Efficacy of a parent-youth teamwork intervention to promote adherence in pediatric asthma.
J Pediatr Psychol
; 38(6): 617-28, 2013 Jul.
Article
em En
| MEDLINE
| ID: mdl-23248342
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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Relações Pais-Filho
/
Asma
/
Corticosteroides
/
Antiasmáticos
/
Adesão à Medicação
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
Limite:
Adolescent
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Child
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article