Computer-assisted reinforcement of instruction: Effects on adherence in adult atopic asthmatics

Authors

  • Karen Huss,

    Corresponding author
    1. Research consultant at Walter Reed Army Medical Center, Washington, DC
    • Allergy/Immunology Service, Walter Reed Army Medical Center, Washington, DC 20307
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  • Sr. Maria Salerno,

    1. Director of the Primary Care of Adults Nurse Practitioner Program, School of Nursing, The Catholic University of America, Bethesda, MD
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  • Richard W. Huss

    1. Diplomate of the American Board of Allergy and Immunology, is associated with Huss & Huss Allergy/Immunology Practice, Bethesda, MD
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Abstract

A randomized comparison group pretest–posttest experimental design was used to determine computer-assisted instruction effects on adherence to implementing house dust mite avoidance measures in adult atopic asthmatics. Fifty-two subjects were randomly assigned to comparison and experimental groups. The comparison group received traditional instruction in avoidance measures while the experimental group received traditional instruction supplemented by identical information provided by computer-assisted reinforcement of instruction. Adherence was measured by subjects' self-ratings and investigators' observations. Data were collected during two home visits 12 weeks apart. The computer group had significantly (p < 0.05) greater adherence scores than the comparison group. The results indicate that computer-assisted reinforcement of instruction is an effective method of increasing self-care behaviors about allergen avoidance activities.

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