title: Efficacy of a parent-youth teamwork intervention to promote adherence in pediatric asthma.
abstract: OBJECTIVE
  To determine whether a parent-youth teamwork intervention improved medication adherence and related outcomes among youth with asthma.
  
  
  METHODS
  We used a randomized clinical trial with 48 youth (aged 9-15 years) assigned to 1 of 3 groups: Teamwork Intervention (TI), Asthma Education (AE), or Standard Care (SC). Treatment occurred across 2 months, with a 3-month follow-up assessment. Adherence to inhaled corticosteroids was assessed via the MDILog-II. Parent-adolescent conflict, asthma functional severity, and spirometry assessments were obtained pre-treatment, post-treatment, and on follow-up. Mixed linear model analysis was used to evaluate group and time effects for outcome measures.
  
  
  RESULTS
  TI group had significantly higher adherence and lower functional severity scores than AE or SC conditions, and lower parent-reported conflict and a trend for higher spirometry values compared with the SC group.
  
  
  CONCLUSIONS
  Results suggest support for the efficacy of TI for improving medication adherence as youth acquire more responsibility for their asthma management.
authors.affiliation: Department of Psychology, West Virginia University, Morgantown, WV 26506-6040, USA. Christina.Duncan@mail.wvu.edu
authors.forename: Christina L
authors.initials: CL
authors.lastname: Duncan
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Hogan
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Tien
authors.forename: Montserrat M
authors.initials: MM
authors.lastname: Graves
authors.forename: Jill Maclaren
authors.initials: JM
authors.lastname: Chorney
authors.forename: Melissa Demore
authors.initials: MD
authors.lastname: Zettler
authors.forename: Lesley
authors.initials: L
authors.lastname: Koven
authors.forename: Nevin W
authors.initials: NW
authors.lastname: Wilson
authors.forename: Chitra
authors.initials: C
authors.lastname: Dinakar
authors.forename: Jay
authors.initials: J
authors.lastname: Portnoy
mesh_terms: D000280:Administration, Inhalation; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use*; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001249:Asthma / Q000188:drug therapy*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence; D010287:Parent-Child Relations; D010290:Parents; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D018927:Anti-Asthmatic Agents