Using Question Prompt Lists During Pediatric Asthma Visits to Increase Adolescent Involvement

The study uses a randomized controlled trial design stratified by provider to assess the
impact of an adolescent "asthma question prompt list" combined with a supportive educational
video emphasizing the importance of adolescent involvement and question-asking on
communication during pediatric visits. This application is based on Social Cognitive Theory.
Self-confidence or self-efficacy is a central component of Social Cognitive Theory (SCT)
Application of Social Cognitive Theory (SCT) in asthma populations has shown that technical
advice from providers is one external factor that can improve asthma management
self-efficacy. Additionally, personal beliefs, such as outcome expectations, and family
factors, such as parent and adolescent responsibility for asthma self-management, have been
shown to affect adolescent self-efficacy and disease management outcomes. Prior work has
found that adolescent self-efficacy in asthma management correlates strongly with health
status, adherence, asthma medication device technique, asthma symptoms, and impact of illness
on the family.

All adolescents will have their medical visits audio recorded. The adolescent will be
interviewed after his/her medical visit while his/her caregiver/parent completes a survey at
the time of study enrollment. This same procedure will be used when the adolescent and
caregiver/parents return for the 6- and 12-month follow-up visits.

Inclusion Criteria:

- ages 11 to 17 years;

- speak and read English or Spanish;

- have persistent asthma;

- are present for an acute or follow-up asthma visit or a well-child visit;

- and have previously visited the clinic at least once for asthma.

Adolescents' parents will be eligible if they are at least 18 years of age, speak and read
English or Spanish, and are the legal guardian of the adolescent.

Exclusion Criteria:

- present for gastrointestinal complaints or other non-asthma related acute illness.