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Electronic monitoring and feedback to improve adherence in pediatric asthma

Scott A Spaulding1, Katie A Devine, Christina L Duncan

  • 1Department of Psychology, West Virginia University, Morgantown, WV 26506, USA.

Journal of Pediatric Psychology
|August 20, 2011
PubMed

Insights

Electronic monitoring and feedback improved asthma medication adherence in children. While adherence decreased when feedback stopped, inhaler technique improvements persisted, highlighting the value of objective monitoring for pediatric asthma management.

Area of Science:

  • Pediatric Pulmonology
  • Behavioral Medicine

Background:

  • Asthma controller medication adherence is crucial for managing pediatric asthma.
  • Nonadherence in children often leads to poor disease control and increased healthcare utilization.

Purpose of the Study:

  • To assess the efficacy of electronic monitoring and staff feedback in enhancing adherence to daily asthma controller medications in children.
  • To evaluate the impact of these interventions on inhaler technique, lung function, and asthma severity.

Main Methods:

  • A nonconcurrent multiple-baseline design was employed with five nonadherent pediatric asthma patients.
  • Inhaler use was tracked using the MDILogII(TM) electronic monitoring device.
  • Patients and parents received regular feedback from medical staff regarding medication usage.

Main Results:

  • Three of five participants demonstrated improved medication adherence, particularly those with lower initial adherence.
  • All participants showed enhancements in their inhaler technique.
  • Some patients experienced improvements in lung function and a reduction in functional severity.

Conclusions:

  • Objective monitoring devices are valuable tools for assessing adherence in pediatric asthma patients.
  • Medical staff feedback can be effective in improving and sustaining medication adherence for certain children.
  • Improvements in inhaler technique were maintained even after feedback withdrawal, suggesting lasting behavioral changes.
Abstract

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