title: Supporting cystic fibrosis disease management during adolescence: the role of family and friends.
abstract: BACKGROUND
  Successful management of a complex disease, such as cystic fibrosis (CF), requires support from family and friends; however, few studies have examined social support in adolescents with CF.
  
  
  METHODS
  Twenty-four adolescents were interviewed about the support they receive from family and friends. Interviews were transcribed, coded and analysed to determine the types, frequency and perceived supportiveness of specific behaviours.
  
  
  RESULTS
  Both family and friends provided treatment-related support to adolescents with CF. Family provided more tangible support and friends provided more relational support. Adolescents also reported that the manner, timing and context of support behaviours influenced their perceptions of the behaviours' supportiveness. A subset of adolescents (17%) chose not to disclose their diagnosis to their friends.
  
  
  CONCLUSIONS
  The provision of support appears to be distinct from adolescent's perception of support and there may be some behaviours, such as treatment reminders, that are important to disease management but viewed as less supportive by adolescents. Facilitating increased social support holds the promise of improving disease management during adolescents, but more work is need to understand which aspects of support are related to management outcomes.
authors.affiliation: Brown University, The Bradley Hasbro Children’s Research Center, Providence, RI 02903, USA. david_barker@brown.edu
authors.forename: D H
authors.initials: DH
authors.lastname: Barker
authors.forename: K A
authors.initials: KA
authors.lastname: Driscoll
authors.forename: A C
authors.initials: AC
authors.lastname: Modi
authors.forename: M J
authors.initials: MJ
authors.lastname: Light
authors.forename: A L
authors.initials: AL
authors.lastname: Quittner
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001294:Attitude to Health; D002648:Child; D003550:Cystic Fibrosis / Q000523:psychology / Q000534:rehabilitation*; D019468:Disease Management; D005190:Family / Q000523:psychology*; D005260:Female; D033062:Friends / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D012944:Social Support