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Learning Objective 1: identify specific variables as protective factors associated with resilience among adolescents with asthma.
Learning Objective 2: identify resilience as a phenomenon that contributes to positive health outcomes in adolescents with asthma.
The purpose of this proposed study is to investigate risk factors (asthma severity, socioeconomic status, psychological well-being, and neighborhood disadvantage) and protective factors (locus of control, self-esteem, academic achievement, and external support) as they relate to positive health outcomes in adolescents with asthma, as markers or outcomes of resilience. Theoretical Rationale
Resilience is defined as the ability of individuals to withstand and rise above adversity, despite reasons to expect otherwise. Implied within this definition are two cardinal tenets (a) exposure to significant adversity or risk, and (b) positive adaptation or outcome. Resilience emerges from processes involving protective factors that positively influence a person’s response or adaptation in the presence of risk. Resilience results from the exposure to risk, not from the avoidance of risk. Participants
The target population is high school students (ages 14 to 18 years) diagnosed with asthma recruited from a low-income metropolitan area in the Midwest Method
Students will complete a survey booklet, which includes instruments measuring: self-esteem, locus of control, academic achievement, social support, mood, their neighborhood, quality of life, asthma control, and sociodemographic information, including asthma severity. The hypotheses of the study will be addressed by conducting a series of hierarchical regression analyses. Each analysis will test the separate contributions of each proposed risk factor, each proposed protective factor, and the moderating role of each proposed protective factor in their association with the risk factor and asthma control and quality of life. Results
Higher levels of each of the protective factors will be associated with positive asthma outcomes. Each of the protective factors will moderate the relationship between the risk factor and asthma-resilient outcomes. Conclusion
A resilience model may be used to make empirical gains that can meaningfully inform clinical interventions to minimize asthma morbidity for adolescents with asthma.
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