Improving youth question-asking and provider education during pediatric asthma visits.

Abstract:

OBJECTIVE:We conducted a pragmatic randomized controlled trial to test the effectiveness of an asthma question prompt list with video intervention to increase youth question-asking and provider education during visits. METHODS:English or Spanish-speaking youth ages 11-17 with persistent asthma and their parents were enrolled from four rural and suburban pediatric clinics. Youth were randomized to the intervention or usual care groups. Intervention group adolescents watched the video on an iPad and then completed an asthma question prompt list before their visits. Generalized estimating equations were used to analyze the data. RESULTS:Forty providers and 359 patients participated. Intervention group youth were significantly more likely to ask one or more questions about medications, triggers, and environmental control than usual care youth. Providers were significantly more likely to educate intervention group youth about rescue medications, triggers, and environmental control. Intervention group caregivers were not significantly more likely to ask questions. CONCLUSION:The intervention increased youth question-asking and provider education about medications, triggers, and environmental control. The intervention did not impact caregiver question-asking. PRACTICE IMPLICATIONS:Providers/practices should consider having youth complete question prompt lists and watch the video with their parents before visits to increase youth question-asking during visits.

journal_name

Patient Educ Couns

authors

Sleath B,Carpenter DM,Davis SA,Watson CH,Lee C,Loughlin CE,Garcia N,Reuland DS,Tudor G

doi

10.1016/j.pec.2018.01.013

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

1051-1057

issue

6

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(18)30035-1

journal_volume

101

pub_type

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