A 14-Year-Old Child Is Brought in by His Mother for a 6-Month

A 14-year-old child is brought in by his mother for a 6-month asthma exam. Although the patient's asthma is normally well managed with long-acting medications, he has bouts of exercise-induced bronchoconstriction and was prescribed a short-acting beta agonist. His mother got concerned when her son's physical education teacher phoned from school to report he was refusing to engage in class. When questioned, the patient stated that it was simpler to avoid exercising than it was to take an inhaler at school. His maternal grandparents had chronic obstructive pulmonary disease (COPD) , his father had heart illness, and his mother had generalized anxiety disorder. The vital signs and physical examination are normal. Which of the following factors would most likely increase this patient's adherence with bronchodilator administration?

A) Receiving education about the association between asthma and COPD
B) Receiving online resources about successful athletes who have asthma
C) Receiving counsel from the physician that inhaler use before exercise prevents asthma symptoms
D) Receiving written material about the benefits of exercise in long-term asthma management
E) Seeing peers use asthma inhalers at school
F) Understanding that his mother is very concerned about his behavior