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  1. 1. A2 Psychology:A2 Psychology: G543 Health & ClinicalG543 Health & Clinical Healthy livingHealthy living improving adherence using behavioural methodsimproving adherence using behavioural methods
  2. 2. Watt: improving adherence to taking medication for asthma Headline • Using reinforcement for following medical regimen improves adherence
  3. 3. ‘‘Watt’isasthma?Watt’isasthma? • When a person with asthma comes into contact with something that irritates their airways (an asthma trigger), the muscles around the walls of the airways tighten so that the airways become narrower and the lining of the airways becomes inflamed and starts to swell. • These reactions cause the airways to become narrower and irritated - making it difficult to breath • 5.4m people in the UK are currently receiving treatment for asthma • 1.1m children in the UK are currently receiving treatment for asthma • There is a person with asthma in 1 in 5 households in the UK
  4. 4. Link to Funhaler demo Funhaler has incentive toys (spinner and whistle) which function best when the child uses the deep breathing pattern that ensures the effective inhalation of the medication
  5. 5. Watt: improving adherence to taking medication for asthma Aim • Too see if using a Funhaler can improve children’s adherence to taking medication for asthma
  6. 6. Watt: improving adherence to taking medication for asthma Methodology • A field experiment (also qualifies as quasi because it uses children with asthma) • 2 conditions • Uses self-report to measure adherence rates
  7. 7. Watt: improving adherence to taking medication for asthma Participants • 32 Australian children (10M,22F) – Aged 1.5 to 6, mean age 3.2 • All diagnosed with asthma + prescribed drugs delivered by pressurised metered dose inhaler (pDMI) • Parents gave informed consent
  8. 8. Watt: improving adherence to taking medication for asthma Design • Repeated measures design – One week usng pMDI “Breath-a- tech” – One week using Funhaler
  9. 9. Watt: improving adherence to taking medication for asthma Procedure • Child given Breath-a-Tech for 1 week and parents given questionnaire • Child given Funhaler for 1 week and parents given matching questionnaire at end of 2nd week
  10. 10. Watt: improving adherence to taking medication for asthma Findings • 38% more parents were found to have medicated their children the previous day when using the Funhaler, compared to existing treatment
  11. 11. Conclusions • Funhaler can be remedy for non- adherence caused by boredom, forgetfulness and apathy – These were reasons shown by previous research for non-adherence • Adherence can improved by making it fun

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