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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
Summary
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.
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