The influence of parental supervision on medical adherence in adolescents with cystic fibrosis: Developmental shifts from pre to late adolescence

Avani C. Modi, Kristen K. Marciel, Shalonda K. Slater, Dennis Drotar, Alexandra L. Quittner

Research output: Contribution to journalArticle

76 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)78-92
Number of pages15
JournalChildren's Health Care
Volume37
Issue number1
DOIs
StatePublished - Jan 1 2008

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Clinical Psychology

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