Symptoms, feelings, activities and medication use in adolescents with uncontrolled asthma: lessons learned from asthma diaries

J Pediatr Nurs. 2014 Jan-Feb;29(1):39-46. doi: 10.1016/j.pedn.2013.04.009. Epub 2013 May 15.

Abstract

This study was to describe symptoms, feelings, activities and medication use reported by adolescents with uncontrolled asthma on their 24-hour asthma diaries. Adolescents with uncontrolled asthma (13-17 years, N=29) completed asthma diaries and audio-recorded symptom sounds for 24 hours. A variety of symptoms were reported, and the most frequently reported symptoms were coughing followed by wheezing. Most self-reported coughing and wheezing were verified by audio-recordings. Participants reported predominantly negative feelings and low levels of activities. High discordance between self-reports and medical records in medications was noted, raising a concern of poor treatment adherence in this vulnerable group.

Keywords: Activity; Adolescents; Emotional response; Medication adherence; Symptoms; Uncontrolled asthma.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Asthma* / diagnosis
  • Asthma* / drug therapy
  • Asthma* / psychology
  • Cross-Sectional Studies
  • Emotions
  • Female
  • Humans
  • Male
  • Medical Records*
  • Patient Compliance