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American Journal of Public Health logoLink to American Journal of Public Health
. 1990 Dec;80(12):1519–1521. doi: 10.2105/ajph.80.12.1519

Evaluation of the efficacy and cost effectiveness of health education methods to increase medication adherence among adults with asthma.

R A Windsor 1, W C Bailey 1, J M Richards Jr 1, B Manzella 1, S J Soong 1, M Brooks 1
PMCID: PMC1405114  PMID: 2240348

Abstract

We randomized 135 adult asthma patients to a control group, and 132 patients to an experimental group which received a special health education intervention. Four adherence measures were documented at baseline and 12-month follow-up: correct inhaler use, inhaler adherence, medication adherence, and total adherence rating. Costs to routinely deliver the intervention were $32.03/patient. Experimental group patients exhibited a significantly higher level of improvement in adherence (44 percent) than control group patients (2 percent).

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bailey W. C., Richards J. M., Jr, Manzella B. A., Windsor R. A., Brooks C. M., Soong S. J. Promoting self-management in adults with asthma: an overview of the UAB program. Health Educ Q. 1987 Fall;14(3):345–355. doi: 10.1177/109019818701400308. [DOI] [PubMed] [Google Scholar]
  2. Broder I., Higgins M. W., Mathews K. P., Keller J. B. Epidemiology of asthma and allergic rhinitis in a total community, Tecumseh, Michigan. 3. Second survey of the community. J Allergy Clin Immunol. 1974 Mar;53(3):127–138. doi: 10.1016/0091-6749(74)90001-3. [DOI] [PubMed] [Google Scholar]
  3. Brooks C. M., Richards J. M., Jr, Bailey W. C., Martin B., Windsor R. A., Soong S. J. Subjective symptomatology of asthma in an outpatient population. Psychosom Med. 1989 Jan-Feb;51(1):102–108. doi: 10.1097/00006842-198901000-00010. [DOI] [PubMed] [Google Scholar]
  4. Bruhn J. G. The application of theory in childhood asthma self-help programs. J Allergy Clin Immunol. 1983 Nov;72(5 Pt 2):561–577. doi: 10.1016/0091-6749(83)90483-9. [DOI] [PubMed] [Google Scholar]
  5. Clark N. M., Feldman C. H., Freudenberg N., Millman E. J., Wasilewski Y., Valle I. Developing education for children with asthma through study of self-management behavior. Health Educ Q. 1980 Winter;7(4):278–297. doi: 10.1177/109019818000700403. [DOI] [PubMed] [Google Scholar]
  6. Epstein S. W., Manning C. P., Ashley M. J., Corey P. N. Survey of the clinical use of pressurized aerosol inhalers. Can Med Assoc J. 1979 Apr 7;120(7):813–816. [PMC free article] [PubMed] [Google Scholar]
  7. Kinsman R. A., Dirks J. F., Dahlem N. W. Noncompliance to prescribed-as-needed (PRN) medication use in asthma: usage patterns and patient characteristics. J Psychosom Res. 1980;24(2):97–107. doi: 10.1016/0022-3999(80)90059-8. [DOI] [PubMed] [Google Scholar]
  8. Lowe J. B., Windsor R. A., Adams B., Morris J., Reese Y. Use of a bogus pipeline method to increase accuracy of self-reported alcohol consumption among pregnant women. J Stud Alcohol. 1986 Mar;47(2):173–175. doi: 10.15288/jsa.1986.47.173. [DOI] [PubMed] [Google Scholar]
  9. Maiman L. A., Green L. W., Gibson G., MacKenzie E. J. Education for self-treatment by adult asthmatics. JAMA. 1979 May 4;241(18):1919–1922. [PubMed] [Google Scholar]
  10. Manzella B. A., Brooks C. M., Richards J. M., Jr, Windsor R. A., Soong S., Bailey W. C. Assessing the use of metered dose inhalers by adults with asthma. J Asthma. 1989;26(4):223–230. doi: 10.3109/02770908909073253. [DOI] [PubMed] [Google Scholar]
  11. Morisky D. E., Green L. W., Levine D. M. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986 Jan;24(1):67–74. doi: 10.1097/00005650-198601000-00007. [DOI] [PubMed] [Google Scholar]
  12. Richards J. M., Jr, Bailey W. C., Windsor R. A., Martin B., Soong S. J. Some simple scales for use in asthma research. J Asthma. 1988;25(6):363–371. doi: 10.3109/02770908809071376. [DOI] [PubMed] [Google Scholar]
  13. Thoresen C. E., Kirmil-Gray K. Self-management psychology and the treatment of childhood asthma. J Allergy Clin Immunol. 1983 Nov;72(5 Pt 2):596–606. doi: 10.1016/0091-6749(83)90487-6. [DOI] [PubMed] [Google Scholar]
  14. Windsor R. A., Green L. W., Roseman J. M. Health promotion and maintenance for patients with chronic obstructive pulmonary disease: a review. J Chronic Dis. 1980;33(1):5–12. doi: 10.1016/0021-9681(80)90080-6. [DOI] [PubMed] [Google Scholar]
  15. Windsor R. A., Warner K. E., Cutter G. R. A cost-effectiveness analysis of self-help smoking cessation methods for pregnant women. Public Health Rep. 1988 Jan-Feb;103(1):83–88. [PMC free article] [PubMed] [Google Scholar]

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