Transition Readiness for Talking With Providers in Urban Youth With Asthma: Associations With Medication Management.
Adolescents
Asthma
Self-management
Transitions to adult care
Journal
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
ISSN: 1879-1972
Titre abrégé: J Adolesc Health
Pays: United States
ID NLM: 9102136
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
31
05
2018
revised:
20
08
2018
accepted:
21
08
2018
pubmed:
6
11
2018
medline:
18
6
2020
entrez:
4
11
2018
Statut:
ppublish
Résumé
Teen readiness assessments may provide a developmental indicator of the transfer of responsibility for health self-management from caregivers to teens. Among urban adolescents with asthma, we aimed to describe teen readiness for talking with providers and identify how readiness relates to responsibility for asthma management, medication beliefs, and clinical outcomes. Teens and caregivers enrolled in the school-based asthma care for teen's trial in Rochester, NY completed in-home surveys. We classified ready teens as those reporting a score of five on both items of the transition readiness assessment questionnaire talking with providers subscale. We performed bivariate analyses to detect differences between ready teens and other teens in teen- and caregiver-reported responsibility, teen medication beliefs, and clinical outcomes (medication adherence over the past 2 weeks, and healthcare use over the past year). Among this sample of 251 adolescents (mean age: 13.4 years), 35% were classified as "Ready." Ready teens were more likely than other teens to want to use a controller medication independently (7.6 vs. 6.5 out of 10, p < .01) and to have confidence in this ability (8.4 vs. 7.6 out of 10, p = .02). Teens reported poor adherence (missed 52.9% of prescribed controller doses), with no differences in responsibility or clinical outcomes based on level of teen readiness for talking with providers. In urban adolescents with poorly controlled asthma, a higher level of teen readiness for talking with providers is associated with higher perceptions of independence in medication taking, but does not appear to relate to clinical outcomes.
Identifiants
pubmed: 30389202
pii: S1054-139X(18)30410-5
doi: 10.1016/j.jadohealth.2018.08.026
pmc: PMC6339852
mid: NIHMS1511240
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
265-271Subventions
Organisme : NHLBI NIH HHS
ID : R18 HL116244
Pays : United States
Informations de copyright
Copyright © 2018. Published by Elsevier Inc.
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