电子监测和反馈以提高儿童哮喘的依从性。
Electronic monitoring and feedback to improve adherence in pediatric asthma.
机构信息
Department of Psychology, West Virginia University, Morgantown, WV 26506, USA.
出版信息
J Pediatr Psychol. 2012 Jan-Feb;37(1):64-74. doi: 10.1093/jpepsy/jsr059. Epub 2011 Aug 18.
Abstract
OBJECTIVE
To evaluate the effectiveness of electronic monitoring and feedback to improve adherence in children taking daily asthma controller medications.
METHOD
Five patients with asthma and considered nonadherent participated. Inhalers were electronically monitored with the MDILogII(TM) device, and feedback was given by medical staff. Using a nonconcurrent multiple-baseline design, patients and their parents received bimonthly feedback regarding medication use. Following treatment, feedback was withdrawn and effects of monitoring alone were observed.
RESULTS
Three participants showed improvements in adherence following treatment, with more notable increases when baseline adherence was low. Improvements in the inhaler technique occurred for all patients. Some patients demonstrated improvements in lung functioning and functional severity. When feedback was withdrawn, adherence decreased for some participants, but technique improvements maintained.
CONCLUSIONS
Results support the use of objective monitoring devices for assessing pediatric asthma patients' adherence and indicate that feedback from medical staff may improve and maintain medication adherence for some patients.
摘要
目的
评估电子监测和反馈对提高每日哮喘控制药物服用依从性的效果。
方法
5 名被认为不依从的哮喘患儿参与了研究。采用 MDILogII（TM）设备对吸入器进行电子监测，并由医务人员提供反馈。采用非同期多项基线设计，患者及其父母每月接受两次关于药物使用的反馈。治疗结束后，停止反馈，观察仅监测的效果。
结果
3 名参与者在治疗后依从性得到改善，基线依从性较低时改善更明显。所有患者的吸入技术都有所提高。一些患者的肺功能和功能严重程度得到改善。当停止反馈时，一些参与者的依从性下降，但技术改进仍在维持。
结论
研究结果支持使用客观监测设备评估儿科哮喘患者的依从性，并表明医务人员的反馈可能会提高和维持一些患者的药物依从性。
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