Shared treatment decision making improves adherence and outcomes in poorly controlled asthma.

ABSTRACT:

Rationale

Poor adherence to asthma controller medications results in poor treatment outcomes.

Objectives

To compare controller medication adherence and clinical outcomes in 612 adults with poorly controlled asthma randomized to one of two different treatment decision-making models or to usual care.

Methods

In shared decision making (SDM), nonphysician clinicians and patients negotiated a treatment regimen that accommodated patient goals and preferences. In clinician decision making, treatment was prescribed without specifically eliciting patient goals/preferences. The otherwise identical intervention protocols both provided asthma education and involved two in-person and three brief phone encounters.

Measurements and main results

Refill adherence was measured u

SUBMITTER: Wilson SR 

PROVIDER: S-EPMC2841026 | biostudies-literature | 2010 Mar

REPOSITORIES: biostudies-literature