Efficacy of a parent-youth teamwork intervention to promote adherence in pediatric asthma
Christina L Duncan, Mary Beth Hogan, Karen J Tien, Montserrat M Graves, Jill Maclaren Chorney, Melissa Demore Zettler, Lesley Koven, Nevin W Wilson, Chitra Dinakar, Jay Portnoy, Christina L Duncan, Mary Beth Hogan, Karen J Tien, Montserrat M Graves, Jill Maclaren Chorney, Melissa Demore Zettler, Lesley Koven, Nevin W Wilson, Chitra Dinakar, Jay Portnoy
Abstract
Objective: To determine whether a parent-youth teamwork intervention improved medication adherence and related outcomes among youth with asthma.
Methods: We used a randomized clinical trial with 48 youth (aged 9-15 years) assigned to 1 of 3 groups: Teamwork Intervention (TI), Asthma Education (AE), or Standard Care (SC). Treatment occurred across 2 months, with a 3-month follow-up assessment. Adherence to inhaled corticosteroids was assessed via the MDILog-II. Parent-adolescent conflict, asthma functional severity, and spirometry assessments were obtained pre-treatment, post-treatment, and on follow-up. Mixed linear model analysis was used to evaluate group and time effects for outcome measures.
Results: TI group had significantly higher adherence and lower functional severity scores than AE or SC conditions, and lower parent-reported conflict and a trend for higher spirometry values compared with the SC group.
Conclusions: Results suggest support for the efficacy of TI for improving medication adherence as youth acquire more responsibility for their asthma management.
Trial registration: ClinicalTrials.gov NCT00166582.
Keywords: adherence; asthma education; electronic monitoring; parent–youth teamwork; pediatric asthma.
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Source: PubMed