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IMPROVING ADHERENCE TO MEDICATION REGIMENS FOR CHILDREN WITH ASTHMA AND ITS EFFECT ON CLINICAL OUTCOME
Author(s) -
Costa Irene G. Da,
Rapoff Michael A.,
Lemanek Kathleen,
Goldstein Gerald L.
Publication year - 1997
Publication title -
journal of applied behavior analysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.1
H-Index - 76
eISSN - 1938-3703
pISSN - 0021-8855
DOI - 10.1901/jaba.1997.30-687
Subject(s) - intervention (counseling) , asthma , token economy , pulmonary function testing , medicine , affect (linguistics) , outcome (game theory) , pediatrics , disease , psychology , girl , clinical psychology , physical therapy , intensive care medicine , psychiatry , reinforcement , developmental psychology , social psychology , mathematics , communication , mathematical economics
We examined the effects of a combined education and token system intervention to improve adherence to inhaled corticosteroids for an 8‐year‐old girl and a 10‐year‐old boy with asthma. Adherence was measured by an electronic chronolog monitor, and disease outcome was assessed by repeated pulmonary function testing. A withdrawal design demonstrated improved adherence and, for 1 child, an associated improvement in pulmonary function occurred. Methodological and clinical implications are discussed, including variables other than adherence that may affect disease outcome.