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Enhancing Treatment Adherence in Pediatric Asthma With a Problem Solving Intervention

The recruitment status of this study is unknown because the information has not been verified recently.
Verified November 2006 by National Heart, Lung, and Blood Institute (NHLBI).
Recruitment status was  Active, not recruiting
Information provided by:
National Heart, Lung, and Blood Institute (NHLBI) Identifier:
First received: September 6, 2005
Last updated: November 6, 2006
Last verified: November 2006

September 6, 2005
November 6, 2006
January 2001
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Adherence to medical treatment, based on electronic monitors (measured at Months 3, 6, 9, and 12)
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Complete list of historical versions of study NCT00149487 on Archive Site
Asthma-related morbidity, including symptoms, pulmonary functioning, and health-related quality of life (measured at Months 3, 6, 9 and 12)
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Enhancing Treatment Adherence in Pediatric Asthma With a Problem Solving Intervention
Randomized Controlled Trial of Problem Solving Intervention to Enhance Treatment Adherence in Pediatric Asthma

The purpose of this study is to determine the effectiveness of a tailored problem solving intervention in increasing adherence to asthma management behaviors in African American adolescents with asthma.


Children and adolescents who are unable to adhere to their medical regimen for the management of chronic illness present considerable challenges to health care providers and researchers. Pediatric asthma is a chronic illness where the consequences of non-adherence are particularly detrimental and widespread, especially among economically disadvantaged minority children and their families. Studies of intervention of asthma management are needed for this population.


The aim of the proposed study is to test the efficacy of a problem solving intervention that is tailored to the observed adherence behaviors and identified barriers to increasing adherence in African American children and adolescents with asthma, and their families. Patients are randomized to either a Tailored Problem Solving Intervention, or a control group who will receive Family Education Intervention. Duration of the intervention is four months.

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Allocation: Randomized
Primary Purpose: Treatment
  • Behavioral: Tailored Problem Solving Intervention
  • Behavioral: Family Education Intervention
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*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Active, not recruiting
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Inclusion Criteria:

  • African American
  • Family income to be below the poverty line
  • Physician-based diagnosis of asthma of at least 12 months
  • Moderate to severe asthma (moderate asthma includes daily symptoms, daily use of inhaled short acting beta-agonist, exacerbations greater than 2 times per week that affect activity, and nighttime symptoms greater than once a week, FEV1 or Peak Flow PEF between 60 and 80 percent predicted and PEF variability greater than 30 percent; severe asthma includes continual symptoms, limited physical activity, frequent exacerbations together with frequent nighttime symptoms, FEV1 or PEF less than 60 percent predicted, and PEF variability greater than 30 percent)
  • Likely to be on a stable and daily medication (inhaled steroid) that can be modified electronically for the time period required to participate in the study

Exclusion Criteria:

  • Presence of a serious comorbid chronic condition
6 Years to 17 Years
Contact information is only displayed when the study is recruiting subjects
United States
257, R01 HL069547
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National Heart, Lung, and Blood Institute (NHLBI)
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Principal Investigator: Dennis Drotar, PhD Case Western Reserve University
National Heart, Lung, and Blood Institute (NHLBI)
November 2006

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP