The impact of a question prompt list and video intervention on teen asthma control and quality-of-life one year later: results of a randomized trial

Abstract

Objective: This study examined whether youth who received an asthma question prompt list/video intervention were more likely to have their asthma controlled and better quality-of-life at 12 months than youth who received usual care.

Methods: English or Spanish-speaking youth ages 11–17 were enrolled and randomized to intervention or usual care. The 185 youth and parents in the intervention group watched the video on an iPad and then received a one-page asthma question prompt list to complete before their visits. One hundred seventy-four received usual care. Baseline and 6-month visits were audio-tape recorded. Generalized Estimating Equations were used to predict a youth’s quality-of-life and whether asthma was controlled at 12 months.

Results: Asthma control and quality-of-life improved significantly from baseline to 12-month follow-up in both intervention and usual care groups. Baseline asthma control and quality-of-life were significantly associated with 12-month asthma control and quality-of-life, respectively. Adolescents on a control medication at baseline were significantly more likely to have their asthma controlled at 12 months.

Conclusions: Asthma control and quality-of-life did not improve significantly more in the intervention group than in the usual care group.

Keywords:

• asthma management self-efficacy
• adolescents
• empowerment
• respiratory
• asthma quality-of-life
• question asking
• educational video

Additional information

Funding

This work was supported through Patient-Centered Outcomes Research Institute CDR-1402–09777. Two authors are also supported by the National Center for Advancing Translational Sciences (NCATS), National Institutes of Health, through Grant Award Number UL1TR002489.