Daily adherence variability and psychosocial differences in adolescents with asthma: a pilot study.
Adolescents with asthma endorse psychosocial difficulties as barriers to inhaled corticosteroid adherence. This study examined patterns of variability in adherence and within-person associations of psychosocial variables with adherence across days. Participants included twenty-five adolescents (Mage...
| Publicado en: | Journal of Behavioral Medicine Vol. 45; no. 1; pp. 148 - 159 |
|---|---|
| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2022
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155077702&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155077702 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Feb2022 vid: 45 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 155077702 151771056 155077702 155077702 10.1007/s10865-021-00247-5 155077702 ppf: 148 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Daily adherence variability and psychosocial differences in adolescents with asthma: a pilot study. aug: au: Sweenie, Rachel Cushing, Christopher C. Fleming, Kandace K. Prabhakaran, Sreekala Fedele, David A. affil: Department of Clinical and Health Psychology, University of Florida, P.O. Box 100165, 32610-0165, Gainesville, FL, USA sug: subj: Asthma Drug Therapy Adrenal Cortex Hormones Therapeutic Use Patient Compliance Patients Psychosocial Factors Human Male Female Adolescence Descriptive Statistics Data Analysis Software Pilot Studies T-Tests Analysis of Variance Sociodemographic Factors Confidence Intervals Adolescent: 13-18 years Male Female ab: Adolescents with asthma endorse psychosocial difficulties as barriers to inhaled corticosteroid adherence. This study examined patterns of variability in adherence and within-person associations of psychosocial variables with adherence across days. Participants included twenty-five adolescents (Mage = 14.7, SD = 1.68; 48% male) with persistent asthma. We measured adherence via electronic monitoring. Adolescents completed daily surveys measuring asthma symptoms, stress, mood, and affect. We examined within-person differences in the effect of symptoms and psychosocial variables on adherence. Adherence decreased over time. The addition of a random slope improved model fit (− 2ΔLL(1) = 9.36, p <.01). Greater asthma symptoms were significantly associated with higher adherence at the within-person level and with lower adherence between persons. We observed evidence of individual differences in the associations of stress and affect with adherence. Within-person, day-level fluctuations in adherence occur. Symptoms and psychosocial variables may influence adherence. Individually tailored interventions may effectively address nonadherence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|