Problem solving to improve adherence and asthma outcomes in urban adults with moderate or severe asthma: a randomized controlled trial.

ABSTRACT:

Background

Improving inhaled corticosteroid (ICS) adherence should improve asthma outcomes.

Objective

In a randomized controlled trial we tested whether an individualized problem-solving (PS) intervention improves ICS adherence and asthma outcomes.

Methods

Adults with moderate or severe asthma from clinics serving urban neighborhoods were randomized to PS (ie, defining specific barriers to adherence, proposing/weighing solutions, trying the best, assessing, and revising) or standard asthma education (AE) for 3 months and then observed for 3 months. Adherence was monitored electronically. Outcomes included the following: asthma control, FEV(1), asthma-related quality of life, emergency department (ED) visits, and hospitalizations. In an intention-to-treat-analysis long

SUBMITTER: Apter AJ 

PROVIDER: S-EPMC3164914 | biostudies-literature | 2011 Sep

REPOSITORIES: biostudies-literature