Intervention strategies for children poorly adherent with asthma medications; one center's experience

Poor adherence to medications and other aspects of the treatment plan is co mmon in pediatric patients with asthma, and is a common reason for inadequa te asthma control. In selected patients we have used electronic monitoring of pulmonary function, behavior contracts, home nursing visits, and medical neglect reports in an attempt to improve adherence and asthma control. Imp roved outcomes were seen with the most aggressive intervention, home nursin g, and medical neglect referral, but not with less aggressive measures.