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Evaluation of the efficacy and cost effectiveness of health education methods to increase medication adherence among adults with asthma.

R A Windsor, W C Bailey, J M Richards, Jr, B Manzella, S J Soong and M Brooks

Department of Health Behavior, University of Alabama, Birmingham.

We randomized 135 adult asthma patients to a control group, and 132 patients to an experimental group which received a special health education intervention. Four adherence measures were documented at baseline and 12-month follow-up: correct inhaler use, inhaler adherence, medication adherence, and total adherence rating. Costs to routinely deliver the intervention were $32.03/patient. Experimental group patients exhibited a significantly higher level of improvement in adherence (44 percent) than control group patients (2 percent).

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