• Medicine · May 2024

    Randomized Controlled Trial

    The effect of telephone and short-message follow-ups on compliance and efficacy in asthmatic children treated with inhaled corticosteroid: A randomized controlled trial.

    • Xiang Gao, Chao Long, Li-Feng Zhang, Rong-Jun Lin, Xiao-Mei Liu, Xu Zhang, Yan Jiang, and Hang Lin.
    • Department of Allergy, The Affiliated Hospital of Qingdao University, Qingdao, China.
    • Medicine (Baltimore). 2024 May 3; 103 (18): e37794e37794.

    BackgroundThis study aims to evaluate the effect of telephone and short-message follow-ups on compliance and efficacy in asthmatic children treated with inhaled corticosteroids.MethodsA total of 120 children with moderate bronchial asthma who visited the Asthma Outpatient Department of the Affiliated Hospital of Qingdao University were enrolled in the study. They were divided randomly into 3 groups based on the type of follow-up given: a combined telephone and short-message service (Tel + SMS) group, a SMS group, and a control group. After being followed up for 12 weeks, each child's asthma control level was assessed and their lung function was measured.ResultsThe compliance rates of children in the Tel + SMS group and SMS group were 86.49% and 56.25%, respectively. The total effective rates of these 2 groups (94.59% and 75.0%, respectively) were significantly higher than the rate of the control group (P < .01). The lung function indicators of the children in all 3 groups were better than those before treatment, although only the Tel + SMS group and SMS group improved significantly (P < .05). The lung function indicators of the large and small airways in the Tel + SMS group and the SMS group were also significantly better than those of the control group (P < .01). The results of the study suggest that 1 of the causes of poor compliance in asthmatic children is fear of an adverse reaction to inhaled corticosteroids.ConclusionTelephone and short-message follow-ups can increase compliance with inhaled corticosteroid treatment and improve the asthma control levels and lung function of asthmatic children.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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