Purpose

The aim of this study is to assess factors that influence adolescent asthma responsibility and how patient- and parent-reported asthma responsibility changes over a 12-month period.

Methods

One hundred sixty-four adolescents and their parents completed questionnaires at baseline and 12 months, including the asthma responsibility questionnaire, in which higher scores indicate greater adolescent responsibility. Multiple linear regression was used to assess how baseline asthma responsibility, self-efficacy, outcome expectations, and demographic characteristics were associated with 12-month asthma responsibility.

Results

Asthma responsibility as reported by both adolescents and parents shifted significantly toward the adolescent over the study period (p < .001). Most individual scale items (e.g., noticing signs and symptoms of asthma, starting treatment when symptoms occur) also showed significant shifts toward greater adolescent responsibility. In the regression models, higher baseline asthma responsibility and older age were significant predictors of both higher adolescent- and parent-reported 12-month asthma responsibility, while female gender and mild asthma severity also predicted higher parent-reported asthma responsibility.

Conclusions

Asthma responsibility shifted toward adolescents over a 12-month period. Regardless of age and gender, all types of adolescents were able to improve their responsibility level based on adolescent-reported results. Older females, according to parent-reported results, were more likely to improve their responsibility. Providers need to make sure adolescents are learning all the necessary skills to manage asthma independently before they reach adulthood.

中文翻译：

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12 个月研究期间青少年哮喘责任的趋势

目的

本研究的目的是评估影响青少年哮喘责任的因素，以及患者和家长报告的哮喘责任在 12 个月内如何变化。

方法

164 名青少年及其父母在基线和 12 个月时完成了问卷调查，包括哮喘责任问卷，其中得分越高表明青少年责任越大。多元线性回归用于评估基线哮喘责任、自我效能、结果预期和人口统计学特征与 12 个月哮喘责任的相关性。

结果

在研究期间，青少年和父母报告的哮喘责任显着转移到青少年身上（p < .001）。大多数单独的量表项目（例如，注意到哮喘的体征和症状，出现症状时开始治疗）也显示出向更大的青少年责任重大转变。在回归模型中，较高的基线哮喘责任和年龄是较高的青少年和父母报告的 12 个月哮喘责任的显着预测因子，而女性和轻度哮喘严重程度也预测较高的父母报告的哮喘责任。

结论

在 12 个月的时间里，哮喘的责任转移到了青少年身上。无论年龄和性别，所有类型的青少年都能够根据青少年报告的结果提高他们的责任水平。根据家长报告的结果，年龄较大的女性更有可能提高她们的责任感。提供者需要确保青少年在成年之前学习所有必要的技能来独立管理哮喘。