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Providing feedback on adherence increases use of preventive medication by asthmatic children

Scott W Burgess1, Peter D Sly, Sunalene G Devadason

  • 1Department of Paediatrics, Redland Hospital, Brisbane, Queensland, 4163 Australia. st_burgess@bigpond.com

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|February 23, 2010
PubMed

Insights

Measuring medication adherence and providing feedback significantly improved medication use in children with unstable asthma. This intervention increased adherence rates, though further research is needed to confirm its impact on disease control.

Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Clinical Pharmacy

Background:

  • Unstable asthma in children poses significant management challenges.
  • Medication adherence is crucial for effective asthma control.
  • Electronic monitoring offers a method to objectively measure adherence.

Purpose of the Study:

  • To evaluate the impact of measuring adherence and providing feedback on medication usage in children with unstable asthma.
  • To assess the effect of adherence feedback on clinical outcomes and lung function.

Main Methods:

  • A randomized controlled trial involving 26 children (6-14 years) with unstable asthma.
  • Adherence was monitored using an electronic device over 4 months.
  • Intervention group received adherence feedback; control group did not.

Main Results:

  • Adherence was significantly higher in the feedback group (79%) compared to the control group (58%).
  • Both groups showed improvements in disease control measures from baseline.
  • The change in forced expiratory volume in 1 second (FEV(1)) was greater in the feedback group, but did not reach statistical significance.

Conclusions:

  • Measuring adherence and providing feedback enhances the use of preventive asthma medications in children.
  • The study highlights the potential of adherence monitoring but indicates a need for larger trials to confirm effects on disease control.

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