Efficacy of a parent-youth teamwork intervention to promote adherence in pediatric asthma.

Document Type

Article

Publication Date

7-2013

Identifier

DOI: 10.1093/jpepsy/jss123; PMCID: PMC3701124

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.

Journal Title

Journal of pediatric psychology

Volume

38

Issue

6

First Page

617

Last Page

628

MeSH Keywords

Administration, Inhalation; Adolescent; Adrenal Cortex Hormones; Anti-Asthmatic Agents; Asthma; Child; Female; Humans; Male; Medication Adherence; Parent-Child Relations; Parents; Treatment Outcome

Keywords

adherence; asthma education; electronic monitoring; parent–youth teamwork; pediatric asthma

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