Adherence to pediatric asthma treatment in economically disadvantaged african-american children and adolescents: An application of growth curve analysis

Jennifer Rohan, Dennis Drotar, Kelly McNally, Mark Schluchter, Kristin Riekert, Pamela Vavrek, Amy Schmidt, Susan Redline, Carolyn Kercsmar

Research output: Contribution to journalArticle

Abstract

Objectives: The primary aims of the study were to: (a) describe the trajectories of adherence to daily inhaled corticosteroid (ICS) medication for a year in economically disadvantaged, African-American youth with asthma based on growth curve modeling; and (b) test the relationship of treatment adherence to symptom control, quick-relief medication, and healthcare utilization.Methods: This prospective study measured adherence to daily ICS treatment using electronic monitoring in 92 children and adolescents with moderate to severe asthma for 9-12 months and assessed clinical outcomes, including asthma-related symptoms, quick-relief medication, and healthcare utilization.Results: Youth showed a decrement in treatment adherence to less than half of prescribed corticosteroid treatment over the course of the study, which related to increased healthcare utilization (p <. 04), but not to asthma symptoms or albuterol use.Conclusion: Economically disadvantaged youth with asthma demonstrate high rates of chronic nonadherence that warrant identification and intervention to reduce asthma-related healthcare utilization.

Original languageEnglish (US)
Pages (from-to)394-404
Number of pages11
JournalJournal of pediatric psychology
Volume35
Issue number4
DOIs
StatePublished - May 1 2010

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Keywords

  • Health care utilization
  • Pediatric asthma
  • Treatment adherence

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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