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Clinical Pediatrics
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Intervention Strategies for Children Poorly Adherent with Asthma Medications; One Center's Experience

James M. Sherman, MD

Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL

Sandra Baumstein, PharmD

AvMed Health Plan, Gainesville, FL

Leslie Hendeles, PharmD

College of Pharmacy and Department of Pediatrics, University of Florida Health Sciences Center, Gainesville, FL

Poor adherence to medications and other aspects of the treatment plan is common in pediatric patients with asthma, and is a common reason for inadequate asthma control. In selected patients we have used electronic monitoring of pulmonary function, behavior contracts, home nursing visits, and medical neglect reports in an attempt to improve adherence and asthma control. Improved outcomes were seen with the most aggressive intervention, home nursing, and medical neglect referral, but not with less aggressive measures.

Clinical Pediatrics, Vol. 40, No. 5, 253-258 (2001)
DOI: 10.1177/000992280104000503
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G. M. Roberts, J. G. Wheeler, N. C. Tucker, C. Hackler, K. Young, H. D. Maples, and T. Darville
Nonadherence With Pediatric Human Immunodeficiency Virus Therapy as Medical Neglect
Pediatrics, September 1, 2004; 114(3): e346 - e353.
[Abstract] [Full Text] [PDF]