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Developing the Adolescent Asthma Self-Management Behavioral Framework: Centering Adolescent Autonomy in Theory and
Elif Isik1, Jean-Marie Bruzzese
1Author Affiliations: Nelda C. Stark College of Nursing; Texas Woman's University, Houston, Texas (Dr Isik); and Columbia University School of Nursing, New York, New York (Dr Bruzzese).
ANS. Advances in Nursing Science
|January 5, 2026
Summary
Adolescents with asthma need support for self-management due to poor control. A new framework focuses on autonomy and developmental needs for better asthma care.
Area of Science:
- Pediatric Pulmonology
- Adolescent Health
- Behavioral Science
Background:
- Asthma is common in adolescents, with many struggling to manage it effectively.
- Adolescents require independence in asthma self-management but often lack skills and knowledge.
- Current family-centered approaches may not address adolescent developmental needs.
Purpose of the Study:
- Introduce a new framework for adolescent asthma self-management.
- Emphasize cognitive, behavioral, and emotional autonomy in adolescents.
- Provide a developmentally appropriate, autonomy-supportive approach to asthma care.
Main Methods:
- Conceptual framework development.
- Literature review on adolescent development and asthma self-management.
- Integration of autonomy-supportive principles.
Main Results:
- The Adolescent Asthma Self-Management Behavioral Framework is proposed.
- The framework highlights the importance of autonomy within social and developmental contexts.
- Identifies gaps in current approaches to adolescent asthma self-management.
Conclusions:
- The new framework addresses limitations in existing models.
- It promotes autonomy-supportive and contextually relevant asthma self-management strategies.
- Aims to improve clinical practice and guide future research for adolescents with asthma.
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