Predictors of adherence to controller medication in urban African American emerging adults with uncontrolled persistent asthma.
| Autor: | Kolmodin MacDonell K; Department of Behavioral Sciences and Social Medicine, Center for Translational Behavioral Science, College of Medicine, Florida State University, Tallahassee, FL, USA., Bruzzese JM; School of Nursing, Columbia University, New York, NY, USA., Dinaj-Koci V; College of Nursing, Wayne State University, Detroit, MI, USA., Gibson-Scipio W; College of Nursing, Wayne State University, Detroit, MI, USA., Starbird W; College of Medicine, Central Michigan University, Mt Pleasant, MI, USA., Hall A; College of Nursing, Wayne State University, Detroit, MI, USA., Dailey R; School of Medicine, Wayne State University, Detroit, MI, USA., Jacques-Tiura AJ; School of Medicine, Wayne State University, Detroit, MI, USA., Wang B; Chan School of Medicine, University of Massachusetts, Worcester, MA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of asthma : official journal of the Association for the Care of Asthma [J Asthma] 2023 Oct; Vol. 60 (10), pp. 1877-1884. Date of Electronic Publication: 2023 Apr 23. |
| DOI: | 10.1080/02770903.2023.2196566 |
| Abstrakt: | Background: African American emerging adults tend to have low adherence to asthma controller medication, as well as a disproportionate burden of asthma morbidity and mortality. This study explored constructs from the Information-Motivation-Behavioral Skills model as predictors of controller medication adherence in urban African Americans ages 18-29 ( N =152) with uncontrolled asthma using multiple measures of self-reported adherence. Methods: Structural equation modeling (SEM) was employed to test the hypothesized mediation model that specified the relationship among psychological distress, substance use, asthma knowledge, motivation, self-efficacy, and adherence. Results: Results suggested that motivation is an important predictor of adherence to medication; moreover, higher self-efficacy was associated with higher motivation. Results also highlighted psychological distress as an important intervention target to improve medication adherence in emerging adults. Conclusions: The model tested in this study may offer a feasible framework for beginning to understand adherence to controller medication in this population. |
| Databáze: | MEDLINE |
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