title: Enabling and hindering factors influencing adherence to asthma treatment among adolescents: A systematic literature review.
abstract: OBJECTIVE
  The aim of this systematic literature review is to study the enabling and hindering factors influencing adherence to asthma treatment among adolescents. Furthermore, it explores the role of caregivers and the healthcare provider in terms of supporting adolescents to manage and live with asthma.
  
  
  METHODS
  The literature review was conducted using the MeSH terms asthma, adherence, health literacy, behavior, adolescents, tools, healthcare provider, caregiver, peer influence, self-management, quality of life, morbidity and mortality in PubMed, PsycInfo, MEDLINE and CINAHL.
  
  
  METHODS
  The literature search resulted in 652 articles of which 304 were screened based on title and abstracts. Ninety-one of the screened articles were then selected for full-text assessment resulting in 42 articles for in-depth analysis.
  
  
  RESULTS
  The literature review identified nine enabling and hindering factors relevant for adherence to asthma treatment among adolescents: behavior, belief, self-management, health literacy, role of health provider, assessment of adherence, role of caregiver, role of peers and the national asthma guidelines.
  
  
  CONCLUSIONS
  Working with this particular age group is complex and further research in understanding adolescent's behavior, motives, beliefs and perceptions towards adherence to asthma treatment is required to guide them towards better self-management and acceptance of their condition.
authors.affiliation: a Department of International Health , CAPHRI, Faculty of Health Medicine and Life Science, Maastricht University , Maastricht , The Netherlands.
authors.forename: Anam
authors.initials: A
authors.lastname: Ahmad
authors.affiliation: a Department of International Health , CAPHRI, Faculty of Health Medicine and Life Science, Maastricht University , Maastricht , The Netherlands.
authors.forename: Kristine
authors.initials: K
authors.lastname: Sorensen
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000188:drug therapy*; D017028:Caregivers; D003469:Culture; D015438:Health Behavior; D057220:Health Literacy; D006801:Humans; D055118:Medication Adherence; D010819:Physician's Role; D012648:Self Care; D012944:Social Support
keywords: Behavior; assessment; beliefs; caregiver; guidelines; health literacy; health provider; peers; personality; self-management