Efficacy of a Parent-Youth Teamwork Intervention to Promote Adherence in Pediatric Asthma

Duncan, Christina L.; Hogan, Mary Beth; Tien, Karen J.; Graves, Montserrat M.; Chorney, Jill; Zettler, Melissa DeMore; Koven, Lesley P.; Wilson, Nevin W.; Dinakar, Chitra; Portnoy, Jay M.

doi:10.1093/jpepsy/jss123

Cited by 74 publications

(73 citation statements)

References 32 publications

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“…This behaviour is known as the Hawthorne effect 36. In all the studies where adherence rates were recorded over a longer period, adherence rates decline over time, and the later lower rates are likely to represent the ‘real’ adherence as the Hawthorne effect wanes 8 24 26 28 30 34…”

Section: What Are the Adherence Levels To Inhaled Steroids In Childrementioning

confidence: 99%

“…Children with poor adherence are more likely to require courses of oral steroids14 26 and have worse lung function 16 34. However, some studies have failed to show a relationship between adherence and clinical outcome score.…”

Section: What Are the Consequences Of Non-adherence?mentioning

confidence: 99%

“…Behavioural interventions encompass a wide variety of strategies including intensive healthcare support programmes,34 61 motivational coaching techniques62 and lifestyle planning 63. The results from trials investigating these interventions are more positive, indicating that adherence and clinical outcome can be improved with behavioural strategies.…”

Section: What Interventions Can Improve Adherence?mentioning

confidence: 99%

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Adherence in childhood asthma: the elephant in the room

Morton

Everard

Elphick

2014

Archives of Disease in Childhood

145

104

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Adherence to inhaled steroids is suboptimal in many children with asthma and can lead to poor disease control. Many previous studies in paediatric populations have used subjective and inaccurate adherence measurements, reducing their validity. Adherence studies now often use objective electronic monitoring, which can give us an accurate indication of the extent of non-adherence in children with asthma. A review of the studies using electronic adherence monitoring shows that half of them report mean adherence rates of 50% or below, and the majority report rates below 75%. Reasons for non-adherence are both intentional and non-intentional, incorporating illness perceptions, medication beliefs and practical adherence barriers. Interventions to improve adherence in the paediatric population have had limited success, with the most effective containing both educational and behavioural aspects.

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Section: What Are the Adherence Levels To Inhaled Steroids In Childrementioning

confidence: 99%

Section: What Are the Consequences Of Non-adherence?mentioning

confidence: 99%

Section: What Interventions Can Improve Adherence?mentioning

confidence: 99%

See 1 more Smart Citation

Adherence in childhood asthma: the elephant in the room

Morton

Everard

Elphick

2014

Archives of Disease in Childhood

145

104

View full text Add to dashboard Cite

show abstract

“…The acquisition of problem-solving skills, particularly in conjunction with effective communication strategies, may have also enabled families to engage in a positive manner and with fewer conflicts (Duncan et al 2013;Katz et al 2014). When micro-level variables were examined separately, adherence promotion interventions demonstrated medium to large effect sizes on caregiver quality of life and family functioning.…”

Section: Micro-level Outcomesmentioning

confidence: 99%

The impact of effective paediatric adherence promotion interventions: systematic review and meta‐analysis

McGrady

Ryan

Gutierrez‐Colina

et al. 2015

Child

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Interdisciplinary efforts to improve healthcare quality and reduce spending among children and adolescents with a chronic medical condition may be enhanced by incorporating effective paediatric adherence promotion interventions. As relatively few chronic medical conditions were represented in included studies, future research should examine the impact of paediatric adherence promotion interventions in other populations.

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“…Высокий уровень приверженности может быть достигнут при использовании удаленного мониторинга, интернет-технологий, а также активном сотрудничестве больного ребенка, его родителя и врача; такой прием может быть особенно актуален для пациентов под-росткового возраста [38][39][40]. При этом убежденность самих специалистов в реальности достижения наме-ченной цели лечения станет надежным стимулом для соблюдения пациентом назначенного режима и реко-мендаций [35].…”

Section: лекцияunclassified