caa a22 4500 606177817 CHVBK 20210128100753.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s11136-014-0700-1 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0700-1 Predictors of perceived asthma control among patients managed in primary care clinics [Elektronische Daten] [Owis Eilayyan, Amede Gogovor, Nancy Mayo, Pierre Ernst, Sara Ahmed] Objective: To estimate the extent to which symptom status, physical activity, beliefs about medications, self-efficacy, emotional status, and healthcare utilization predict perceived asthma control over a period of 16months among a primary care population. Methods: The current study is a secondary analysis of data from a longitudinal study that examined health outcomes of asthma among participants recruited from primary care clinics. Path analysis, based on the Wilson and Cleary and International Classification of Functioning, Disability and Health frameworks, was used to estimate the predictors of perceived asthma control. Results: The path analysis identified initial perceived asthma control asthma (β=0.43, p<0.0001), symptoms (β=0.35, p<0.0001), physical activity (β=0.27, p<0.0001), and self-efficacy (β=0.29, p<0.0001) as significant predictors of perceived asthma control (total effects, i.e., direct and indirect), while emotional status (β=0.08, p=0.03) was a significant indirect predictor through physical activity. The model explained 24% of the variance of perceived asthma control. Overall, the model fits the data well (χ 2=6.65, df=6, p value=0.35, root-mean-square error of approximation=0.02, Comparative Fit Index=0.999, and weighted root-mean-square residual=0.27). Conclusion: Initial perceived asthma control, current symptoms status, physical activity, and self-efficacy can be used to identify individuals likely to have good perceived asthma control in the future. Emotional status also has an impact on perceived asthma control mediated through physical activity and should be considered when planning patient management. Identifying these predictors is important to help the care team tailor interventions that will allow individuals to optimally manage their asthma, to prevent exacerbations, to prevent other respiratory-related chronic disease, and to maximize quality of life. Springer International Publishing Switzerland, 2014 Physical activity nationallicence Emotion nationallicence Self-efficacy nationallicence Beliefs about medications nationallicence Healthcare utilization nationallicence Path analysis nationallicence Eilayyan Owis Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada aut Gogovor Amede Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada aut Mayo Nancy Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada aut Ernst Pierre Centre for Clinical Epidemiology, Lady Davis Research Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada aut Ahmed Sara Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada aut Quality of Life Research Springer International Publishing 24/1(2015-01-01), 55-65 0962-9343 24:1<55 2015 24 11136 https://doi.org/10.1007/s11136-014-0700-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0700-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Eilayyan Owis Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada aut NATIONALLICENCE 700 1- Gogovor Amede Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada aut NATIONALLICENCE 700 1- Mayo Nancy Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada aut NATIONALLICENCE 700 1- Ernst Pierre Centre for Clinical Epidemiology, Lady Davis Research Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada aut NATIONALLICENCE 700 1- Ahmed Sara Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/1(2015-01-01), 55-65 0962-9343 24:1<55 2015 24 11136