Journal of Pediatric Psychiatry, Vol 24, 355-365, Copyright © 1999 by Society of Pediatric Psychology
LA Gavin, MZ Wamboldt, N Sorokin, SY Levy and FS Wamboldt
OBJECTIVE: To examine the concept of treatment alliance in the care of
adolescents with asthma. METHODS: Measures of treatment alliance were
obtained from 60 adolescents with severe, chronic asthma admitted to a
tertiary care facility, their parents, and their asthma specialists at the
referral center. Associations were examined between the alliance measures
and multimeasure, multiagent data concerning family functioning and asthma
treatment adherence and outcome. RESULTS: Physicians' reports of treatment
alliance were associated with concurrent family functioning and asthma
medication adherence, as well as with asthma treatment adherence and
outcome in the year after the stay at the asthma center. CONCLUSIONS: As
emphasized in the recently revised Expert Panel Report: Guidelines for the
Diagnosis and Management of Asthma (NHLBI, 1997), the ability of children
with asthma, their parents, and their physician to create a positive
partnership, or treatment alliance, appears to have an important role in
optimal asthma management.
ARTICLE
Treatment alliance and its association with family functioning, adherence, and medical outcome in adolescents with severe, chronic asthma
National Jewish Medical and Research Center, Denver, Colorado 80206, USA.
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