Questions and reported medication problems from pediatric patients and caregivers after intervention
- Resource Type
- Authors
- Charles Lee; Ceila E. Loughlin; Scott A. Davis; Delesha M. Carpenter; Betsy Sleath; Robyn Sayner; Gail Tudor; Daniel S. Reuland; Nacire Garcia
- Source
- American Journal of Health-System Pharmacy. 76:366-373
- Subject
- Adult
Male
medicine.medical_specialty
Adolescent
Office Visits
Office visits
Video Recording
030226 pharmacology & pharmacy
law.invention
03 medical and health sciences
0302 clinical medicine
Patient Education as Topic
Randomized controlled trial
law
Surveys and Questionnaires
Intervention (counseling)
medicine
Humans
Anti-Asthmatic Agents
030212 general & internal medicine
Child
Asthma
Pharmacology
Video intervention
business.industry
Communication
Health Policy
Professional-Patient Relations
Odds ratio
Middle Aged
medicine.disease
Confidence interval
Caregivers
Family medicine
Practice Research Reports
Usual care
Female
Patient Participation
business
- Language
- ISSN
- 1535-2900
1079-2082
Purpose The effectiveness of an asthma question prompt list with video intervention to increase question-asking during pediatric office visits among youth who reported medication problems was evaluated. Methods English- or Spanish-speaking youth age 11-17 years with persistent asthma and their caregivers were enrolled from 4 pediatric clinics in a randomized controlled trial. Youth were randomized to intervention or usual care groups. Youth in the intervention group watched an educational video with their caregivers on an iPad. The youth then received a 1-page asthma question prompt list to complete before their visits. The audio of all baseline medical visits was recorded. Youth were interviewed and caregivers completed questionnaires at baseline and 6 months later. Results A total of 40 providers and 359 of their patients participated. Youth who reported at least 1 medication problem who were in the intervention group were significantly more likely to ask 1 or more questions about medications during their visits than youth in the usual care group (odds ratio = 3.1, 95% confidence interval = 2.0, 4.1). Seventy-four percent of youth and 71% caregivers who reported the youth had problems using asthma medications at baseline still reported 1 or more problems 6 months later. Conclusion Among youth who reported 1 or more problems with using their asthma medications, the intervention significantly increased youth question-asking. Many youth- and caregiver-reported problems with using asthma medications persisted over time.