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

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

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Vulnerable Populations
African Americans
Asthma
Pediatrics
Adrenal Cortex Hormones
Growth
Delivery of Health Care
Therapeutics
Prospective Studies

Keywords

  • Health care utilization
  • Pediatric asthma
  • Treatment adherence

ASJC Scopus subject areas

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

Cite this

Adherence to pediatric asthma treatment in economically disadvantaged african-american children and adolescents : An application of growth curve analysis. / Rohan, Jennifer; Drotar, Dennis; McNally, Kelly; Schluchter, Mark; Riekert, Kristin; Vavrek, Pamela; Schmidt, Amy; Redline, Susan; Kercsmar, Carolyn.

In: Journal of Pediatric Psychology, Vol. 35, No. 4, 05.2010, p. 394-404.

Research output: Contribution to journalArticle

Rohan, Jennifer ; Drotar, Dennis ; McNally, Kelly ; Schluchter, Mark ; Riekert, Kristin ; Vavrek, Pamela ; Schmidt, Amy ; Redline, Susan ; Kercsmar, Carolyn. / Adherence to pediatric asthma treatment in economically disadvantaged african-american children and adolescents : An application of growth curve analysis. In: Journal of Pediatric Psychology. 2010 ; Vol. 35, No. 4. pp. 394-404.
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