Evidence map›Paper›PMID 27337035›Full record

ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2017

Perceptions and experiences underlying self-management and reporting of symptoms in teens with asthma.

Jennifer R Mammen, Hyekyun Rhee, Sally A Norton, Arlene M Butz

Abstract read
In one paragraph

Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
13.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Mixed-methods content and sentiment analysis of adolescents' voice diaries describing daily experiences with asthma and self-management decision-making.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019
    Trial
  4. Fostering Effective Asthma Self-Management Transfer in High-Risk Children: Gaps and Opportunities for Family Engagement.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Children's and adolescents' descriptors of asthma symptoms: An integrative review.International journal of nursing studies advances · 2022
    Review
  12. Article
  13. Sustained Effects From a School-Based Intervention Pilot Study for Children With Asthma and Anxiety.The Journal of school nursing : the official publication of the National Association of School Nurses · 2022
    Article
  14. Article
  15. Article
  16. Validation of an app-based portable spirometer in adolescents with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021
    Article
  17. A mixed-methods analysis of younger adults' perceptions of asthma, self-management, and preventive care: "This isn't helping me none".Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021
    Article
  18. Associations between overweight and obesity and asthma outcomes in urban adolescents.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Article
  19. A Mixed-methods Study Examining Inhaler Carry and Use among Children at School.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Jennifer R Mammena University of Rochester School of Nursing , Rochester , NY , USA.
Hyekyun Rheea University of Rochester School of Nursing , Rochester , NY , USA.
Sally A Nortona University of Rochester School of Nursing , Rochester , NY , USA.
Arlene M Butzb Johns Hopkins University, School of Medicine , Baltimore , MD , USA.
University of Rochester · USJohns Hopkins Medicine · US

Funding

Teens Experiences of Asthma Self Management Across Life ContextsF31NR014952 · NINR · UNIVERSITY OF ROCHESTER · PI MAMMEN, JENNIFER RAE · 2014 to 2015
$66k
NINR NIH HHS F31 NR014952
6 · The paper itself

Abstract

backgroundTeens often have inadequate asthma self-management and control. However, little is known of their perceptions of or rationales for self-management behaviors.

objectivesTo explore how teens self-manage asthma, including experiences, perceptions, responses to and reporting of symptoms.

methodsA case-based, qualitative-descriptive design was used. Data were collected from minority and non-minority teens with controlled and uncontrolled asthma and their respective parents (N = 28). There were four data-collection points, including: (1) a primary teen interview; (2) parent interview; (3) 2-week self-management voice-diary; and (4) follow-up teen interview, incorporating symptom-response card-sorting to map symptoms and associated self-management responses. Seventy data sources were included in the analysis.

resultsTeens thought of their asthma symptoms as normal or unusual relative to their personal baseline symptom pattern; Those with uncontrolled asthma normalized higher levels of asthma symptoms than their counterparts with controlled asthma. Second, teens' decisions to treat symptoms of asthma with rescue medication were based on perceived benefits, burdens and accessibility of treatment balanced against perceived normalcy of symptoms. Teens with uncontrolled asthma had substantially higher treatment thresholds and delayed responses to symptoms compared to controlled peers. Third, teens never reported perceived normal symptoms of asthma to parents or providers, who were thus only aware of unusual or visible/audible symptoms.

conclusionsTeen's perceptions of symptoms and understanding of what is normal is the basis for self-management decisions. Improving self-management will likely entail modifying perceptions of symptoms and benefits/burdens of treatment to achieve healthier self-management patterns.

Indexed as

AdolescentAge FactorsAnti-Asthmatic AgentsAsthmaFemaleHumansInterviews as TopicMaleMedication AdherenceParentsPerceptionQualitative ResearchRacial GroupsSelf CareSeverity of Illness IndexSex FactorsAnti-Asthmatic AgentsAdolescentasthmamedication compliancequalitative researchself-managementsymptom assessment

Identifiers

PMID27337035
PMCPMC5182183
OpenAlexW2474665354

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.