Division of responsibility for asthma management tasks between caregivers and children in the inner city

Shari L. Wade, Shaheen Islam, Gary Holden, Deanna Kruszon-Moran, Herman Mitchell

Research output: Contribution to journalArticle

40 Scopus citations


This investigation examined caregiver and child perceptions of the division of responsibility for asthma management tasks in families. The study sample included 789 children with asthma aged 6 to 9 years who lived in the inner city. These children and their primary caregivers completed the Asthma Responsibility Interview The correlation between the caregiver's and child's ratings of the child's responsibility was low (.19), with children rating themselves as more responsible than their caregivers rated them. Caregiver and child ratings of the child's responsibility increased with the child's age; however, caregivers' ratings of their own responsibility remained constant over the age range studied. Kappa statistics ranged from -.03 to 12, with up to 16% of children reporting less responsibility for self-care than was indicated by the caregiver. More than one third of families reported four or more asthma caregivers. The discrepancy between the caregiver's and child's perceptions and the involvement of multiple caregivers raise the possibility of unintentional nonadherence. J Dev Behav Pediatr 20:93-98, 1999.

Original languageEnglish (US)
Pages (from-to)93-98
Number of pages6
JournalJournal of Developmental and Behavioral Pediatrics
Issue number2
Publication statusPublished - Jan 1 1999
Externally publishedYes



  • Adherence
  • Asthma
  • Multiple caregivers
  • Self-management

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this