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Health-Related Communication in Adolescents and Young Adults with Sickle Cell Disease

Title:

Health-Related Communication in Adolescents and Young Adults with Sickle Cell Disease

Langmuir, Tori (2025) Health-Related Communication in Adolescents and Young Adults with Sickle Cell Disease. Masters thesis, Concordia University.

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Abstract

Background and Aims: Effective health-related communication is essential for pain and disease management but is poorly understood among adolescents and young adults (AYAs) with sickle cell disease (SCD). The current study aimed to: (1) Characterize the quality and prevalence of communication difficulties among AYAs with SCD; (2) Identify sociodemographic/disease-related factors associated with communication difficulties; and (3) Examine associations between pain, pain interference, and communication difficulties.
Method: AYAs with SCD (N=416; mean [M] age=18.6 years, range=13.2-25.0, 50% female, 99.8% Black; n=136 adolescents; n=280 young adults) enrolled in the Sickle Cell Clinical Research and Intervention Program completed the PedsQL-SCD, which contains subscales measuring self-advocacy (Communication I), eliciting understanding (Communication II), pain (Pain and Hurt), and pain interference (Pain Impact). Clinical data were extracted from medical records. Analyses included descriptive statistics, multivariate regressions (adjusted for age, sex, and genotype), with false discovery rate corrections.
Results: AYAs reported moderate-to-good quality communication (M=20.6 for self-advocacy; M=37.2 for eliciting understanding). However, 26.4% of AYAs reported feeling misunderstood about their pain and 22.3% reported feeling misunderstood about their disease. Female sex, greater economic hardship, older age, and Hb SS/Sβ⁰ genotype were associated with greater communication difficulties (all ps<0.05). Elevated pain and pain interference were also associated with communication difficulties (p<0.001).
Conclusion: These findings improve our understanding of health-related communication among AYAs with SCD and highlight factors associated with communication difficulties. Tailored interventions are needed to improve care and health outcomes among this population.

Divisions:Concordia University > Faculty of Arts and Science > Psychology
Item Type:Thesis (Masters)
Authors:Langmuir, Tori
Institution:Concordia University
Degree Name:M.A.
Program:Psychology
Date:19 August 2025
Thesis Supervisor(s):Alberts, Nicole
ID Code:995944
Deposited By: Tori Langmuir
Deposited On:04 Nov 2025 17:30
Last Modified:04 Nov 2025 17:30

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