1. The Detroit Young Adult Asthma Project: Pilot of a Technology-Based Medication Adherence Intervention for African-American Emerging Adults
- Author
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Phebe Lam, Karen MacDonell, Elizabeth Secord, Wanda Gibson-Scipio, and Sylvie Naar
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Reminder Systems ,Motivational interviewing ,Medication adherence ,Pilot Projects ,Motivational Interviewing ,Article ,Medication Adherence ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Intervention (counseling) ,Humans ,Medicine ,030212 general & internal medicine ,Young adult ,mHealth ,Asthma ,Text Messaging ,business.industry ,Public Health, Environmental and Occupational Health ,Attentional control ,medicine.disease ,Health equity ,Black or African American ,Psychiatry and Mental health ,030228 respiratory system ,Pediatrics, Perinatology and Child Health ,Physical therapy ,Feasibility Studies ,Female ,Self Report ,business - Abstract
Purpose To conduct a randomized controlled pilot of a multicomponent, technology-based intervention promoting adherence to controller medication in African-American emerging adults with asthma. The intervention consisted of two computer-delivered sessions based on motivational interviewing combined with text messaged reminders between sessions. Methods Participants (N = 49) were 18โ29 years old, African-American, with persistent asthma requiring controller medication. Participants had to report poor medication adherence and asthma control. Youth were randomized to receive the intervention or an attention control. Data were collected through computer-delivered self-report questionnaires at baseline, 1, and 3 months. Ecological Momentary Assessment via two-way text messaging was also used to collect "real-time" data on medication use and asthma control. Results The intervention was feasible and acceptable to the target population, as evidenced by high retention rates and satisfaction scores. Changes in study outcomes from pre- to postintervention favored the intervention, particularly for decrease in asthma symptoms, t (42) = 2.22, p d = .071). Conclusions Results suggest that the intervention is feasible and effective. However, findings are preliminary and should be replicated with a larger sample and more sophisticated data analyses.
- Published
- 2016