Asthma education: the adolescent experience

被引:89
作者
Bruzzese, JM
Bonner, S
Vincent, EJ
Sheares, BJ
Mellins, RB
Levison, MJ
Wiesemann, S
Du, YL
Zimmerman, BJ
Evans, D
机构
[1] NYU, Ctr Child Study, New York, NY 10016 USA
[2] New York Acad Med, Ctr Urban Epidemiol Studies, New York, NY USA
[3] Columbia Univ Coll Phys & Surg, New York, NY 10032 USA
[4] New York City Dept Hlth & Mental Hyg, New York, NY USA
[5] CUNY, Grad Ctr, New York, NY USA
关键词
asthma; adolescents; education; intervention; self-regulation;
D O I
10.1016/j.pec.2003.04.009
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Recent studies show that prevalence of asthma is higher among adolescents than children. Adolescents have poor asthma self-management skills resulting in a significant increase in the severity of asthma exacerbations and a reduction in their quality of life. Despite this, few self-management programs have been developed for adolescents. Adolescents experience developmental transitions that both hinder and facilitate asthma self-management. In this paper we discuss developmental transitions in cognition, knowledge, autonomy, identity development, and peer relations in terms of their influence on adolescents' management of asthma. Next, we describe the Asthma Self-Management for Adolescents (ASMA) program that incorporates developmental characteristics into an age-appropriate school-based asthma education program. Preliminary data is presented indicating that the program is successful in enrolling and engaging the interest of adolescents with persistent asthma. (C) 2004 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:396 / 406
页数:11
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