提高哮喘儿童对药物治疗方案的依从性及其对临床结局的影响。
Improving adherence to medication regimens for children with asthma and its effect on clinical outcome.
作者信息
da Costa I G, Rapoff M A, Lemanek K, Goldstein G L
机构信息
University of Kansas, Kansas City, USA.
出版信息
J Appl Behav Anal. 1997 Winter;30(4):687-91. doi: 10.1901/jaba.1997.30-687.
Abstract
We examined the effects of a combined education and token system intervention to improve adherence to inhaled corticosteroids for an 8-year-old girl and a 10-year-old boy with asthma. Adherence was measured by an electronic chronolog monitor, and disease outcome was assessed by repeated pulmonary function testing. A withdrawal design demonstrated improved adherence and, for 1 child, an associated improvement in pulmonary function occurred. Methodological and clinical implications are discussed, including variables other than adherence that may affect disease outcome.
摘要
我们研究了教育与代币系统相结合的干预措施对一名8岁哮喘女童和一名10岁哮喘男童吸入糖皮质激素依从性的影响。通过电子计时监测仪测量依从性，并通过重复肺功能测试评估疾病转归。一项撤药设计显示依从性有所改善，并且对于其中1名儿童，肺功能也出现了相应改善。文中讨论了方法学和临床意义，包括可能影响疾病转归的除依从性之外的变量。
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本文引用的文献
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