Effectiveness of a multi-level asthma intervention in increasing controller medication use: a randomized control trial

Canino, Glorisa; Shrout, Patrick E.; Vila, Doryliz; Ramírez, Rafael; Rańd, Cynthia S.

doi:10.3109/02770903.2015.1057846

Cited by 11 publications

(30 citation statements)

References 48 publications

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“…Solutions proposed to improve medication adherence among Latino children included provider education, enhancing the electronic medical record, pretreatment telephone contact, caregiver education and counseling, implementing adherence tools, addressing family factors that interfere with adherence, simplifying medication regimens, and improving medication taste (Canino, Shrout, Vila, Ramirez, & Rand, 2016; Rapp et al, 2013; Walton, Mautone, Nissley-Tsiopinis, Blum, & Power, 2014). Johnson, Johnson, Zimmerman, Marsh, and Garcia-Dominic (2015) found face-to-face educational discussions and patient chart documentation impactful.…”

Section: Resultsmentioning

confidence: 99%

Medication Adherence of Latino Children and Caregivers: An Integrative Review

Foronda

Muheriwa

Fernandez-Burgos

et al. 2019

Hisp Health Care Int

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Introduction: There are significant disparities in medication adherence among underserved minority groups such as Latinos. Adherence to medication is a primary determinant of treatment success. Little is known about medication adherence among Latino children. This integrated review aims to describe what is known about medication adherence among Latino children and explore barriers and facilitators to medication adherence. Method: This review was guided by Whittemore and Knafl’s method of integrative review and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. Results: Of the 20 articles reviewed about medication adherence among Latino children, the analysis of these articles revealed four major themes: (1) low adherence, (2) low adherence associations, (3) child outcomes, and (4) effective interventions. Conclusion: Health practitioners should consider medication adherence associations and interventions when collaborating with the family caregiver to improve child outcomes.

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Section: Resultsmentioning

confidence: 99%

Medication Adherence of Latino Children and Caregivers: An Integrative Review

Foronda

Muheriwa

Fernandez-Burgos

et al. 2019

Hisp Health Care Int

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“…Previous studies revealed that family empowerment program improved family functioning, pulmonary function, quality of life, and asthma symptoms (Dardouri et al, 2020; Kashaninia et al, 2018; Payrovee et al, 2014; Yeh et al, 2016). In addition, multilevel asthma interventions for children and family decreased asthma symptoms and health service utilization, in particular ED (Canino et al, 2016; Suwannakeeree et al, 2016). Another home‐based program helped to reduce exposure to environmental and home triggers, and improved patient and family management of asthma (McClure et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…This could be due to the fact that children with asthma often feel different, left out, and irritable because of their asthma (Juniper, 1997). Multilevel education programs may be more effective in improving controller adherence in patients with asthma (Canino et al, 2016; Normansell et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Yeh et al (2016) found that family empowerment education reduced daytime asthma symptoms. Other studies revealed that children who received home‐based asthma education had less asthma‐related acute healthcare use (AHCU), as defined by hospitalizations and ED visits (Canino et al, 2016; McClure et al, 2017). Another study found that inpatient asthma education program for families of inner‐city children with asthma was associated with positive asthma management behaviors, including increased use of inhaled corticosteroids and provision of an asthma action plan, and increased parent reported asthma self‐efficacy (Rice et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Assessing the impact of a family empowerment program on asthma control and medication use in children with asthma: A randomized controlled trial

Dardouri

Bouguila

Sahli

et al. 2021

Specialist Pediatric Nursing

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Purpose In pediatric asthma, family empowerment education has been beneficial for the quality of life, pulmonary function, and family functioning. Few studies addressed the impact of a family empowerment program on asthma symptom control, acute healthcare use (AHCU), and medication use in children with asthma. This study aimed to assess the effect of a family empowerment intervention on asthma symptom control, AHCU, inhaler technique, and controller adherence in children with asthma. Design and Methods A single‐center study using a randomized controlled design was conducted in a university hospital in the center of Tunisia from May 2018 to September 2019. Eighty‐two families were randomly assigned to the intervention group (n = 41) of 8 weeks of group training sessions, or to the control group (n = 41) of usual care education. Thirty‐seven families in the intervention group and 39 families in the control group received allocated intervention at baseline. Thirty‐four families in each group completed the study at the 12‐month follow‐up. Results At baseline, the intervention and control groups were statistically comparable (p > .05). At follow‐up, there were significant differences between the intervention and the control group in asthma symptom control, χ2 (1, N = 34) = 9.950, p = .002, and inhalation technique, χ2 (1, N = 34) = 5.916, p = .01. For AHCU and adherence to asthma controller, there was no significant difference between groups, χ2 (1, N = 34) = 3.219, p = .07, χ2 (1, N = 34) = 0.541, p = .46, respectively. The difference within time in asthma symptom control and inhalation technique was significant (p = 10−3, p = .001; respectively). Practice Implications This study demonstrated that a family empowerment program significantly improved asthma symptom control and inhaler technique in children with asthma aged 7–17 years. This intervention could be clinically useful and time‐saving for pediatric nurses.

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“…Only two effective studies were classified as low reliability and categorised as Level 3 25; 44 . The ineffective and low reliability studies were either classed as Level 1 (no tailoring) 27; 42; 43 , Level 2 perceptual only 29; 30 , or both but not tailored 22 or Level 3 28; 31; 40; 45 . Therefore, only six studies using Level 3 PAPA were not effective (6/25, 24%), four of which were classed as low reliability studies.…”

Section: Summary Of Perceptions and Practicalities Targeted By Adherence Interventionsmentioning

confidence: 99%

Interventions to improve adherence in children with asthma: A systematic review

Pearce

Chan

Jackson

et al. 2021

Preprint

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Introduction: Non-adherence to inhaled corticosteroids (ICS) in children with asthma leads to significant morbidity and mortality. Few interventions to improve adherence have been effective and little is known about what contributes to intervention effectiveness. This systematic review summarises the efficacy of these interventions and the characteristics of effective interventions to inform future studies aiming to improve adherence to ICS in children with asthma. Methods: PubMed, Embase, PsychINFO, Medline, Web of Science, and International Pharmaceutical Abstracts were systematically searched on the 3rd of October 2020 for randomised control trials measuring adherence to ICS in children with asthma. A narrative synthesis was conducted focusing on intervention efficacy and study reliability. Intervention content was coded based on the NICE guidelines for medicines adherence (The Perceptions and Practicalities Approach, PAPA) and Behaviour Change Techniques (BCT), to determine the effective aspects of the intervention. Results: Of 240 studies identified, 25 were eligible for inclusion. Thirteen of the twenty-five studies were categorised as being highly reliable. Nine of the thirteen studies were effective at increasing adherence and six of those met the criteria for a PAPA intervention. Conclusion: Adherence interventions in children with asthma have mixed effectiveness. Effective studies tended to be of higher quality, were tailored to individuals perceptual and practical adherence barriers, and used multiple BCTs. However, due to the small number of included studies and varying study design quality, conclusions drawn here are preliminary. Future research is needed to test a PAPA-based intervention with a rigorous study design as outlined in this review

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Effectiveness of a multi-level asthma intervention in increasing controller medication use: a randomized control trial

Cited by 11 publications

References 48 publications

Medication Adherence of Latino Children and Caregivers: An Integrative Review

Medication Adherence of Latino Children and Caregivers: An Integrative Review

Assessing the impact of a family empowerment program on asthma control and medication use in children with asthma: A randomized controlled trial

Interventions to improve adherence in children with asthma: A systematic review

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