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Exploring Barriers to Medication Adherence Among African American Emerging Adults With Uncontrolled Asthma

Bibliographic Data

ID21650931
AuthorsKaren MacDonell (0000-0001-8916-624X, Wayne State University, Detroit, MI, USA, corresponding author), Rhonda Dailey (Wayne State University, Detroit, MI, USA), Wanda Gibson-Scipio (0000-0001-6862-132X, Wayne State University, Detroit, MI, USA), Bo Wang (0000-0002-0290-2134, University of Massachusetts, Amherst, MA, USA), Veronica Dinaj-Koci (0000-0001-8884-853X, Wayne State University, Detroit, MI, USA), Jean-Marie Bruzzese (Columbia University, New York, NY, USA), Jean‐Marie Bruzzese (0000-0002-1866-488X, Columbia University)
Year2023
Volume50
Issue1
Pages131-135
Publication date2023-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Education & Behavior (JOURNAL)
Journal identifiersISSN: 1090-1981 • E-ISSN: 1552-6127
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/10901981211001345
PMID33813923
OpenAlexW3147151216
LanguageEN
References cited13

African American emerging adults (age 18–29 years) tend to have poor asthma outcomes, possibly due to poor adherence to medication. Few studies have explored barriers to controller adherence in this population. This study utilized electronic daily diaries to assess barriers to adherence and asthma symptoms among 141 African American emerging adults with uncontrolled persistent asthma and poor adherence. Participants reported symptoms M = 3.43 days (of 7 days). They reported unintentional (e.g., forgetting) and intentional (e.g., choosing not to take) barriers to adherence, but forgetting, being too busy, and sleeping through a dose were the most common. Significant correlations were found between symptoms and barriers, as well as asthma control and medication adherence in the expected directions. Asthma symptoms and number of barriers were significant predictors of asthma control. Existing intervention strategies such as text-messaging may prove effective to address these barriers, but measuring and addressing adherence remains complex

African american · Asthma · Asthma medication · Environmental health · Family medicine · Forgetting · Medication adherence · Population · Psychiatry · Asthma and respiratory diseases · Behavioral Health and Interventions · Child and Adolescent Psychosocial and Emotional Development · Medicine · Psychology · Internal Medicine

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    Open Access•Robert A Nathan, Christine A Sorkness et al.•Journal of Allergy and Clinical…•2004

  • African American Emerging Adults’ Perspectives on Taking Asthma Controller Medication

    Open Access•Karen MacDonell, Karen Kolmodin MacDonell et al.•Journal of Adolescent Research•2014

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    C Michael Brooks, James M Richards et al.•Medical Care•1994

Citation velocityhistorical
Highly citedNo

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