Only one in 10 children who reported a problem with using an asthma medication asked a medication question during their consultations. None of the 79 children who had problems using their medications at school asked about school use during their consultation An important finding was that if providers asked Cisplatin cost more questions about asthma control medications, both children

and caregivers who reported at least one medication problem were significantly more likely to ask one or more medication questions. Also, among children who reported a medication problem, those with higher asthma management self-efficacy were twice as likely to ask at least one medication question during consultations

than children with lower self-efficacy. The study is limited in generalizability in that NVP-LDE225 research buy it was conducted in five paediatric clinics in non-urban areas of North Carolina. Another limitation is that we do not know how many patients that the clinic staff referred chose not to talk with the research assistant. However, we could not ask the clinic staff to track these numbers because of the busyness of the clinic and our promise not to interrupt clinic flow. Providers, children, and caregivers knew they were being recorded and may have changed their communication style and/or content, but they did not know the study hypotheses. Another limitation is that we do not know if caregivers and patients had asked their medication-related questions in prior visits. Also, we did not use a validated scale to assess adherence and we did not assess if patients went to more provider visits in between their audiotaped visits and the 1-month follow-up Vasopressin Receptor home visits. We did not examine if the caregivers had asthma or if more than one caregiver was helping manage the child’s asthma. Despite the limitations of the study, it presents new information on the extent to which caregivers and children ask questions during medical visits about asthma medication areas that they

reported having problems with. The study examined actual transcripts of audiotaped paediatric asthma visits so we knew what actual questions caregivers and children asked their providers. We also knew what medication problems children and caregivers reported to the research assistant, so we could compare what problems they stated having to what types of questions they asked their providers. Pharmacists could help caregivers by asking them if they would like a demonstration of how to correctly use their child’s asthma medication devices. Pharmacists could also ask questions like ‘Is your child experiencing side effects when using their asthma medications?’ or ‘Is your child having any problems with their asthma medications?’ to encourage caregivers to discuss side effects.