A young girl uses a blue inhaler as her mom and a medical professional observe.
8 percent of American kids aged 5 to 17 have at least one limiting chronic disease or disability. (For Spectrum Health Beat)

Children and teens who feel confident handling a chronic illness on their own appear better able to learn to manage their health as adults, a new study finds.

The University of North Carolina investigators concluded that kids who believe their health is controlled by adults or by chance may not develop the health self-management skills they will need as adults. This could put them at increased risk for health problems.

The study included 163 youngsters, aged 6 to 17, attending a camp for young people with chronic diseases. Researchers asked the participants whether they felt they had control over their health. The researchers also assessed whether the children took medications as prescribed and their readiness to transition to adult care.

Feeling confident about managing their own health and being ready to transition to adult care likely indicate that youngsters trust their doctor to act in their best interest. This makes them more likely to follow their doctor’s recommendations, said the researchers.

The study was led by Miranda van Tilburg, an associate professor of medicine at the university’s Center for Functional GI and Motility Disorders.

According to the U.S. National Health Council, about 8 percent of American kids aged 5 to 17 have at least one limiting chronic disease or disability based on reports from their parents. Examples include asthma, diabetes and epilepsy.

By assessing whether young patients with chronic illness feel they have control over their health, doctors can identify those at risk for problems and take steps to help them, the study authors concluded.

The study was published in the journal Preventing Chronic Disease.