Factors associated with nonresponse to a computer-tailored asthma management program for urban adolescents with asthma

C. L.M. Joseph, S. L. Havstad, D. Johnson, J. Saltzgaber, E. L. Peterson, K. Resnicow, D. R. Ownby, A. P. Baptist, C. C. Johnson, V. J. Strecher

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Background. The ability to identify potentially resistant participants early in the course of an intervention could inform development of strategies for behavior change and improve program effectiveness. Objective. The objective of this analysis was to identify factors related to nonresponse (i.e., lack of behavior change) to an asthma management intervention for urban teenagers. The intervention targeted several behaviors, including medication adherence, having a rescue inhaler nearby, and smoking. Methods. A discriminate analysis was conducted using data from a randomized trial of the intervention. Included in this analysis are participants who reported a physician diagnosis of asthma, completed a baseline questionnaire, were randomized to the treatment group, completed ≥2 of 4 educational sessions, and completed ≥2 of 3 follow-up questionnaires. Ninety students met criteria for inclusion in this subgroup analysis. Results. In logistic regression models for medication adherence, nonresponse was related to low baseline asthma self-regulation, odds ratio 3.6 (95% confidence interval 1.3-9.5). In models for having an inhaler nearby, nonresponse was related to low baseline self-regulation and to rebelliousness, OR = 4.7 (1.6-13.2) and 5.6 (1.7-18.0), respectively. Nonresponse to smoking messages was related to rebelliousness, low emotional support, and low religiosity, ORs = 7.6 (1.8-32.3), 9.5 (1.4-63.5), and 6.6 (1.5-29.8) respectively. Conclusions. Certain variables had the ability to discriminate the likelihood of response from that of nonresponse to an asthma program for urban, African American adolescents with asthma. These variables can be used to identify resistant subgroups early in the intervention, allowing the application of specialized strategies through tailoring. These types of analyses can inform behavioral interventions.

Original languageEnglish (US)
Pages (from-to)667-673
Number of pages7
JournalJournal of Asthma
Volume47
Issue number6
DOIs
StatePublished - Aug 1 2010

Fingerprint

Asthma
Aptitude
Medication Adherence
Nebulizers and Vaporizers
Logistic Models
Smoking
Program Evaluation
African Americans
Odds Ratio
Confidence Intervals
Students
Physicians
Self-Control
Surveys and Questionnaires
Therapeutics

Keywords

  • Adolescent
  • African American
  • Asthma
  • Behavior
  • Nonresponse
  • Tailoring

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

Cite this

Joseph, C. L. M., Havstad, S. L., Johnson, D., Saltzgaber, J., Peterson, E. L., Resnicow, K., ... Strecher, V. J. (2010). Factors associated with nonresponse to a computer-tailored asthma management program for urban adolescents with asthma. Journal of Asthma, 47(6), 667-673. https://doi.org/10.3109/02770900903518827

Factors associated with nonresponse to a computer-tailored asthma management program for urban adolescents with asthma. / Joseph, C. L.M.; Havstad, S. L.; Johnson, D.; Saltzgaber, J.; Peterson, E. L.; Resnicow, K.; Ownby, D. R.; Baptist, A. P.; Johnson, C. C.; Strecher, V. J.

In: Journal of Asthma, Vol. 47, No. 6, 01.08.2010, p. 667-673.

Research output: Contribution to journalArticle

Joseph, CLM, Havstad, SL, Johnson, D, Saltzgaber, J, Peterson, EL, Resnicow, K, Ownby, DR, Baptist, AP, Johnson, CC & Strecher, VJ 2010, 'Factors associated with nonresponse to a computer-tailored asthma management program for urban adolescents with asthma', Journal of Asthma, vol. 47, no. 6, pp. 667-673. https://doi.org/10.3109/02770900903518827
Joseph, C. L.M. ; Havstad, S. L. ; Johnson, D. ; Saltzgaber, J. ; Peterson, E. L. ; Resnicow, K. ; Ownby, D. R. ; Baptist, A. P. ; Johnson, C. C. ; Strecher, V. J. / Factors associated with nonresponse to a computer-tailored asthma management program for urban adolescents with asthma. In: Journal of Asthma. 2010 ; Vol. 47, No. 6. pp. 667-673.
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