Technology-Assisted Stepped-Care to Promote Adherence in Adolescents with Asthma: A Pilot Study.
Technology-Assisted Stepped-Care to Promote Adherence in Adolescents with Asthma: A Pilot Study.
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DOI：
10.1007/s10880-022-09905-5
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发表时间：
2023-06
影响因子：
2.2
通讯作者：
Hommel, Kevin A
中科院分区：
文献类型：
--
作者：
Ramsey, Rachelle R;Plevinsky, Jill M;Guilbert, Theresa W;Carmody, Julia K;Hommel, Kevin A
To examine the feasibility, acceptability, and preliminary efficacy of a technology-assisted stepped-care behavioral intervention to improve adherence in adolescents with asthma. Thirty adolescents (Mage = 14.66, 53% male) with moderate to severe-persistent asthma completed daily adherence monitoring and medication reminders via a mobile app (Step 1). Participants with < 68% adherence during Step 1 received a telehealth behavioral intervention (Step 2). Twenty-six of 30 participants (87%) completed Step 1. Step 2 was indicated for 18 participants and was completed by 17. Participants favorably rated their experience in the study. Improvements in adherence (40–58%, p = .048) and decreases in asthma composite severity scores (CASI 6.08–5.08, p = .023) were observed for the full sample. Technology-assisted stepped-care is feasible and acceptable. Participants demonstrated improved adherence and asthma composite severity scores once they received the appropriate step of the intervention. Future studies should include a control group, a longer time-frame and an intermediate intervention step.
