Factors Associated with Asthma Self-Management in African American Adolescents

Crowder, Sharron J.; Hanna, Kathleen M.; Carpenter, Janet S.; Broome, Marion E.

doi:10.1016/j.pedn.2015.03.005

Cited by 8 publications

(4 citation statements)

References 43 publications

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“…Poor health literacy has been associated with uncontrolled disease in adolescents . Adolescents with a greater understanding of their condition, a greater perception of the consequences of the condition and those attending an asthma education programme demonstrated better asthma self‐management . For those at risk of anaphylaxis, maintaining the balance between taking the risk seriously and not allowing the risk to dominate their lives was reported to be difficult .…”

Section: Resultsmentioning

confidence: 99%

“…91,92 Adolescents with a greater understanding of their condition, a greater perception of the consequences of the condition and those attending an asthma education programme demonstrated better asthma self-management. 93 For those at risk of anaphylaxis, maintaining the balance between taking the risk seriously and not allowing the risk to dominate their lives was reported to be difficult. 83,84,94,95 Thus, risk-taking behaviours were less common in adolescents with an established education plan for their food allergy.…”

Section: Knowledge and Beliefsmentioning

confidence: 99%

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Understanding the challenges faced by adolescents and young adults with allergic conditions: A systematic review

Vazquez‐Ortiz

Angier

Blümchen

et al. 2020

Allergy

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Background: Adolescence represents a vulnerable time for individuals with asthma and allergic conditions. They suffer an unexpected degree of morbidity. This systematic review aimed to understand the challenges faced by adolescents and young adults with these conditions. Methods: A systematic literature search was undertaken across eight databases. References were checked by two reviewers for inclusion. Study data were extracted, and their quality was assessed in duplicate. A narrative meta-synthesis was undertaken. Results: A total of 108 papers describing 106 studies were retrieved, most focused on asthma. Five themes were identified across studies: (a) Health-related quality of life-impairment was associated with poor disease control, psychosocial issues, adolescent-onset allergic disease and female sex; (b) Psychological factors-asthma and food allergy were associated with anxiety and depression, atopic dermatitis was associated with suicidal ideation, and that parental emotional support may be protective; (c) Adherence-suboptimal adherence was associated with older age, barriers to medication usage, poor symptom perception and failure to take responsibility, and positive factors were routines, simpler treatment regimes, better knowledge and perceptions about medications; (d) Self-management-facilitated by education, knowledge and a positive attitude; and (e) Supportive relationships-families could modify barriers to adherence and foster positive views about self-management, adolescents suggested that their peers should be more involved in supporting them, and adolescents also wished to have support from nonjudgemental healthcare professionals. Conclusions: We have some understanding of the challenges faced by adolescents with asthma, less so for other allergic conditions. This knowledge will be used to support guidelines for managing adolescents.

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Section: Resultsmentioning

confidence: 99%

Section: Knowledge and Beliefsmentioning

confidence: 99%

Understanding the challenges faced by adolescents and young adults with allergic conditions: A systematic review

Vazquez‐Ortiz

Angier

Blümchen

et al. 2020

Allergy

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“…Moreover, another study found asthma education to be an independent predictor of asthma self-management. In contrast to the present study, self-management was assessed with the Asthma Self-Care Practice Instrument (ASCPI) [29] .…”

Section: Changes Over 12 Months In the Intervention And Control Groupsmentioning

confidence: 99%

The Integrated Care of Asthma in Switzerland (INCAS) Study: Changes in Asthma Control and Perception of Health Care through Asthma Education

Dürr¹,

Hersberger

Zeller

et al. 2017

Respiration

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Background: Despite great efforts in establishing optimal asthma management, asthma may remain uncontrolled. To effectively manage chronic diseases, such as asthma, it is important to train patients in self-management skills. Objectives: The aim of this study was to assess the potential benefit of standardised asthma education in Switzerland for asthma control and patients' perception of received asthma care and of self-management support. Methods: For this multicentre longitudinal controlled study, asthma patients were recruited in Switzerland. The Asthma Control Test (ACT) was used to assess asthma control. The Patient Assessment of Chronic Illness Care questionnaire (PACIC 5A) was applied to evaluate received health-care services and self-management support. Patients were offered the possibility to attend asthma education sessions conducted by the Swiss Lung League and Swiss Allergy Centre. After 1 year, attenders and non-attenders completed the questionnaires again. Changes in ACT and PACIC 5A scores were analysed using dependent t tests. Results: Overall, 223 patients with asthma were investigated (mean age 43 ± 12 years, 38% male, 13% current smokers, 29% ex-smokers). Sixty-one (27%) patients attended education sessions. Both groups had improved asthma control at follow-up (attenders: t(56) = -3.2, r = 0.4 [medium effect size], p = 0.002; non-attenders: t(141) = -2.6, r = 0.2 [small effect size], p = 0.010). Attenders improved in PACIC and 5A sum scores (t(50) = -3.6, r = 0.5 [medium effect size], p = 0.001). Conclusions: A comprehensive self-management asthma education programme in Switzerland improved asthma control and patients' perception of received asthma care and of self-management support. Professionals should motivate patients to attend asthma education in order to become active partners in managing their disease.

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“…Self-reported knowledge of self-management has been established as an important factor in disease control and health-related quality of life in asthma patients (12,23). Studies have identified age at asthma onset, self-management education, frequency and intensity of exacerbations, health literacy, a written action plan, and regular medical review as factors affecting asthma self-management (22,(24)(25)(26). Further research is needed, particularly to investigate factors associated with knowledge of self-management of worsening asthma and to clarify ways in which the structure of asthma care impacts self-management.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with knowledge of self-management of worsening asthma in primary care patients: a cross-sectional study

et al. 2020

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Objective: Self-management is important for asthma control. We examined associations of patient-and healthcare-related factors with self-reported knowledge of self-management of worsening asthma. Methods: Two asthma patient cohorts from 2012 (n ¼ 527) and 2015 (n ¼ 915) were randomly selected from 54 primary health care centers (PHCC) in central Sweden. Data were collected using patient questionnaires and questionnaires to the PHCCs. Logistic regression analyzed associations of relevant variables with knowledge of self-management of worsening asthma. Results: In total, 63% of patients reported moderate to complete knowledge of selfmanagement procedures. The adjusted OR for moderate to complete knowledge relative to high education level was 1.38 [95% CI 1.03-1.85)]; for physician continuity 2.19 (95% CI 1.62-2.96); for a written action plan 11.9 (95% CI 6.16-22.9); for Step 2 maintenance treatment 1.53 (95% CI 0.04-2.24); and 2.07 (95% CI 1.44-2.99) for Step 3. An asthma/COPD nurse visit within the previous 12 months was associated with greater knowledge in women but not in men (p for interaction ¼ 0.042). Smoking [OR 0.56 (95% CI 0.34-0.95)], co-morbidities 1 [OR 0.68 (95% CI 0.49-0.93)], and self-rated moderate/severe disease [OR 0.68 (95% CI 0.51-0.90)] were associated with low self-management knowledge. Conclusion: Self-reported knowledge of self-management procedures was associated with a higher educational level, physician continuity, a written action plan, advanced treatment and, in women, visiting an asthma/COPD nurse. The results reinforce the importance of implementing guidelines of patient access to a specific physician, a written action plan, and structured education by an asthma/COPD nurse.

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Factors Associated with Asthma Self-Management in African American Adolescents

Cited by 8 publications

References 43 publications

Understanding the challenges faced by adolescents and young adults with allergic conditions: A systematic review

Understanding the challenges faced by adolescents and young adults with allergic conditions: A systematic review

The Integrated Care of Asthma in Switzerland (INCAS) Study: Changes in Asthma Control and Perception of Health Care through Asthma Education

Factors associated with knowledge of self-management of worsening asthma in primary care patients: a cross-sectional study

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