DEVELOPMENTAL ASPECTS OF ADHERENCE IN PEDIATRIC ASTHMA

描述（改编自申请人的摘要）：目前的小额赠款 申请提出了一项研究的发展方面的坚持 儿童哮喘治疗方案，以确定心理因素， 与哮喘依从性相关，并最终允许设计 发展适当的干预措施，以提高依从性。 研究 在儿童期慢性疾病中， 随着年龄的增长，虽然很少有研究调查的过程， 解释这种现象。 本研究旨在评估 通过评估药物依从性的发展差异， 儿童对疾病的发展概念的相互影响， 哮喘管理的责任程度在预测依从性方面 哮喘治疗方案，并评估哮喘自我效能的作用， 从发展概念预测哮喘依从性的一种中介物 疾病和哮喘管理的责任程度。 100名10-18岁的哮喘儿童和青少年将在 访谈以评估他们对疾病的发展概念。 每个孩子 参与者和父母将完成有关哮喘的问卷 自我效能、处方药物治疗方案和儿童对 哮喘任务 儿童将参加为期2个月的依从性评估 其中MDI记时装置附接到其常规MDI 吸入器。 预计：1）疾病的发展概念将 与儿童对哮喘护理的责任程度相互作用， 预测对吸入药物的依从性，以及2） 发育性疾病概念、哮喘责任和对 哮喘自我效能感是吸入性药物治疗的中介。 技术 多元回归将用于检查变量之间的关系。 它 预计拟议的研究将进一步建立 制定适当的哮喘护理指南，并开始确定 在儿童发展的关键时期， 儿童哮喘的干预。

DESCRIPTION (Adapted from applicant's abstract): The present small grant application proposes an investigation of developmental aspects of adherence to pediatric asthma regimens, in order to identify psychological factors pertinent to asthma adherence and ultimately allow the design of developmentally appropriate interventions for improved adherence. Research in childhood chronic illness has indicated that adherence often decreases with age, although few studies have investigated the process that may account for this phenomenon. The present study proposes to assess developmental differences in medication adherence by assessing the interactive effects of the child's developmental concepts of illness and degree of responsibility for asthma management in predicting adherence to asthma regimens, and to evaluate the role of asthma self-efficacy as a mediator in the prediction of asthma adherence from developmental concepts of illness and degree of responsibility for asthma management. One hundred children and adolescents with asthma, aged 10-18, will be interviewed to assess their developmental concepts of illness. Each child participant and a parent will complete questionnaires regarding asthma self-efficacy, prescribed medication regimen, and child responsibility for asthma tasks. Children will participate in a 2-month adherence assessment in which an MDI chronolog device is attached to their regular MDI inhaler(s). It is expected that: 1) developmental concepts of illness will interact with the child's degree of responsibility for asthma care to predict adherence to inhaled medications, and 2) the relationship between developmental illness concepts, asthma responsibility, and adherence to inhaled medications will ge mediated by asthma self-efficacy. Techniques of Multiple Regression will be used to examine relations between variables. It is expected that the proposed study will further the establishment of appropriate developmental guidelines for asthma care, and begin to identify critical periods in child development for increased education and intervention in pediatric asthma.