TY - JOUR
T1 - Adherence to pediatric asthma treatment in economically disadvantaged african-american children and adolescents
T2 - An application of growth curve analysis
AU - Rohan, Jennifer
AU - Drotar, Dennis
AU - McNally, Kelly
AU - Schluchter, Mark
AU - Riekert, Kristin
AU - Vavrek, Pamela
AU - Schmidt, Amy
AU - Redline, Susan
AU - Kercsmar, Carolyn
PY - 2010/5
Y1 - 2010/5
N2 - Objectives: The primary aims of the study were to: (a) describe the trajectories of adherence to daily inhaled corticosteroid (ICS) medication for a year in economically disadvantaged, African-American youth with asthma based on growth curve modeling; and (b) test the relationship of treatment adherence to symptom control, quick-relief medication, and healthcare utilization.Methods: This prospective study measured adherence to daily ICS treatment using electronic monitoring in 92 children and adolescents with moderate to severe asthma for 9-12 months and assessed clinical outcomes, including asthma-related symptoms, quick-relief medication, and healthcare utilization.Results: Youth showed a decrement in treatment adherence to less than half of prescribed corticosteroid treatment over the course of the study, which related to increased healthcare utilization (p <. 04), but not to asthma symptoms or albuterol use.Conclusion: Economically disadvantaged youth with asthma demonstrate high rates of chronic nonadherence that warrant identification and intervention to reduce asthma-related healthcare utilization.
AB - Objectives: The primary aims of the study were to: (a) describe the trajectories of adherence to daily inhaled corticosteroid (ICS) medication for a year in economically disadvantaged, African-American youth with asthma based on growth curve modeling; and (b) test the relationship of treatment adherence to symptom control, quick-relief medication, and healthcare utilization.Methods: This prospective study measured adherence to daily ICS treatment using electronic monitoring in 92 children and adolescents with moderate to severe asthma for 9-12 months and assessed clinical outcomes, including asthma-related symptoms, quick-relief medication, and healthcare utilization.Results: Youth showed a decrement in treatment adherence to less than half of prescribed corticosteroid treatment over the course of the study, which related to increased healthcare utilization (p <. 04), but not to asthma symptoms or albuterol use.Conclusion: Economically disadvantaged youth with asthma demonstrate high rates of chronic nonadherence that warrant identification and intervention to reduce asthma-related healthcare utilization.
KW - Health care utilization
KW - Pediatric asthma
KW - Treatment adherence
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U2 - 10.1093/jpepsy/jsp074
DO - 10.1093/jpepsy/jsp074
M3 - Article
C2 - 19710251
AN - SCOPUS:77952919860
SN - 0146-8693
VL - 35
SP - 394
EP - 404
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 4
ER -