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

J Pediatr Psychol. 2013 Jul;38(6):617-28. doi: 10.1093/jpepsy/jss123. Epub 2012 Dec 17.

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.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Administration, Inhalation
  • Adolescent
  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / therapeutic use*
  • Anti-Asthmatic Agents / administration & dosage
  • Anti-Asthmatic Agents / therapeutic use*
  • Asthma / drug therapy*
  • Child
  • Female
  • Humans
  • Male
  • Medication Adherence*
  • Parent-Child Relations*
  • Parents
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Anti-Asthmatic Agents

Associated data

  • ClinicalTrials.gov/NCT00166582