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Promoting Adherence

Effects of Theory-Based Asthma Education

University of Florida College of Nursing

Lili Tian

University of Florida College of Medicine

This study compared the effects of a the oretically focused audiotape and a standard educational booklet on asthma preventive medication adherence and other asthma outcomes. Forty-six adult asthmatics were randomly assigned to receive either an experimental audiotape incorporating components of protection motivation theory, a standard asthma management booklet, both, or no educational materials. Outcomes were assessed at baseline, 3 months, and 6 months. Mean pharmacy-verified adherence improved 15% to 19% in the intervention groups and declined 22% in the control group at 6 months. Using analysis of covariance (ANCOVA) to control for baseline adherence, these changes were significant between the control and booklet group (t = 2.47; p = .02) and between control and combined group (t = 2.07; p = .04). Providing a minimal educational intervention can have a beneficial effect on asthma medication adherence that persists at least 6 months.

Key Words: asthma • medication adherence • protection motivation theory

Clinical Nursing Research, Vol. 13, No. 1, 69-89 (2004)
DOI: 10.1177/1054773803259300


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