%0 Journal Article
%T Effect of an Asthma Question Prompt List and Video Intervention on Adolescents¡¯ Medication Adherence 12 Months Later
%A Betsy Sleath
%A Ceila E. Loughlin
%A Charles Lee
%A Daniel S. Reuland
%A Delesha Carpenter
%A Gail Tudor
%A Nacire Garcia
%A Scott A. Davis
%J Annals of Pharmacotherapy
%@ 1542-6270
%D 2019
%R 10.1177/1060028019831259
%X Background: Many adolescents do not obtain the maximum benefit from their asthma medications. Improving patient-provider communication may improve adolescents¡¯ asthma knowledge, adherence, and clinical outcomes. Objective: To determine how a question prompt list and educational video intervention affect youth- and caregiver-reported medication adherence and self-reported medication problems. Methods: Adolescents with persistent asthma (n = 359; 56.4% with moderate to severe asthma) and their caregivers were enrolled in a randomized controlled trial at 4 pediatric clinics. Intervention group families received a question prompt list and watched a short video before seeing the provider; control families received usual care. Youth- and caregiver-reported medication adherence was measured with a Visual Analog Scale, ranging from 0 to 100. Generalized estimating equations were used to determine how the intervention and covariates were associated with medication adherence and reported problems at 12 months. Results: The intervention was not a significant predictor of medication adherence at 12 months. Higher caregiver education was associated with higher youth-reported adherence (¦Â = 1.1; 95% CI = 0.1, 2.1; P = 0.036) and caregiver-reported adherence (¦Â = 1.2; 95% CI = 0.3, 2.0; P = 0.006). The intervention was associated with fewer caregiver-reported problems at 12 months (¦Â = £¿0.32; 95% CI = £¿0.48, £¿0.16; P < 0.001). Conclusions and Relevance: A question prompt list and educational video decreased the number of caregiver-reported medication problems, but did not significantly affect medication adherence. Further research is needed to develop more effective interventions to improve medication adherence and outcomes
%K medication adherence
%K patient-provider communication
%K medication problems
%K patient education
%U https://journals.sagepub.com/doi/full/10.1177/1060028019831259