In an Australia study by Raymond et al. (1998), a decrease of one standard deviation in the negative perceived consequence of inhaled steroid treatment resulted in a 69% decrease in readmission. In a Brazilian s (Lasmar et a 2006), lower mother's educational level had a l higher readmission rate compared to a higher educational group Chen, Dales, et al. (2003) found that both family level relationship factors and individual caretaker characteristics were associated with life-time hospitalization, however, all neighborhood- and family-level relationship factors did not predict future hospitalization after controlling other var ables. Two individual-level characteristics of caretakers, including parents reporting low levels of mastery and lower emotional burden of asthma were associated with the likelihood of future readmission at rates of 32% and 64% respectively