Location
Hôpital du Sacré-Cœur de MontréalCategory
RespiratoryRecruitment status
Recruitment complete, follow-up currently in progressSummary
The high personal and financial costs of asthma appear to be related to poor asthma control. The availability of effective treatments suggests that asthma can be well controlled in most patients, though most (53-58%) Canadians remain poorly controlled. Achieving optimal asthma control relies upon several behavioral factors, particularly daily taking one's medication as prescribed. However, research suggests adherence rates are as low as 32% in patients with asthma. Participation in education programs has increased patient knowledge about the importance of medication adherence, but recent reviews indicate that these programs have not significantly changed medication taking behavior. The purpose of this study is to assess the impact of a brief intervention that uses motivational interviewing (MI) techniques, on asthma medication adherence in sample of adult asthmatics.
This will be the first appropriately designed RCT to test the impact of a brief MI intervention on ICS adherence that may be easily incorporated into existing education programs and/or clinical practice to significantly improve asthma outcomes.
Guillaume Lacoste, MBMC coordinator
(514) 338-2222 ext. 3989
guillaume.lacoste@mbmc-cmcm.ca
CIHR - Canadian Institutes of Health Research
- Peláez S, Bacon SL, Lacoste G, Lavoie KL. (2016). Potential intervention to enhance adherence to asthma treatment medication. Journal of Asthma, 53: 1076-1084.
- Dragomir, AI., Bacon, S., Moullec, G., Blais, L., Laurin, C., Lavoie, KL. (2016). Adherence profiles are associated with differential responses to a MC intervention for medication adherence in asthma patients. Annals of Behavioral Medicine. 50(Suppl 1), S191.
- Dragomir AI, Bacon SL, Moullec G, Blais L, Laurin C, Lavoie KL. (2015). Self-efficacy, motivation and healthcare provider autonomy support: Impact on asthma medication adherence. Canadian Respiratory Journal, 22: 8A.
- Lavoie KL, Moullec G, Lemiere C, Blais L, Labrecque M, Beauchesne MF, Pepin V, Cartier A, Bacon SL. (2014). The efficacy of brief motivational interviewing to improve adherence to inhaled corticosteroids among adult asthmatics: Results from a randomized controlled pilot feasibility trial. Patient Preference and Adherence, 10: 1555-1569.
- Peláez S, Bacon SL, Aulls MW, Lacoste G, Lavoie KL. (2014). Different Points of View: Similarities and Discrepancies Between Asthma Health Care Professionals’ and Patients’ Views on Medication Adherence. Canadian Respiratory Journal, 21: 221-226.
- Moullec G, Gour-Provencal G, Bacon SL, Campbell TS, Lavoie KL. (2012). Efficacy of interventions to improve adherence to inhaled corticosteroid medications in adult asthmatics: a systematic review and meta-analysis. Respiratory Medicine 2012 Sep;106(9):1211-25.
- Lavoie KL, Campbell TS, Bacon SL. (2012). Does motivational interviewing improve medication adherence? Archives of Internal Medicine, 172: 1351-1352.
- Foster J, Lavoie KL, Boulet LP. Treatment adherence and psychosocial factors in severe asthma. (2011). In K F Chung, E Bel & S Wenzel (Eds), Difficult-to-treat severe asthma, European Respiratory Society.