Intervention strategies for children poorly adherent with asthma medications; one center's experience.
Poor adherence to medications and other aspects of the treatment plan is common in pediatric patients with asthma, and is a common reason for inadequate asthma control. In selected patients we have used electronic monitoring of pulmonary function, behavior contracts, home nursing visits, and medical neglect reports in an attempt to improve adherence and asthma control. Improved outcomes were seen with the most aggressive intervention, home nursing, and medical neglect referral, but not with less aggressive measures.
Sherman
J M
JM
Department of Pediatrics, University of Florida College of Medicine, Gainesville 32610-0296, USA.
Baumstein
S
S
Hendeles
L
L
D018927:Anti-Asthmatic Agents / Q000627:therapeutic use*; D001249:Asthma / Q000188:drug therapy* / Q000503:physiopathology / Q000517:prevention & control; D001521:Behavior Therapy; D002648:Child; D002649:Child Abuse; D005500:Follow-Up Studies; D006701:Home Nursing; D006801:Humans; D008991:Monitoring, Physiologic; D010349:Patient Compliance; D010366:Peak Expiratory Flow Rate / Q000502:physiology; D012017:Referral and Consultation; D012189:Retrospective Studies
D018927:Anti-Asthmatic Agents