID 39325430›Full record

ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2025

Multilevel facilitators of pediatric asthma outcomes: The role of caregiver self-efficacy.

David A Fedele, Gregory D Webster, Gabrielle Pogge, Jean Hunleth, Sienna Ruiz, James A Shepperd, Erika A Waters

Abstract read
In one paragraph

Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

David A FedeleCenter for Healthcare Delivery Science, Nemours Children's Health.ORCID 0000-0003-0896-910X
Gregory D WebsterDepartment of Psychology, University of Florida.
Gabrielle PoggeDepartment of Psychology, University of Florida.
Jean HunlethDivision of Public Health Sciences, Washington University School of Medicine in St. Louis.
Sienna RuizDivision of Public Health Sciences, Washington University School of Medicine in St. Louis.
James A ShepperdDepartment of Psychology, University of Florida.
Erika A WatersDivision of Public Health Sciences, Washington University School of Medicine in St. Louis.

Funding

Child Asthma Exacerbation: Role of Caregiver Risk BeliefsR01HL137680 · NHLBI · WASHINGTON UNIVERSITY · PI SHEPPERD, JAMES A, WATERS, ERIKA A · 2018 to 2021
$2.6M
NHLBI NIH HHS R01 HL137680NIH HHS
6 · The paper itself

Abstract

objectiveCaregivers' self-efficacy for managing their child's asthma appears to influence their success with managing their child's disease. We examined how caregiver self-efficacy operates in the context of multilevel social-environmental support factors to shape asthma outcomes.

methodCaregivers of children (< 18 years old) with asthma completed surveys at baseline (T1) and 3 months later (T2). At T1, caregivers (

resultsFor T1 caregiver asthma management behavior, we observed positive indirect effects through self-efficacy for community resources and caregiver global health, and an unexpected negative indirect effect for SES. For T2 caregiver asthma management behavior, we observed no indirect effects. For T1 child asthma-related morbidity, we found positive indirect effects through self-efficacy for community resources and caregiver global health, and a negative indirect effect for SES. For child asthma-related morbidity at T2, the indirect effects found at T1 remained significant.

conclusionsSocial-environmental factors may be an underrecognized driver of caregiver self-efficacy and its consequent child asthma outcomes. Interventions focused on building resources at the community level and strategies that promote caregiver health could empower caregivers with greater self-efficacy and improve asthma outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

AsthmaCaregiversSelf EfficacyAdolescentAdultChildChild, PreschoolFemaleHumansMaleMiddle AgedQuality of LifeSocial SupportSurveys and Questionnaires

Identifiers

PMID39325430
PMCPMC11881234

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.