Stressors and concerns in teen asthma

Randolph, Christopher; Fraser, Barbara

doi:10.1016/s0045-9380(99)80041-3

Cited by 45 publications

(24 citation statements)

References 57 publications

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“…This is in agreement with studies in other paediatric populations showing a more general association between shared decision-making and adherence to therapy [43,50]. An additional consideration is that after starting GH therapy, patients may remain on rhGH for many years [3], during which time new or updated injection devices and associated support services may be introduced by pharmaceutical companies, and the patient's preference for injection devices and support may change.…”

Section: Resultssupporting

confidence: 84%

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Understanding the Growth Hormone Therapy Adherence Paradigm: A Systematic Review

2013

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Introduction: Growth hormone (GH) therapy is used to treat a variety of growth disorders in childhood/adolescence. Its efficacy is thought to be dependent on patients' adherence to their treatment regimen. Methods: PubMed was searched using the keywords ‘growth hormone', ‘child'[Mesh], ‘adolescent'[Mesh], and ‘patient compliance'[Mesh]. Results: Most studies of adherence to paediatric GH therapy have used either issued/encashed GH prescriptions or questionnaires. Estimates of prevalence of non-adherence vary from 5-82%, depending on the methods and definitions used. Different studies have variously demonstrated an association (or lack thereof) between adherence and age, socioeconomic status, treatment duration, injection device used and injection-giver. A number of interventions have been proposed to improve adherence, including offering a choice of injection device, but none are supported by trials. Poor adherence is associated with reduced height velocity and likely increased economic costs; evidence for other effects is circumstantial. Conclusion: Adherence to paediatric GH therapy is suboptimal, which may partially explain why the mean final height attained is below that of the general population. Analysis of the causes of non-adherence is complicated by conflicting evidence from different studies. Multifactorial interventions are most likely to be successful in improving adherence. We make recommendations for further research.

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Section: Resultssupporting

confidence: 84%

“…forgetfulness, preoccupation, lack of understanding of condition or instructions, lack of symptoms, fear of needles, poor tolerability and inadequate family support). Additional barriers in adolescence may include: denial, peer pressure and reluctance to seek medical advice [16,20,42,43]. …”

Section: Resultsmentioning

confidence: 99%

Understanding the Growth Hormone Therapy Adherence Paradigm: A Systematic Review

2013

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“…The transference of asthma responsibilities from the caregiver to the adolescent occurs at a time when teens have been reported to experience more severe asthma exacerbations (9) and more near fatal asthma episodes compared to any other age group (10). Medication management appears to be one of the early responsibilities shifted to older children by age 11 (11).…”

Section: Introductionmentioning

confidence: 99%

Goals, Beliefs, and Concerns of Urban Caregivers of Middle and Older Adolescents with Asthma

Gibson-Scipio

Krouse

2013

Journal of Asthma

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“…Support from nurses is also a powerful predictor of good compliance. The importance of support by nurses has also been indicated in earlier studies 5,23,24 . According to Kyngäs, 44% of adolescents with JRA receive support from nurses 5 .…”

Section: Discussionmentioning

confidence: 84%

Motivation as a crucial predictor of good compliance in adolescents with rheumatoid arthritis

Kyngäs¹

2002

Int J of Nursing Practice

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The purpose of this study was to identify the predictors of compliance shown by adolescents with juvenile rheumatoid arthritis (JRA). Three hundred individuals aged 13-17 years were randomly selected from the Finnish Social Insurance Institution's register. The questionnaires were sent to the adolescents selected from the register to be returned directly to the researcher in a self-addressed envelope. Ninety-one per cent (n = 274) returned the questionnaire. Logistic regression was used to find the factors that predicted compliance with health regimens. The compliance of adolescents with JRA was predicted on the basis of motivation, fear of acute problems, support from nurses, energy and willpower, and threat to social well-being. The most powerful predictor was motivation. The likelihood of the adolescents who had good motivation to comply with health regimens was 29.13-fold compared to the adolescents who did not have good motivation. The next powerful predictor was fear of acute problems. The adolescents who felt fear of acute problems complied with health regimens with a 20.35-fold likelihood compared to the adolescents who did not have fears. The third powerful predictor was support from nurses. The likelihood of adolescents supported by nurse to comply with health regimens was 17.03-fold compared to the adolescents who did not receive support from nurses. The likelihood of adolescents who had energy and willpower to comply with health regimens was 7.56-fold compared to the adolescents who did not have energy and willpower. Also, the threat to social well-being predicted good compliance.

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Stressors and concerns in teen asthma

Cited by 45 publications

References 57 publications

Understanding the Growth Hormone Therapy Adherence Paradigm: A Systematic Review

Understanding the Growth Hormone Therapy Adherence Paradigm: A Systematic Review

Goals, Beliefs, and Concerns of Urban Caregivers of Middle and Older Adolescents with Asthma

Motivation as a crucial predictor of good compliance in adolescents with rheumatoid arthritis

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