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An intervention programme using the ASE-model aimed at enhancing adherence in adolescents with asthma
S M van Es1, A F Nagelkerke, V T Colland
1Institute for Research in Extramural Medicine, Vrije Universiteit, Amsterdam, The Netherlands.
Patient Education and Counseling
|September 13, 2001
Summary
This study assessed an asthma medication adherence program for adolescents. While self-reported adherence improved slightly in the intervention group after two years, the overall effect of the program was not substantial.
Area of Science:
- Pediatric Pulmonology
- Behavioral Science in Medicine
- Health Services Research
Background:
- Adolescent asthma management requires consistent medication adherence for optimal outcomes.
- Intervention programs targeting psychological factors like attitude, social support, and self-efficacy are explored to improve adherence.
Purpose of the Study:
- To evaluate the impact of a 1-year intervention program on asthma medication adherence in adolescents.
- To assess changes in attitude, social support, and self-efficacy related to asthma medication adherence.
Main Methods:
- A randomized controlled trial with 112 adolescents diagnosed with asthma.
- Intervention group received usual pediatric care plus asthma nurse-led individual and group sessions.
- Control group received usual pediatric care only.
- Data collected via ASE-model based questionnaires and self-reported adherence at baseline, 12 months (T1), and 24 months (T2).
Main Results:
- Follow-up rates were 87% at T1 and 77% at T2.
- No statistically significant differences between groups at T1.
- At T2, self-reported adherence was statistically significantly higher in the experimental group compared to the control group.
- Overall, the intervention program did not demonstrate a substantial effect on asthma medication adherence.
Conclusions:
- The tested intervention program showed limited substantial impact on improving asthma medication adherence in adolescents.
- Further research may be needed to identify more effective strategies for enhancing adherence in this population.