Understanding of Asthma Management: Adolescence

Understanding of Asthma Management: AdolescenceParents viewed their medical provider as their main source for asthma education. Some caregivers believed they needed asthma education beyond that provided by their physician, while others believed the physician and staff were in greater need of the asthma education. Several caregivers were very satisfied with the level of support and coordination of asthma care in the physician’s office. Successful medical provider approaches were multidisciplinary, including a physician staff team approach to the delivery of asthma care and education. so
As “she got older she came to me, she said ‘Mom, I’m tired of taking all this medicine. It’s nasty, I’m just tired’. And we went through a phase where she was half taking her medications.” An unanticipated issue that surfaced from parents was the need for support and age-appropriate asthma education for teenaged children. Caregivers reported a change in their ability to properly manage their child’s asthma during this transition from adolescent to teen. In younger children, parents were better able to oversee activities, adhere to medication schedules, and avoid exposure to environmental triggers. We found that with teenage children the impact of peer pressure and the need for belonging was not only evident but directly impacted the child’s adherence to their asthma management. The feelings of invincibility and embarrassment experienced by teenagers toward their asthma care routines were difficult for parent’s to penetrate even when the child fully comprehended the severity of their disease.
Several parents stated their teenaged child had experienced with or started smoking. They wanted medical input to deter such behavior that would worsen their child’s asthma. This domain requires further qualitative and quantitative exploration with parents/caregivers and teenagers.
Parents in these focus groups of Medicaid-insured children with asthma, conveyed profound concern about the health of their children, but frequently felt unable to control or manage all circumstances that affected their child’s asthma. The role of the caregiver’s “feelings” or self-efficacy, the belief in one’s ability to successfully perform a task/behavior, appeared to directly influence management of the child’s asthma and reduce its impact on daily life. Self-efficacy impacts behavior and motivation necessary for managing a child’s asthma and care.

This entry was posted in Asthma and tagged , , , .