Practicalities
Treatment capability and resources | Practicalities
Treatment capability and resources |
Poor inhaler technique (reliever) Forgetfulness to take medication (preventer) Difficulty managing practicalities (eg, requesting and collecting repeat prescriptions) (preventer and reliever) Lack of parents’ involvement (preventer and reliever) Characteristics of inhalers and involvement of adolescent in choosing a device (eg, MDI vs turbohaler) (preventer and reliever) Asthma treatment cost and prescription exemption certificate bureaucracy (preventer and reliever)
| Parental or adolescents ‘self-structuring of daily routines to improve medication use’ (eg, inhaler taking chart) (preventer) Directly observed treatment by parent (preventer) Regular checks of inhaler taking technique (preventer and reliever) Finding the most suitable inhaler type (preventer and reliever) Peer-to-peer practical information and support from the online forum (preventer and reliever)
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Perceptions
Treatment necessity and concerns | Perceptions
Treatment necessity and concerns |
Necessity beliefs
Illness and treatment representation in adolescents (eg, understanding of asthma as episodic rather than chronic condition, concerns about the personal needs for regular inhalers) (preventer and reliever)
ConcernsSuffering side effects of treatment (eg, weight gain, spots, hand tremor) (preventer) Social representation of asthma and inhaler treatment (eg, embarrassment of taking inhaler because of asthma stigma; people’s reactions to inhaler taking, missing out on social life) (preventer and reliever) Public ignorance of asthma and need of regular inhaler treatment (preventer and reliever)
| Necessity beliefs
Learning a lesson from experiencing consequences of poor adherence to asthma treatment (eg, realising that it is better taking preventer inhalers than missing fun activities because of asthma, through parents’ advice, self-reflection or self-monitoring) (preventer) Online resources to learn about asthma (preventer and reliever)
ConcernsSelf-management of side effects (eg, food diary to monitor weight gain) (preventer) Advice/techniques to dealing with people’s reactions and inhaler taking stigma (preventer and reliever) Feeling ambassadors for improving public knowledge of asthma and inhaled treatment (preventer and reliever) Peer support effect of online forum (preventer and reliever) De-stressing oneself/stress management strategies (preventer and reliever) Positive thinking (eg, concentrating on what one can do) (preventer and reliever)
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