ArticlePatient preference and adherence2018
Cognitive factors predict medication adherence and asthma control in urban adolescents with asthma.
Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychological interventions for asthma in children and adolescents.The Cochrane database of systematic reviews · 2024Pooled it
- Adolescent Knowledge of When to Use Inhaled Asthma Medications: Implications for Management.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Trial
- Exploring the Factors Related to Medication Adherence in Patients with Rheumatoid Arthritis Based on Social Cognitive Theory: A Path Analysis.Patient preference and adherence · 2025Article
- Article
- Breathing across ages: a systematic review on challenges and components of transitional care for young people with asthma.Frontiers in pediatrics · 2024Review
- Better Together: acceptability, feasibility and preliminary impact of chronic illness peer support groups for South African adolescents and young adults.Journal of the International AIDS Society · 2023Article
- Self-Management Frameworks for Youth Living with Human Immunodeficiency Virus.Pediatric clinics of North America · 2022Review
- Asthma Across Childhood: Improving Adherence to Asthma Management from Early Childhood to Adolescence.The journal of allergy and clinical immunology. In practice · 2020Article
- Associations between mental health competence and indicators of physical health and cognitive development in eleven year olds: findings from the UK Millennium Cohort Study.BMC public health · 2019Article
- Do Urban Minority Parents and Children Agree on Asthma Symptoms with Exercise, Worries, and Confidence in Disease Management?Academic pediatrics · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeAdolescents with asthma often report poor medication adherence and asthma control. Cognitive factors embedded in the social cognitive theory including self-efficacy, outcome expectations, and barrier perceptions may explain poor asthma outcomes in this population. This study was performed to examine the extent to which these cognitive factors are intercorrelated and explain medication adherence and asthma control in urban adolescents. PATIENTS AND
methodsA total of 373 urban adolescents (12-20 years) with asthma completed questionnaires measuring asthma-related self-efficacy, outcome expectations, barrier perceptions, medication adherence, and asthma control. Multiple linear regression was conducted to examine the extent to which the three cognitive factors predicted medication adherence and asthma control after controlling for covariates including age, sex, household income, and age at diagnosis.
resultsParticipants' ages were on average 14.68 (±1.94) years; 50% were female, and most (78.6%) were African American. Higher self-efficacy associated with lower barrier perceptions and higher outcome expectations (
conclusionImproving medication adherence and asthma control among adolescents may require a multifaceted approach. Interventions focused on increasing self-efficacy and addressing barriers, actual or potential, to medication adherence could ameliorate asthma disparities in urban adolescents.
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