Table 1

Effective use of prescription controller medication(s)

STAGING QUESTIONS

ANSWERS

STAGE


Has your child been prescribed a controller medication (e.g., Pulmicort, Flovent or Singulair)? If yes, how often is it supposed to be given?

No

Yes

NA

Continue questions


Tell me about yesterday.

What medication(s) did you give?

What time(s)?

How about the day before that?

Go back as far as you need to get a sense of whether the meds are being given correctly or not


Is the controller medication(s) used every day as directed? How often are doses missed? How many missed doses in the last week?

If has been doing it correctly for more than 6 months

Maintenance

(I STILL AM)


Possible Questions to help answer above question

Do you have controller medications at home now?

If no, why?

Have you ever tried to use them every day? How did your child respond?

Why did you stop?

Do you think that controller medications help the asthma?

If doing it correctly at least for the last week

Action

(I AM)


If doing it some of the time and intending to do better

Preparation

(I WILL)


If not doing it but thinking about how to do it

Contemplation

(I MAY)


If not doing it because bogged down

Precontemplation Believer

(I CAN'T)


If not doing it because don't believe in giving children regular meds

Precontemplation Nonbeliever

(I WON'T)


Garbutt et al. BMC Pediatrics 2012 12:42   doi:10.1186/1471-2431-12-42

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