Predicting Children's Adherence to Asthma Medication Regimens
Adherence to asthma medications is a significant problem among children. Research suggests that less than half of all children on such regimens are adherent (Bender, Milgrom, & Rand, 1997). This study examined potential predictors of non-adherence to asthma treatment regimens among 60 children, 8 to 12 years of age, and included demographic and disease-related measures, and psychosocial measures derived from Social Learning Theory. The children's adherence to inhaled steroids was measured for 2 weeks using an electronic monitor. Hierarchical regression modeling indicated that the psychosocial measures did not significantly augment the prediction of children's mean adherence expressed as a continuous variable. By contrast, when adherence was converted into the traditional status measure (non-adherent versus adherent, depending on whether mean adherence ≥ 80%), the combination of the child's belief in self-efficacy and the child's treatment outcome expectancy significantly improved upon the prediction of adherence achieved by demographic and disease-related measures. Unlike the latter measures, the psychosocial measures are potentially ameliorable by intervention. Therefore, treatment providers might consider working with children to increase their sense of self-efficacy and their confidence in treatment outcomes.
asthma, adherence, self-efficacy
Branstetter-Rost, Ann D., Carla J. Berg, Michael A. Rapoff, and John M. Belmont. "Predicting children's adherence to asthma medication regimens." Journal of Behavioral Health and Medicine 1, no. 3 (2010): 172.
Journal of Behavioral Health and Medicine 1