title: Promoting adherence: effects of theory-based asthma education.
abstract: This study compared the effects of a theoretically focused audiotape and a standard educational booklet on asthma preventive medication adherence and other asthma outcomes. Forty-six adult asthmatics were randomly assigned to receive either an experimental audiotape incorporating components of protection motivation theory, a standard asthma management booklet, both, or no educational materials. Outcomes were assessed at baseline, 3 months, and 6 months. Mean pharmacy-verified adherence improved 15% to 19% in the intervention groups and declined 22% in the control group at 6 months. Using analysis of covariance (ANCOVA) to control for baseline adherence, these changes were significant between the control and booklet group (t = 2.47; p = .02) and between control and combined group (t = 2.07; p = .04). Providing a minimal educational intervention can have a beneficial effect on asthma medication adherence that persists at least 6 months.
authors.affiliation: University of Florida College of Nursing, USA.
authors.forename: Susan D
authors.initials: SD
authors.lastname: Schaffer
authors.forename: Lili
authors.initials: L
authors.lastname: Tian
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001249:Asthma / Q000188:drug therapy* / Q000523:psychology*; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D017145:Models, Educational; D008960:Models, Psychological; D009042:Motivation; D015403:Nursing Evaluation Research; D010174:Pamphlets; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic / Q000379:methods*; D011582:Psychological Theory; D012648:Self Care / Q000523:psychology; D013637:Tape Recording / Q000592:standards*; D013664:Teaching Materials / Q000592:standards*