Andrea J. Apter|Xingmei Wang|Daniel K. Bogen|Cynthia S. Rand|Sean McElligott|Daniel Polsky|Rodalyn Gonzalez|Chantel Priolo|Bariituu I. Adam|Sabrina Geer|Thomas Ten Have
Problem solving to improve adherence and asthma outcomes in urban adults with moderate or severe asthma: A randomized controlled trial
University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|Johns Hopkins University|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania
improving inhaled corticosteroid ics adherence improve asthma outcomesin randomized controlled trial tested whether individualized problemsolving ps intervention improves ics adherence asthma outcomesadults moderate severe asthma clinics serving urban neighborhoods randomized ps ie defining specific barriers adherence proposingweighing solutions trying best assessing revising standard asthma education ae 3 months observed 3 months adherence monitored electronically outcomes included following asthma control fev1 asthmarelated quality life emergency department ed visits hospitalizations intentiontotreatanalysis longitudinal models using random effects regression usedthree hundred thirtythree adults randomized 49 14 years age 72 female 68 african american 7 latino mean fev1 66 19 103 31 hospitalizations 172 52 ed visits asthma prior year difference groups overall change outcome p 20 mean adherence 61 27 decreased significantly p 0004 time 14 10 ae ps groups respectively asthma control improved overall 15 p 002 groups fev1 quality life improved 6 p 01 18 p 0001 respectively however improvement fev1 occurred monitoring subsequently randomization rates ed visits hospitalizations significantly decrease study periodps better ae improving adherence asthma outcomes however monitoring ics use provision medications attention imposed groups associated improvement fev1 asthma control