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Randomized Controlled Trial
. 2013 Jul;38(6):617-28.
doi: 10.1093/jpepsy/jss123. Epub 2012 Dec 17.

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

Christina L Duncan  1 , Mary Beth Hogan, Karen J Tien, Montserrat M Graves, Jill Maclaren Chorney, Melissa Demore Zettler, Lesley Koven, Nevin W Wilson, Chitra Dinakar, Jay Portnoy
Affiliations
Randomized Controlled Trial

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

Christina L Duncan et al. J Pediatr Psychol. 2013 Jul.

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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Figures

Figure 1.
Figure 1.
Diagram of flow of participants through the study. Note. Information regarding rate and reasons for refusal is not available.
See this image and copyright information in PMC

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