Acceptance of a pre-visit intervention to engage teens in pediatric asthma visits

doi:10.1016/j.pec.2017.05.013

Randomized Controlled Trial

. 2017 Nov;100(11):2005-2011.

doi: 10.1016/j.pec.2017.05.013. Epub 2017 May 5.

Acceptance of a pre-visit intervention to engage teens in pediatric asthma visits

Affiliations

¹ Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, CB # 7590, Chapel Hill, NC 27599-7590, USA. Electronic address: betsy_sleath@unc.edu.
² Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: dmcarpenter@unc.edu.
³ Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: sdavis81@email.unc.edu.
⁴ Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: cehwats1@email.unc.edu.
⁵ Polyglot Systems, Inc., 2000 Aerial Center Pkwy, Morrisville, NC 27560, USA. Electronic address: lee@pgsi.com.
⁶ Department of Pediatric Pulmonology, School of Medicine University of North Carolina at Chapel Hill, CB 7217, Chapel Hill, NC 27599-7217, USA. Electronic address: cloughli@med.unc.edu.
⁷ Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, CB # 7590, Chapel Hill, NC 27599-7590, USA. Electronic address: nacire_garcia@med.unc.edu.
⁸ Independent Contractor to Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: etheridgedana2@gmail.com.
⁹ Independent Contractor to Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: lercid@gmail.com.
¹⁰ University of North Carolina at Chapel Hill, School of Medicine, Division of General Internal Medicine and Clinical Epidemiology, USA.
¹¹ Independent Contractor to Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA.
¹² Department of Science and Mathematics, Director of Institutional Research, Husson University, Bangor, ME 04401-2929, USA. Electronic address: TudorG@husson.edu.

PMID: 28550963
PMCID: PMC5600669
DOI: 10.1016/j.pec.2017.05.013

Randomized Controlled Trial

Acceptance of a pre-visit intervention to engage teens in pediatric asthma visits

Betsy Sleath et al. Patient Educ Couns. 2017 Nov.

. 2017 Nov;100(11):2005-2011.

doi: 10.1016/j.pec.2017.05.013. Epub 2017 May 5.

Authors

Affiliations

¹ Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, CB # 7590, Chapel Hill, NC 27599-7590, USA. Electronic address: betsy_sleath@unc.edu.
² Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: dmcarpenter@unc.edu.
³ Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: sdavis81@email.unc.edu.
⁴ Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: cehwats1@email.unc.edu.
⁵ Polyglot Systems, Inc., 2000 Aerial Center Pkwy, Morrisville, NC 27560, USA. Electronic address: lee@pgsi.com.
⁶ Department of Pediatric Pulmonology, School of Medicine University of North Carolina at Chapel Hill, CB 7217, Chapel Hill, NC 27599-7217, USA. Electronic address: cloughli@med.unc.edu.
⁷ Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, CB # 7590, Chapel Hill, NC 27599-7590, USA. Electronic address: nacire_garcia@med.unc.edu.
⁸ Independent Contractor to Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: etheridgedana2@gmail.com.
⁹ Independent Contractor to Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA. Electronic address: lercid@gmail.com.
¹⁰ University of North Carolina at Chapel Hill, School of Medicine, Division of General Internal Medicine and Clinical Epidemiology, USA.
¹¹ Independent Contractor to Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA.
¹² Department of Science and Mathematics, Director of Institutional Research, Husson University, Bangor, ME 04401-2929, USA. Electronic address: TudorG@husson.edu.

PMID: 28550963
PMCID: PMC5600669
DOI: 10.1016/j.pec.2017.05.013

Abstract

Objective: The objectives of this study were to: (a) describe teen feedback on an asthma question prompt list/video intervention designed to motivate teens to be more engaged during visits and (b) examine teen demographics associated with teen acceptance of the intervention.

Methods: Two hundred and fifty-nine teens ages 11 to 17 with persistent asthma were enrolled into a randomized, controlled trial and assigned to either a standard care or an intervention group where they watched an educational video with their parents and received a prompt list to complete before visits. Teens were interviewed after visits.

Results: Of the 185 teens randomized to the intervention group: 93% said teens should complete the prompt lists before visits; 95% recommended teens should watch the video before visits; teens with moderate/severe persistent asthma were significantly more likely to find the prompt list useful; non-White teens were significantly more likely to find the prompt list and video more useful.

Conclusions: Teens exposed to the question prompt list/video had very positive feedback about the intervention.

Practice implications: Providers/practices should consider having teens complete question prompt lists during pre-visit wait time for use during visits and watch the video with their parents before visits.

Keywords: Asthma; Children; Educational video; Question prompt list.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest and Disclosure Statement: The authors have no conflict of interest.

Figures

**Figure 1**
The Asthma Question Prompt List

**Figure 2**
Rating “Usefulness of the Educational Video” by Race/Ethnicity (%)

**Figure 3**
Rating “Usefulness of the Question Prompt List” by Race/Ethnicity (%)

See this image and copyright information in PMC

Cited by

Applied techniques for putting pre-visit planning in clinical practice to empower patient-centered care in the pandemic era: a systematic review and framework suggestion.
Gholamzadeh M, Abtahi H, Ghazisaeeidi M. Gholamzadeh M, et al. BMC Health Serv Res. 2021 May 13;21(1):458. doi: 10.1186/s12913-021-06456-7. BMC Health Serv Res. 2021. PMID: 33985502 Free PMC article.
Neurodevelopmental Risk: A Tool to Enhance Conversations With Families of Infants.
Lemmon ME, Huffstetler HE, Donohue P, Katz M, Barks MC, Schindler E, Brandon D, Boss RD, Ubel PA. Lemmon ME, et al. J Child Neurol. 2019 Oct;34(11):653-659. doi: 10.1177/0883073819844927. Epub 2019 May 29. J Child Neurol. 2019. PMID: 31137987 Free PMC article.
Provider use of a participatory decision-making style with youth and caregivers and satisfaction with pediatric asthma visits.
Sleath B, Carpenter DM, Coyne I, Davis SA, Hayes Watson C, Loughlin CE, Garcia N, Reuland DS, Tudor GE. Sleath B, et al. Patient Relat Outcome Meas. 2018 May 10;9:147-154. doi: 10.2147/PROM.S152068. eCollection 2018. Patient Relat Outcome Meas. 2018. PMID: 29785146 Free PMC article.
Trends in Adolescent Asthma Responsibility Over a 12-Month Study Period.
Davis SA, Beznos B, Carpenter DM, Tudor G, Garcia N, Sleath B. Davis SA, et al. J Adolesc Health. 2022 Mar;70(3):478-482. doi: 10.1016/j.jadohealth.2021.10.008. Epub 2021 Nov 22. J Adolesc Health. 2022. PMID: 34823985 Free PMC article.
Improving youth question-asking and provider education during pediatric asthma visits.
Sleath B, Carpenter DM, Davis SA, Watson CH, Lee C, Loughlin CE, Garcia N, Reuland DS, Tudor G. Sleath B, et al. Patient Educ Couns. 2018 Jun;101(6):1051-1057. doi: 10.1016/j.pec.2018.01.013. Epub 2018 Jan 31. Patient Educ Couns. 2018. PMID: 29402570 Free PMC article. Clinical Trial.

See all "Cited by" articles

References

1. Sleath B, Carpenter DM, Slota C, Williams D, Tudor G, Yeatts K, Davis S, Ayala GX. Communication during pediatric asthma visits and self-reported asthma medication adherence. Pediatrics. 2012;(130):627–33. - PMC - PubMed
1. Sleath BL, Carpenter DM, Sayner R, Ayala GX, Williams D, Davis S, Tudor G, Yeatts K. Child and caregiver involvement and shared decision-making during asthma pediatric visits. J Asthma. 2011;(48):1022–31. - PMC - PubMed
1. Wassmer E, Minnaar G, Abdel Aal N, Atkinson M, Gupta E, Yuen S, Rylance G. How do paediatricians communicate with children and parents? Acta Paediatr. 2004;(93):1501–6. - PubMed
1. National Heart Lung and Blood Institute. National Heart Lung and Blood Institute Publication Number 08-5846. [Accessed April 8, 2017];Guidelines for the Diagnosis and Management of Asthma. 2007 Expert panel report 3. http://www.nhlbi.nih.gov/files/docs/guidelines/asthsumm.pdf.
1. Centers for Disease Control and Prevention. Vital signs: asthma prevalence, disease characteristics, and self-management education: United States, 2001--2009. MMWR Morb Mortal Wkly Rep. 2011;(60):547–52. - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Consumer Health Information
- MedlinePlus Health Information

[1] Sleath B, Carpenter DM, Slota C, Williams D, Tudor G, Yeatts K, Davis S, Ayala GX. Communication during pediatric asthma visits and self-reported asthma medication adherence. Pediatrics. 2012;(130):627–33. - PMC - PubMed

[2] Sleath B, Carpenter DM, Slota C, Williams D, Tudor G, Yeatts K, Davis S, Ayala GX. Communication during pediatric asthma visits and self-reported asthma medication adherence. Pediatrics. 2012;(130):627–33. - PMC - PubMed

[3] Sleath BL, Carpenter DM, Sayner R, Ayala GX, Williams D, Davis S, Tudor G, Yeatts K. Child and caregiver involvement and shared decision-making during asthma pediatric visits. J Asthma. 2011;(48):1022–31. - PMC - PubMed

[4] Sleath BL, Carpenter DM, Sayner R, Ayala GX, Williams D, Davis S, Tudor G, Yeatts K. Child and caregiver involvement and shared decision-making during asthma pediatric visits. J Asthma. 2011;(48):1022–31. - PMC - PubMed

[5] Wassmer E, Minnaar G, Abdel Aal N, Atkinson M, Gupta E, Yuen S, Rylance G. How do paediatricians communicate with children and parents? Acta Paediatr. 2004;(93):1501–6. - PubMed

[6] Wassmer E, Minnaar G, Abdel Aal N, Atkinson M, Gupta E, Yuen S, Rylance G. How do paediatricians communicate with children and parents? Acta Paediatr. 2004;(93):1501–6. - PubMed

[7] National Heart Lung and Blood Institute. National Heart Lung and Blood Institute Publication Number 08-5846. [Accessed April 8, 2017];Guidelines for the Diagnosis and Management of Asthma. 2007 Expert panel report 3. http://www.nhlbi.nih.gov/files/docs/guidelines/asthsumm.pdf.

[8] National Heart Lung and Blood Institute. National Heart Lung and Blood Institute Publication Number 08-5846. [Accessed April 8, 2017];Guidelines for the Diagnosis and Management of Asthma. 2007 Expert panel report 3. http://www.nhlbi.nih.gov/files/docs/guidelines/asthsumm.pdf.

[9] Centers for Disease Control and Prevention. Vital signs: asthma prevalence, disease characteristics, and self-management education: United States, 2001--2009. MMWR Morb Mortal Wkly Rep. 2011;(60):547–52. - PubMed

[10] Centers for Disease Control and Prevention. Vital signs: asthma prevalence, disease characteristics, and self-management education: United States, 2001--2009. MMWR Morb Mortal Wkly Rep. 2011;(60):547–52. - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Acceptance of a pre-visit intervention to engage teens in pediatric asthma visits

Affiliations

Acceptance of a pre-visit intervention to engage teens in pediatric asthma visits

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Abstract

Conflict of interest statement

Figures

Similar articles

Cited by

References

Publication types

MeSH terms

Related information

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical