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Communication during pediatric asthma visits and self-reported asthma medication adherence

Betsy Sleath1, Delesha M Carpenter, Catherine Slota

  • 1Division of Pharmaceutical Outcomes and Policy, University of North Carolina at Chapel Hill, Beard Hall, CB# 7360, Chapel Hill, NC 27599-7360, USA. betsy_sleath@unc.edu

Pediatrics
|September 5, 2012
PubMed

Insights

Pediatricians asking caregivers for input on asthma treatment plans significantly improves child medication adherence. This communication strategy enhances adherence one month post-visit, benefiting asthma management.

Area of Science:

  • Pediatric pulmonology
  • Health services research
  • Behavioral science

Background:

  • National asthma guidelines recommend involving patients and caregivers in treatment planning.
  • Effective provider-patient communication is crucial for managing chronic childhood conditions like asthma.
  • Understanding communication's impact on adherence is key to improving asthma outcomes.

Purpose of the Study:

  • To investigate the association between specific provider-patient communication strategies and child asthma medication adherence.
  • To determine if provider solicitation of caregiver input in asthma treatment plans correlates with improved adherence.

Main Methods:

  • Audio-taped medical visits of children (8-16 years) with persistent asthma and their caregivers were analyzed.
  • Children and caregivers reported medication adherence one month post-visit.
  • Generalized estimating equations assessed the link between communication and adherence.

Main Results:

  • Caregiver-reported adherence (85%) was higher than child-reported adherence (72%).
  • Child asthma management self-efficacy correlated with adherence.
  • When providers actively sought caregiver input, adherence was significantly higher one month later.

Conclusions:

  • Soliciting caregiver input during asthma visits is a vital communication strategy.
  • This practice is associated with improved child asthma control medication adherence.
  • Recommendations for pediatric asthma care should emphasize caregiver involvement in treatment planning.
Abstract

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