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 ( M a...

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Bibliographic Details
Published in:Journal of behavioral medicine 2022-02, Vol.45 (1), p.148-158
Main Authors: Sweenie, Rachel, Cushing, Christopher C., Fleming, Kandace K., Prabhakaran, Sreekala, Fedele, David A.
Format: Article
Language:English
Subjects:
Adherence
Adolescent
Adolescents
Affect
Asthma
Asthma - psychology
Care and treatment
Corticosteroids
Dosage and administration
Electronic monitoring
Family Medicine
Female
General Practice
Health aspects
Health Psychology
Humans
Individual differences
Male
Medication Adherence
Medicine
Medicine & Public Health
Patient compliance
Pilot Projects
Psychological aspects
Psychosocial factors
Social aspects
Surveys and Questionnaires
Teenagers
Variability
Variables
Youth
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Summary: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 ( M age  = 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  
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-021-00247-5