Evidence map›Paper›PMID 27442993›Full record

ArticlePreventing chronic disease2016

Relating Health Locus of Control to Health Care Use, Adherence, and Transition Readiness Among Youths With Chronic Conditions, North Carolina, 2015.

Meaghan Nazareth, Jordan Richards, Karina Javalkar, Cara Haberman, Yi Zhong, Eniko Rak, Nina Jain, Maria Ferris, Miranda A L van Tilburg

Open access · diamondAbstract read
In one paragraph

Article in Preventing chronic disease, 2016. 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
10.3field-weighted citation impact, top 2% 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, 58 citations in OpenAlex.

  1. Pooled it
  2. Impact of an electronic monitoring device and behavioral feedback on adherence to multiple sclerosis therapies in youth: results of a randomized trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
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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

9 authors at 1 institution in 1 country.

Meaghan NazarethThe University of North Carolina, Chapel Hill, Chapel Hill, North Carolina.
Jordan RichardsThe University of North Carolina, Chapel Hill, Chapel Hill, North Carolina.
Karina JavalkarThe University of North Carolina, Chapel Hill, Chapel Hill, North Carolina.
Cara HabermanWake Forest University, Winston-Salem, North Carolina.
Yi ZhongThe University of North Carolina, Chapel Hill, Chapel Hill, North Carolina.
Eniko RakThe University of North Carolina, Chapel Hill, Chapel Hill, North Carolina.
Nina JainThe University of North Carolina, Chapel Hill, Chapel Hill, North Carolina.
Maria FerrisThe University of North Carolina, Chapel Hill, Chapel Hill, North Carolina.
Miranda A L van TilburgUniversity of North Carolina, Department of Medicine, Division of Gastroenterology and Hepatology, 130 Mason Farm Rd, CB 7080, Chapel Hill, NC 27599. Email: tilburg@med.unc.edu.
Wake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealth locus of control refers to the belief that health is in one's control (internal control) or is not in one's control (external control). Among adults, external locus of control is associated with negative health outcomes, whereas internal locus of control is associated with favorable outcomes. Few studies examined these associations among youths. The objective of our study was to determine how locus of control relates to health care use, medication adherence, missed school, and readiness for transition to adult medical care for youths with chronic conditions.

methodsParticipants at a camp for youths aged 6 to 17 years with chronic health conditions completed a survey measuring locus of control, readiness for transition to adult care, and medication adherence. Their parents completed a separate part of the survey about health care use and missed school days in the past year.

resultsA total of 163 youths completed the survey (78.5% white; 52.1% female; mean age, 12.3 y). Internal locus of control (β = 0.196; P = .013) and external Doctor locus of control with doctors controlling disease (β = 0.181; P = .025) were positively associated with transition readiness. External control by chance or with others controlling disease was negatively associated with transition readiness (β = -0.248; P = .002) and positively associated with emergency department visits (β = 0.225; P = .004) and with number of hospital inpatient nights at hospital (β = 0.166; P = .04).

conclusionAdolescents with external control of their health by chance or by other people are at increased risk for negative health outcomes and may fail to develop the self-management skills needed for successful transitioning to adult care. Future studies should examine effects of changes in locus of control on health outcomes among youths.

Indexed as

Internal-External ControlSelf CareTransition to Adult CareAdolescentChildChronic DiseaseFemaleHumansLinear ModelsMaleMedication AdherenceNorth CarolinaSurveys and Questionnaires

Identifiers

PMID27442993
PMCPMC4956478
OpenAlexW2464473187

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.