Assessment of the relationship between self-efficacy level and asthma control in adolescents

İsmail Çifçi; Feride Gülcüler; Rıza Yıldırım; Tuba Tuncel; Umut Gök

doi:10.38053/acmj.1955877

Assessment of the relationship between self-efficacy level and asthma control in adolescents

Abstract

Aims: This study aims to evaluate the relationship between asthma self-efficacy levels and asthma control in adolescents aged 12-18 with physician-diagnosed asthma. Additionally, factors associated with asthma control status were examined. Methods: In this cross-sectional analytical study, 108 adolescents aged 12-18 years with at least one year of physician-diagnosed asthma were included. Data were collected using a sociodemographic and clinical information form, the Asthma Control Test (ACT), and the Adolescent Asthma Self-Efficacy Questionnaire (AASEQ). Those with an ACT score of 19 or lower were classified as not having well-controlled asthma, while those with an ACT score of 20 or higher were classified as having well-controlled asthma. Descriptive statistics, group comparisons, correlation analysis, and simple linear regression analysis were used for data analysis. A p-value of <0.05 was considered statistically significant. Results: The average age of the participants was 13.9±2.18 years, and 60.2% were male. The mean total ACT score was 18.53±4.93, and 50% of adolescents were in the not well-controlled asthma group (≤19 points). Among adolescents with not well-controlled asthma, emergency department visits due to asthma attacks (p=0.005), hospitalizations related to asthma (p=0.029), and the negative impact of asthma on school/work performance (p=0.006) were significantly higher. The mean total score of the AASEQ was 89.91±10.27. In adolescents with not well-controlled asthma, scores on the medication treatment, symptom management, and asthma beliefs subscales, as well as the overall self-efficacy score, were statistically significantly lower. A moderate, positive, significant correlation was found between the total AASEQ score and the total ACT score (r=0.429; p<0.001). Conclusion: Not well-controlled asthma is common among adolescents and appears to be associated with increased healthcare utilization and negative impacts on school/work performance. Low asthma self-efficacy, particularly in areas such as medication adherence, symptom management, and beliefs about asthma, was found to be related to lower levels of asthma control. Therefore, in adolescent asthma follow-up, it may be clinically beneficial to consider not only symptom-based control assessments but also asthma self-efficacy. To better understand the direction and clinical significance of the relationship between asthma self-efficacy and asthma control, prospective and intervention-based studies are needed.

Keywords

References

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Details

Primary Language

English

Subjects

Pediatric Immunology and Allergic Diseases, Family Medicine

Journal Section

Research Article

Authors

İsmail Çifçi ^*
0000-0003-0693-8190
Türkiye

Feride Gülcüler
0009-0008-3644-8989
Türkiye

Rıza Yıldırım
0009-0000-2675-1150
Türkiye

Tuba Tuncel
0000-0002-9377-6750
Türkiye

Umut Gök
0000-0002-5048-204X
Türkiye

Publication Date

September 11, 2026

Submission Date

May 21, 2026

Acceptance Date

July 21, 2026

Published in Issue

Year 2026 Volume: 8 Number: 5

DOI

https://doi.org/10.38053/acmj.1955877

IZ

https://izlik.org/JA49ZB77NJ

Cite

RIS / Bibtex

APA

Çifçi, İ., Gülcüler, F., Yıldırım, R., Tuncel, T., & Gök, U. (2026). Assessment of the relationship between self-efficacy level and asthma control in adolescents. Anatolian Current Medical Journal, 8(5), 917-921. https://doi.org/10.38053/acmj.1955877

AMA

1.Çifçi İ, Gülcüler F, Yıldırım R, Tuncel T, Gök U. Assessment of the relationship between self-efficacy level and asthma control in adolescents. Anatolian Curr Med J / ACMJ / acmj. 2026;8(5):917-921. doi:10.38053/acmj.1955877

Chicago

Çifçi, İsmail, Feride Gülcüler, Rıza Yıldırım, Tuba Tuncel, and Umut Gök. 2026. “Assessment of the Relationship Between Self-Efficacy Level and Asthma Control in Adolescents”. Anatolian Current Medical Journal 8 (5): 917-21. https://doi.org/10.38053/acmj.1955877.

EndNote

Çifçi İ, Gülcüler F, Yıldırım R, Tuncel T, Gök U (September 1, 2026) Assessment of the relationship between self-efficacy level and asthma control in adolescents. Anatolian Current Medical Journal 8 5 917–921.

IEEE

[1]İ. Çifçi, F. Gülcüler, R. Yıldırım, T. Tuncel, and U. Gök, “Assessment of the relationship between self-efficacy level and asthma control in adolescents”, Anatolian Curr Med J / ACMJ / acmj, vol. 8, no. 5, pp. 917–921, Sept. 2026, doi: 10.38053/acmj.1955877.

ISNAD

Çifçi, İsmail - Gülcüler, Feride - Yıldırım, Rıza - Tuncel, Tuba - Gök, Umut. “Assessment of the Relationship Between Self-Efficacy Level and Asthma Control in Adolescents”. Anatolian Current Medical Journal 8/5 (September 1, 2026): 917-921. https://doi.org/10.38053/acmj.1955877.

JAMA

1.Çifçi İ, Gülcüler F, Yıldırım R, Tuncel T, Gök U. Assessment of the relationship between self-efficacy level and asthma control in adolescents. Anatolian Curr Med J / ACMJ / acmj. 2026;8:917–921.

MLA

Çifçi, İsmail, et al. “Assessment of the Relationship Between Self-Efficacy Level and Asthma Control in Adolescents”. Anatolian Current Medical Journal, vol. 8, no. 5, Sept. 2026, pp. 917-21, doi:10.38053/acmj.1955877.

Vancouver

1.İsmail Çifçi, Feride Gülcüler, Rıza Yıldırım, Tuba Tuncel, Umut Gök. Assessment of the relationship between self-efficacy level and asthma control in adolescents. Anatolian Curr Med J / ACMJ / acmj. 2026 Sep. 1;8(5):917-21. doi:10.38053/acmj.1955877