Child and caregiver involvement and shared decision-making during asthma pediatric visits

Betsy L. Sleath, Delesha M. Carpenter, Robyn Sayner, Guadalupe X. Ayala, Dennis Williams, Stephanie Davis, Gail Tudor, Karin Yeatts

Research output: Contribution to journalArticle

48 Scopus citations


Objective. The purpose of this study was to examine (1) the extent to which caregivers and children asked asthma management questions during pediatric asthma visits; (2) the extent to which providers engaged in shared decision-making with these caregivers and children; and (3) the factors associated with question asking and shared decision-making. Methods. Children aged 816 years with mild persistent asthma, moderate persistent asthma, or severe persistent asthma and their caregivers were recruited at five pediatric practices in non-urban areas of North Carolina. All of the medical visits were audio tape recorded. Generalized estimating equations were used to analyze the data. Results. Only 13% of children and 33% of caregivers asked one or more questions about asthma management. Caregivers were more likely to ask questions about their child's medications. Providers obtained child input into their asthma management plan during only 6% of encounters and caregiver input into their child's asthma management plan during 10% of visits. Conclusion. Given the importance of involving patients during healthcare visits, providers need to consider asking for and including child and caregiver inputs into asthma management plans so that shared decision-making can occur more frequently.

Original languageEnglish (US)
Pages (from-to)1022-1031
Number of pages10
JournalJournal of Asthma
Issue number10
StatePublished - Dec 2011
Externally publishedYes


  • Asthma
  • Child involvement
  • Medications
  • Pediatrics
  • Question asking

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

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  • Cite this

    Sleath, B. L., Carpenter, D. M., Sayner, R., Ayala, G. X., Williams, D., Davis, S., Tudor, G., & Yeatts, K. (2011). Child and caregiver involvement and shared decision-making during asthma pediatric visits. Journal of Asthma, 48(10), 1022-1031.