Developing the Adolescent Asthma Self-Management Behavioral Framework: Centering Adolescent Autonomy in Theory and...

Asthma remains highly prevalent among adolescents, many of whom experience poor control despite medical advances. Adolescents are often expected to manage their asthma independently, yet may lack the necessary knowledge, skills, and autonomy. Existing family-centered frameworks frequently overlook their developmental needs. This paper introduces the Adolescent Asthma Self-Management Behavioral Framework, which emphasizes cognitive, behavioral, and emotional autonomy within social and developmental contexts. By addressing these gaps, the framework can advance clinical practice and guide future research toward developmentally appropriate, autonomy-supportive, and contextually relevant approaches to adolescent asthma self-management.