家长-青少年团队合作干预促进儿科哮喘患者依从性的效果。
Efficacy of a parent-youth teamwork intervention to promote adherence in pediatric asthma.
机构信息
Department of Psychology, West Virginia University, Morgantown, WV 26506-6040, USA.
出版信息
J Pediatr Psychol. 2013 Jul;38(6):617-28. doi: 10.1093/jpepsy/jss123. Epub 2012 Dec 17.
Abstract
OBJECTIVE
To determine whether a parent-youth teamwork intervention improved medication adherence and related outcomes among youth with asthma.
METHODS
We used a randomized clinical trial with 48 youth (aged 9-15 years) assigned to 1 of 3 groups: Teamwork Intervention (TI), Asthma Education (AE), or Standard Care (SC). Treatment occurred across 2 months, with a 3-month follow-up assessment. Adherence to inhaled corticosteroids was assessed via the MDILog-II. Parent-adolescent conflict, asthma functional severity, and spirometry assessments were obtained pre-treatment, post-treatment, and on follow-up. Mixed linear model analysis was used to evaluate group and time effects for outcome measures.
RESULTS
TI group had significantly higher adherence and lower functional severity scores than AE or SC conditions, and lower parent-reported conflict and a trend for higher spirometry values compared with the SC group.
CONCLUSIONS
Results suggest support for the efficacy of TI for improving medication adherence as youth acquire more responsibility for their asthma management.
摘要
目的
确定家长-青少年团队合作干预是否能提高哮喘青少年的药物依从性和相关结果。
方法
我们采用了一项随机临床试验，共有 48 名青少年（9-15 岁）被分配到 3 个组之一：团队合作干预（TI）、哮喘教育（AE）或标准护理（SC）。治疗持续 2 个月，并进行 3 个月的随访评估。通过 MDILog-II 评估吸入皮质激素的依从性。在治疗前、治疗后和随访时，评估父母-青少年冲突、哮喘功能严重程度和肺功能。采用混合线性模型分析评估组间和时间效应对结局指标的影响。
结果
与 AE 或 SC 条件相比，TI 组的依从性更高，功能严重程度评分更低，父母报告的冲突更少，并且与 SC 组相比，肺功能值有升高的趋势。
结论
结果表明，TI 对于提高青少年对哮喘管理的责任感，从而改善药物依从性是有效的。
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