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The Influence of Parental Supervision on Medical Adherence in Adolescents With Cystic Fibrosis: Developmental Shifts From Pre to Late Adolescence

Children s Health CarePublished 14 February 2008
Avani C. Modi, Kristen K. Marciel, Shalonda K. Slater, Dennis Drotar, Alexandra L. Quittner
Citations126
SJR quartileQ3
SJR score0.34
SNIP0.44

TL;DR

Preadolescents and adolescents who spent more of their treatment time supervised by parents, particularly mothers, had better adherence and age was strongly related to amount of supervision, with less supervision provided for older adolescents.

Abstract

Previous research suggests that both parental supervision and adherence decrease in adolescence, as the drive for independence and autonomy emerge naturally during this developmental period. The current study evaluated relationships between patient-reported parental supervision and adherence in 103 preadolescents and adolescents with cystic fibrosis (CF). Activity patterns (medical and nonmedical) were measured using the daily phone diary (DPD) and adherence to nebulized medications was measured electronically. Age was strongly related to amount of supervision, with less supervision provided for older adolescents. Further, preadolescents and adolescents who spent more of their treatment time supervised by parents, particularly mothers, had better adherence.

Keywords

PsychologyMedicineHealth Professions