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Barriers and facilitators to self-management of asthma in adolescents: an interview study to inform development of a novel intervention

Barriers and facilitators to self-management of asthma in adolescents: an interview study to inform development of a novel intervention
Barriers and facilitators to self-management of asthma in adolescents: an interview study to inform development of a novel intervention
Background and Objective

Despite literature that spans twenty years describing the barriers to asthma self‐management in adolescents, successful, clinically based interventions to address this important issue are lacking. Given the limitations of some of the previous studies, we conducted a study that aimed to gain a broader insight into barriers and facilitators to self‐management of asthma by adolescents, not just adherence to treatment, and triangulated their views with those of their parents and healthcare professionals.

Methods

Focus groups and interviews were conducted separately for 28 adolescents with asthma aged 12‐18 years, 14 healthcare professionals and 12 parents. Focus groups and interviews were audio‐recorded, and transcripts from each participant group were analysed separately using inductive thematic analysis. We triangulated the three perspectives by comparing themes that had emerged from each analysis.

Results

Adolescents', parents' and healthcare professionals' views were summarized into ten related themes that included forgetting and routines, knowledge, embarrassment and confidence, communication with healthcare professionals, triggers, support at school, apathy and taking responsibility. We found that adolescents, parents and healthcare professionals raised similar barriers and facilitators to self‐management and our results provide further validation for previous studies.

Conclusion and Clinical Relevance

Our study highlights that healthcare professionals may need to consider a range of psychological and contextual issues influencing adolescents' ability to effectively self‐manage their asthma, in particular, how they implement treatment routines and the understanding that adolescents have of their condition and treatments. Crucially, healthcare professionals need to consider how this information is communicated and ensure they facilitate open, inclusive, two‐way consultations. From this more comprehensive understanding, we have developed interventional strategies that healthcare professionals can utilize to empower adolescents to improve their asthma self‐management.
0954-7894
944-956
Holley, Simone
31ab5e55-d038-4397-a257-687371f945ae
Walker, Dawn
5d4c78b7-4411-493e-8844-b64efc72a1e8
Knibb, Rebecca
ecf7d254-dfd6-4048-b274-6719b71ef410
Latter, Sue
83f100a4-95ec-4f2e-99a5-186095de2f3b
Liossi, Christina
fd401ad6-581a-4a31-a60b-f8671ffd3558
Mitchell, Frances
fb4be2d3-544e-49ce-912e-c5f0f9553a01
Radley, Ruth
b0f191b2-5392-4ca9-a9e4-71de2fd8794f
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Holley, Simone
31ab5e55-d038-4397-a257-687371f945ae
Walker, Dawn
5d4c78b7-4411-493e-8844-b64efc72a1e8
Knibb, Rebecca
ecf7d254-dfd6-4048-b274-6719b71ef410
Latter, Sue
83f100a4-95ec-4f2e-99a5-186095de2f3b
Liossi, Christina
fd401ad6-581a-4a31-a60b-f8671ffd3558
Mitchell, Frances
fb4be2d3-544e-49ce-912e-c5f0f9553a01
Radley, Ruth
b0f191b2-5392-4ca9-a9e4-71de2fd8794f
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3

Holley, Simone, Walker, Dawn, Knibb, Rebecca, Latter, Sue, Liossi, Christina, Mitchell, Frances, Radley, Ruth and Roberts, Graham (2018) Barriers and facilitators to self-management of asthma in adolescents: an interview study to inform development of a novel intervention. Clinical & Experimental Allergy, 48 (8), 944-956. (doi:10.1111/cea.13141).

Record type: Article

Abstract

Background and Objective

Despite literature that spans twenty years describing the barriers to asthma self‐management in adolescents, successful, clinically based interventions to address this important issue are lacking. Given the limitations of some of the previous studies, we conducted a study that aimed to gain a broader insight into barriers and facilitators to self‐management of asthma by adolescents, not just adherence to treatment, and triangulated their views with those of their parents and healthcare professionals.

Methods

Focus groups and interviews were conducted separately for 28 adolescents with asthma aged 12‐18 years, 14 healthcare professionals and 12 parents. Focus groups and interviews were audio‐recorded, and transcripts from each participant group were analysed separately using inductive thematic analysis. We triangulated the three perspectives by comparing themes that had emerged from each analysis.

Results

Adolescents', parents' and healthcare professionals' views were summarized into ten related themes that included forgetting and routines, knowledge, embarrassment and confidence, communication with healthcare professionals, triggers, support at school, apathy and taking responsibility. We found that adolescents, parents and healthcare professionals raised similar barriers and facilitators to self‐management and our results provide further validation for previous studies.

Conclusion and Clinical Relevance

Our study highlights that healthcare professionals may need to consider a range of psychological and contextual issues influencing adolescents' ability to effectively self‐manage their asthma, in particular, how they implement treatment routines and the understanding that adolescents have of their condition and treatments. Crucially, healthcare professionals need to consider how this information is communicated and ensure they facilitate open, inclusive, two‐way consultations. From this more comprehensive understanding, we have developed interventional strategies that healthcare professionals can utilize to empower adolescents to improve their asthma self‐management.

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More information

Accepted/In Press date: 9 February 2018
e-pub ahead of print date: 23 March 2018
Published date: 1 August 2018

Identifiers

Local EPrints ID: 418289
URI: http://eprints.soton.ac.uk/id/eprint/418289
ISSN: 0954-7894
PURE UUID: 2678469d-d842-40e1-887f-462f36ed1162
ORCID for Simone Holley: ORCID iD orcid.org/0000-0003-4631-2862
ORCID for Dawn Walker: ORCID iD orcid.org/0000-0003-2135-1363
ORCID for Sue Latter: ORCID iD orcid.org/0000-0003-0973-0512
ORCID for Christina Liossi: ORCID iD orcid.org/0000-0003-0627-6377
ORCID for Graham Roberts: ORCID iD orcid.org/0000-0003-2252-1248

Catalogue record

Date deposited: 27 Feb 2018 17:30
Last modified: 18 Feb 2021 17:24

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Contributors

Author: Simone Holley ORCID iD
Author: Dawn Walker ORCID iD
Author: Rebecca Knibb
Author: Sue Latter ORCID iD
Author: Frances Mitchell
Author: Ruth Radley
Author: Graham Roberts ORCID iD

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