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Gepubliceerd in:

06-08-2021

Daily adherence variability and psychosocial differences in adolescents with asthma: a pilot study

Auteurs: Rachel Sweenie, Christopher C. Cushing, Kandace K. Fleming, Sreekala Prabhakaran, David A. Fedele

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2022

Abstract

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 < .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.

vorige artikel A feasibility trial of a digital mindfulness-based intervention to improve asthma-related quality of life for primary care patients with asthma

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Titel: Daily adherence variability and psychosocial differences in adolescents with asthma: a pilot study
Auteurs: Rachel Sweenie
Christopher C. Cushing
Kandace K. Fleming
Sreekala Prabhakaran
David A. Fedele
Publicatiedatum: 06-08-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-021-00247-5

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Daily adherence variability and psychosocial differences in adolescents with asthma: a pilot study

Abstract

Andere artikelen Uitgave 1/2022

A feasibility trial of a digital mindfulness-based intervention to improve asthma-related quality of life for primary care patients with asthma

Changes in family involvement occasioned by FAMS mobile health intervention mediate changes in glycemic control over 12 months

Effects of mental simulation of future waterpipe tobacco smoking on attitudes, perceived harms and intended use among young adults

Use of digital health technologies to examine subjective and objective sleep with next-day cognition and daily indicators of health in persons with and without HIV

Day-to-day associations between sleep and physical activity: a set of person-specific analyses in adults with overweight and obesity

Stable and momentary psychosocial correlates of everyday smoking: An application of Temporal Self-Regulation Theory

Bohn Stafleu van Loghum

Welkom bij Scalda & Bohn Stafleu van Loghum

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A feasibility trial of a digital mindfulness-based intervention to improve asthma-related quality of life for primary care patients with asthma

Changes in family involvement occasioned by FAMS mobile health intervention mediate changes in glycemic control over 12 months

Effects of mental simulation of future waterpipe tobacco smoking on attitudes, perceived harms and intended use among young adults

Use of digital health technologies to examine subjective and objective sleep with next-day cognition and daily indicators of health in persons with and without HIV

Day-to-day associations between sleep and physical activity: a set of person-specific analyses in adults with overweight and obesity

Stable and momentary psychosocial correlates of everyday smoking: An application of Temporal Self-Regulation Theory