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Modification and testing of the chronic disease compliance instrument to measure treatment compliance in adolescents with asthma.

Compliance is a key challenge for adolescents with asthma, and valid and reliable measures of compliance behaviour and explanatory factors remain elusive, particularly in an Australian setting. This study aimed to examine the factor structure and internal consistency of the chronic disease compliance instrument - asthma in an Australian sample of adolescents with asthma, as well as the relationship between compliance behaviour and explanatory factors. Participants were 132 adolescents (12-17 years) diagnosed with asthma, who voluntarily completed the self-report instrument. Upon logical modification of the instrument based on exploratory factor analysis and review of item content, the chronic disease compliance instrument - asthma was shown to have sufficient factor structure and internal consistency in an Australian setting. Further, findings provide a list of relevant factors for explaining compliance behaviour, which may be employed to guide the development of initiatives to increase the level of compliance with treatment among Australian adolescents with asthma.