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Factors Affecting Treatment Regimen Adherence in Children and Adolescents with Asthma

McCants, Kellie Michele
http://rave.ohiolink.edu/etdc/view?acc_num=osu1041866923

Abstract Details

2003, Doctor of Philosophy, Ohio State University, Psychology.
Treatment regimen adherence is a well-documented problem in pediatric psychology. The literature is replete with studies indicating that adherence in pediatric chronic illnesses is significantly correlated with several family- and child-related psychosocial variables. The current work proposed and tested a model of treatment regimen adherence (as defined as prescription refill rate with physiological outcome as a covariate) for children and adolescents with asthma. The results suggest that although none of the proposed model variables (attention deficit-related behavior, secondary gain, family life stress, and child-reported illness attitudes) is a significant predictor of adherence, secondary gain does moderate the relationship between asthma severity and adherence (with peak flow as a covariate). More specifically, a significant positive correlation between severity and adherence exists only when secondary gain is low; otherwise, the correlation is non-significant. The optimal linear combination of participant age, secondary gain, child-reported illness attitudes, family stress, and attention-related behavior problems is not a significant predictor of prescription refill rate when physiological outcome is covaried from refill rate. This finding is consistent with the notion that outcome is in some way related to adherence and should not be considered a nuisance or control variable.
Thomas Linscheid (Advisor)
150 p.
Psychology, Clinical
adherence; asthma; secondary gain; family stress; compliance; pediatric psychology

Recommended Citations

Citations

  • McCants, K. M. (2003). Factors Affecting Treatment Regimen Adherence in Children and Adolescents with Asthma [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1041866923

    APA Style (7th edition)

  • McCants, Kellie. Factors Affecting Treatment Regimen Adherence in Children and Adolescents with Asthma. 2003. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1041866923.

    MLA Style (8th edition)

  • McCants, Kellie. "Factors Affecting Treatment Regimen Adherence in Children and Adolescents with Asthma." Doctoral dissertation, Ohio State University, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=osu1041866923

    Chicago Manual of Style (17th edition)

osu1041866923
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© 2003, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.