Quality of care-risk adjustment outcomes model: Testing the effects of a community based educational self-management program for children with asthma

This article describes the design of an outcomes model incorporating adjust ment for patients' risks for various outcomes of care. A community-based ed ucational self-management program for children with asthma is proposed for testing the model. Measures of model components: clinical factors; nonclini cal factors; psychological, cognitive, and psychosocial functioning; and pa tient and client satisfaction are described. Testing this model hers implic ations for guiding the development of individualized culturally sensitive n ursing interventions for children with asthma and their parents.