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The development of a motivational interviewing intervention to promote medication adherence among inner-city, African-American adolescents with asthma.
Patient Educ Couns. 2011 Jan; 82(1):117-22.PE

Abstract

OBJECTIVE

to develop and assess the feasibility of a motivational interviewing (MI) based asthma self-management program for inner-city, African-American, adolescents with asthma.

METHODS

37 African-American adolescents (age 10-15 years) recently seen in an inner-city emergency department for asthma and prescribed an asthma controller medication participated in the newly developed program consisting of 5 home visits. Adolescents and their caregivers completed phone-based surveys before and after the intervention.

RESULTS

95% of the adolescents completed all 5 sessions; 89% of caregivers and 76% of adolescents believed other families would benefit from the intervention. Caregivers were more likely to report 100% adherence post-intervention compared to pre-intervention and reported a trend for adolescents taking greater responsibility for their asthma. There were no pre-post-differences in adolescent-reported medication adherence, but adolescents did reported increased motivation and readiness to adhere to treatment. Caregivers and adolescents each reported statistically significant increases in their asthma quality of life.

CONCLUSIONS

the findings from this pilot study suggest that MI is a feasible and promising approach for increasing medication adherence among inner-city adolescents with asthma and is worthy of further evaluation in a randomized trial.

PRACTICE IMPLICATIONS

incorporating MI into disease management programs may enhance their effectiveness.

Authors+Show Affiliations

Division of Pulmonary & Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21224, USA. krieker1@jhmi.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

20371158

Citation

Riekert, Kristin A., et al. "The Development of a Motivational Interviewing Intervention to Promote Medication Adherence Among Inner-city, African-American Adolescents With Asthma." Patient Education and Counseling, vol. 82, no. 1, 2011, pp. 117-22.
Riekert KA, Borrelli B, Bilderback A, et al. The development of a motivational interviewing intervention to promote medication adherence among inner-city, African-American adolescents with asthma. Patient Educ Couns. 2011;82(1):117-22.
Riekert, K. A., Borrelli, B., Bilderback, A., & Rand, C. S. (2011). The development of a motivational interviewing intervention to promote medication adherence among inner-city, African-American adolescents with asthma. Patient Education and Counseling, 82(1), 117-22. https://doi.org/10.1016/j.pec.2010.03.005
Riekert KA, et al. The Development of a Motivational Interviewing Intervention to Promote Medication Adherence Among Inner-city, African-American Adolescents With Asthma. Patient Educ Couns. 2011;82(1):117-22. PubMed PMID: 20371158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The development of a motivational interviewing intervention to promote medication adherence among inner-city, African-American adolescents with asthma. AU - Riekert,Kristin A, AU - Borrelli,Belinda, AU - Bilderback,Andrew, AU - Rand,Cynthia S, Y1 - 2010/04/03/ PY - 2009/08/21/received PY - 2010/02/22/revised PY - 2010/03/07/accepted PY - 2010/4/8/entrez PY - 2010/4/8/pubmed PY - 2011/4/26/medline SP - 117 EP - 22 JF - Patient education and counseling JO - Patient Educ Couns VL - 82 IS - 1 N2 - OBJECTIVE: to develop and assess the feasibility of a motivational interviewing (MI) based asthma self-management program for inner-city, African-American, adolescents with asthma. METHODS: 37 African-American adolescents (age 10-15 years) recently seen in an inner-city emergency department for asthma and prescribed an asthma controller medication participated in the newly developed program consisting of 5 home visits. Adolescents and their caregivers completed phone-based surveys before and after the intervention. RESULTS: 95% of the adolescents completed all 5 sessions; 89% of caregivers and 76% of adolescents believed other families would benefit from the intervention. Caregivers were more likely to report 100% adherence post-intervention compared to pre-intervention and reported a trend for adolescents taking greater responsibility for their asthma. There were no pre-post-differences in adolescent-reported medication adherence, but adolescents did reported increased motivation and readiness to adhere to treatment. Caregivers and adolescents each reported statistically significant increases in their asthma quality of life. CONCLUSIONS: the findings from this pilot study suggest that MI is a feasible and promising approach for increasing medication adherence among inner-city adolescents with asthma and is worthy of further evaluation in a randomized trial. PRACTICE IMPLICATIONS: incorporating MI into disease management programs may enhance their effectiveness. SN - 1873-5134 UR - https://www.unboundmedicine.com/medline/citation/20371158/The_development_of_a_motivational_interviewing_intervention_to_promote_medication_adherence_among_inner_city_African_American_adolescents_with_asthma_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0738-3991(10)00122-9 DB - PRIME DP - Unbound Medicine ER -