Improving adherence to medication regimens for children with asthma and its effect on clinical outcome

被引:24
作者
da Costa, IG
Rapoff, MA
Lemanek, K
Goldstein, GL
机构
[1] Univ Kansas, Med Ctr, Dept Pediat, Kansas City, KS 66160 USA
[2] Kansas City Allergy & Asthma Associates, Overland Pk, KS USA
关键词
compliance; asthma; medications; token system; disease activity;
D O I
10.1901/jaba.1997.30-687
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
We examined the effects of a combined education and token system intervention to improve adherence to inhaled corticosteroids for an 8-year-old girl and a 10-year-old boy with asthma. Adherence was measured by an electronic chronolog monitor, and disease outcome was assessed by repeated pulmonary function testing. A withdrawal design demonstrated improved adherence and, for 1 child, an associated improvement in pulmonary function occurred. Methodological and clinical implications are discussed, including variables other than adherence that may affect disease outcome.
引用
收藏
页码:687 / 691
页数:5
相关论文
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ALLEN JL, 1994, PRACTICAL GUIDE PEDI, P281
[2]   ADHERENCE ISSUES IN THE MEDICAL-MANAGEMENT OF ASTHMA [J].
LEMANEK, K .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1990, 15 (04) :437-458
[3]  
Rapoff MA, 1991, PATIENT COMPLIANCE M, P73