Meta-Analysis of Adherence Promotion Interventions in Pediatric Asthma

Abstract Background Youth with asthma commonly have suboptimal adherence to inhaled corticosteroids (ICS). It is critical to systematically evaluate the effectiveness of ICS adherence promotion interventions and discern which techniques are most effective. Objective This study aims to (1) quantify t...

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Bibliographic Details
Published in:Journal of pediatric psychology 2021-10, Vol.46 (10), p.1195-1212
Main Authors: Fidler, Andrea, Sweenie, Rachel, Ortega, Adrian, Cushing, Christopher C, Ramsey, Rachelle, Fedele, David
Format: Article
Language:English
Subjects:
Administration, Inhalation
Adolescent
Adrenal Cortex Hormones - therapeutic use
Anti-Asthmatic Agents - therapeutic use
Asthma - drug therapy
Child
Humans
Medication Adherence
Systematic Reviews and Meta-Analyses
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Summary:Abstract Background Youth with asthma commonly have suboptimal adherence to inhaled corticosteroids (ICS). It is critical to systematically evaluate the effectiveness of ICS adherence promotion interventions and discern which techniques are most effective. Objective This study aims to (1) quantify the extent to which interventions improve ICS adherence in pediatric asthma, (2) explore differences in effect size estimates based on intervention and study characteristics, and (3) characterize the risk of bias across interventions. Methods We conducted literature searches across five databases. Included studies quantitatively measured ICS adherence as an intervention outcome among youth (
ISSN:0146-8693
1465-735X
1465-735X
DOI:10.1093/jpepsy/jsab057