Improving adherence- Watt

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  • Created on: 10-04-14 09:25
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APPROACH: BEHAVIOURIST (Classical conditioning)
AIM: To see if using a Funhaler can improve children's adherence to
taking medication for asthma
A field experiment/ quasi-experiment (Children with asthma). 2 conditions & uses self-report (measure the
PPs: 32 Australian children; 10 boys, 22 girls aged 1.5 years to 6 (mean= 3.2 years). All been diagnosed with asthma
and prescribed drugs delivered by pressurised metered dose inhaler (pMDI). The parents gave informed consent
A repeated design as each PP had a week using the normal pMDI inhaler Breath-a-tech then one week using the
Each child given a Breath-a-tech to use for one week and the parents were given a questionnaire to fill in. The second
week, the children used a Funhaler and the parents filled in a questionnaire with matched questions
The Funhaler has incentive toys (spinner and whistle) (Positive reinforcement) which function best when the child uses
the deep breathing pattern that ensures the effective inhalation of medication.
38% more parents were found to have medicated their children the previous day when using the Funhaler, compared
to the existing treatment
Previous research had given reasons for non-adherence in children with asthma such as boredom, forgetfulness and
apathy. The Funhaler set out to remedy this by reinforcing correct usage of the inhaler with a spinner and a whistle.
This did improve adherence to the medication. So by making the medical regime fun, adherence, certainly in children,
can be improved.


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