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26.04.2016 | Original Research | Ausgabe 4/2016

Translational Behavioral Medicine 4/2016

Exploring the theoretical pathways through which asthma app features can promote adolescent self-management

Zeitschrift:
Translational Behavioral Medicine > Ausgabe 4/2016
Autoren:
PhD, MSPH Delesha M. Carpenter, PhD, MSPH Lorie L. Geryk, MA Adam Sage, MSPH Courtney Arrindell, PhD Betsy L. Sleath
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1007/​s13142-016-0402-z) contains supplementary material, which is available to authorized users.

Implications

Practice: Health care providers should consider recommending apps as self-management tools for adolescents with asthma since apps can enhance adolescents’ self-management behaviors through increased self-observation, self-judgment, and self-efficacy.
Policy : Newly developed apps should be targeted to adolescents and adhere to evidence-based asthma guidelines.
Research : Large-scale trials with a representative sample of adolescents with asthma should be conducted to evaluate whether apps increase self-management behaviors sufficiently in order to positively influence clinical outcomes.

Abstract

Asthma apps often lack strong theoretical underpinnings. We describe how specific features of asthma apps influenced adolescents’ self-observation, self-judgment, and self-reactions, which are key constructs of Self-Regulation Theory (SRT). Adolescents (ages 12–16) with persistent asthma (n = 20) used two asthma self-management apps over a 1-week period. During semi-structured interviews, participants identified their asthma goals and the app features that best promoted self-observation, self-judgment, and fostered positive self-reactions. Interviews were digitally recorded, transcribed verbatim, and analyzed thematically using MAXQDA. Adolescents’ goals were to reduce the impact of asthma on their lives. Adolescents reported that self-check quizzes, reminders, and charting features increased their ability to self-observe and self-judge their asthma, which, in turn, helped them feel more confident they could manage their asthma independently and keep their asthma well-controlled. Asthma apps can positively influence adolescents’ self-management behaviors via increased self-observation, self-judgment, and increased self-efficacy.

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