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. 2012 Dec;25(4):180-189.
doi: 10.1089/ped.2012.0150.

Adolescent Asthma Self-Management: A Concept Analysis and Operational Definition

Jennifer Mammen  1 , Hyekyun Rhee
Affiliations

Adolescent Asthma Self-Management: A Concept Analysis and Operational Definition

Jennifer Mammen et al. Pediatr Allergy Immunol Pulmonol. 2012 Dec.

Abstract

BACKGROUND: Adolescents with asthma have a higher risk of morbidity and mortality than other age groups. Asthma self-management has been shown to improve outcomes; however, the concept of asthma self-management is not explicitly defined. METHODS: We use the Norris method of concept clarification to delineate what constitutes the concept of asthma self-management in adolescents. Five databases were searched to identify components of the concept of adolescent asthma self-management, and lists of relevant subconcepts were compiled and categorized. RESULTS: Analysis revealed 4 specific domains of self-management behaviors: (1) symptom prevention; (2) symptom monitoring; (3) acute symptom management; and (4) communication with important others. These domains of self-management were mediated by intrapersonal/cognitive and interpersonal/contextual factors. CONCLUSIONS: Based on the analysis, we offer a research-based operational definition for adolescent asthma self-management and a preliminary model that can serve as a conceptual base for further research.

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FIG. 1.
FIG. 1.
Search results for adolescent asthma self-management.
FIG. 2.
FIG. 2.
Model of adolescent asthma self-management.
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