Evidence map›Paper›PMID 33653199›Full record

ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2022

"It is kind of like a responsibility thing": transitional challenges in asthma medication adherence among adolescents and young adults.

Sandra E Zaeh, Monica A Lu, Kathryn V Blake, ElizabethRuvalcaba, Christabelle Ayensu-Asiedu, Robert A Wise, Janet T Holbrook, Michelle N Eakin

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Effects of daily peer problems on sleep and the severity of pediatric asthma symptoms.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
  8. 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

8 authors at 2 institutions in 1 country.

Sandra E ZaehDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Monica A LuEudowood Division of Pediatric Respiratory Sciences, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Kathryn V BlakeCenter for Pharmacogenomics and Translational Research, Nemours Children's Health System, Jacksonville, FL, USA.ORCID 0000-0001-9959-8572
ElizabethRuvalcabaDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Christabelle Ayensu-AsieduDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Robert A WiseDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Janet T HolbrookDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Michelle N EakinDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0002-8587-8343
Johns Hopkins University · USNemours Children's Health System · US

Funding

MULTIDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASEST32HL007534 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Nadia N Hansel, Larissa A. Shimoda · 1985 to 2026
$28.3M
Multidisciplinary Training Program in Pediatric PulmonaryT32HL072748 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Joseph Michael Collaco · 2003 to 2026
$6.1M
Improving Medication Adherence with Telehealthcare Medication Therapy Management to Change Health Outcomes in Adolescents and Young Adults with Asthma (MATCH) Administrative SupplementR01HL136945 · NHLBI · NEMOURS CHILDREN'S CLINIC · PI BLAKE, KATHRYN V · 2018 to 2022
$3.5M
Understanding the Impact of School Environment on Asthma Outcomes to Inform ImplementationF32HL149195 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ZAEH, SANDRA · 2019 to 2020
$143k
NHLBI NIH HHS F32 HL149195NHLBI NIH HHS R01 HL136945NHLBI NIH HHS T32 HL007534NHLBI NIH HHS T32 HL072748
6 · The paper itself

Abstract

objectiveNonadherence to asthma medications is prevalent among adolescents and young adults (AYAs) with asthma, leading to worsened control of asthma symptoms and more frequent exacerbations. AYAs have unique developmental transitional challenges that may alter medication adherence. We aimed to use a socio-ecological framework to explore the effect of transitional challenges from adolescence to young adulthood on asthma controller medication adherence and to identify possible strategies to promote medication adherence.

methodsWe conducted qualitative semi-structured interviews by phone with 7 adolescents (14 to 17 years), their respective caregivers, and 7 young adults (18 to 30 years). Participants were recruited from a respiratory clinical trial network and pulmonary clinics in 4 states at 6 different sites through convenience sampling. Interviews were audio recorded, transcribed and coded using thematic analyses.

resultsParticipants identified personal challenges affecting adherence to asthma medications during the transition from adolescence to young adulthood including responsibility for asthma self-management, understanding of asthma condition and severity, embarrassment, and life demands. Health systems factors including medication cost, challenges with insurance, difficulties obtaining refills, and difficulty with access to medications at school also impacted asthma medication adherence. Participants recommended adherence strategies including improved access to inhalers, incorporating asthma medications into daily routines, and using reminders.

conclusionsFocusing on the transitional challenges of AYAs during the time period from adolescence to young adulthood is necessary for supporting their asthma medication adherence and creating future interventions. Socio-ecological and systems factors should also be targeted for improved asthma medication adherence. Supplemental data for this article can be accessed online at https://doi.org/10.1080/02770903.2021.1897836.

Indexed as

AsthmaAdolescentAdultCaregiversHumansMedication AdherenceNebulizers and VaporizersYoung Adultadherenceadolescents and young adultsmedication useQualitative researchself managementsocio-ecologic frameworksystems barrierstransitional challenges

Identifiers

PMID33653199
PMCPMC8458468
OpenAlexW3133959558

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.