Treatment adherence among low-income children with asthma

J Pediatr Psychol. 1998 Dec;23(6):345-9. doi: 10.1093/jpepsy/23.6.345.

Abstract

Objective: To investigate the adherence behaviors (MDI use, MDI/spacer technique, appointment attendance, smoking in the home) of low-income, urban, primarily African American children with asthma.

Method: Participants were 55 children ages 6 to 17 with moderate to severe asthma. Adherence to MDI anti-inflammatory agents was estimated primarily from canister weight at the follow-up appointment.

Results: The mean use of MDI medication was 44% of prescribed use, with 27% of subjects demonstrating MDI/spacer technique likely to prevent drug delivery. Almost half reported that household members smoked cigarettes, and 21% missed scheduled follow-up appointments.

Conclusions: These findings have implications for how clinicians should assess and improve adherence.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • African Americans
  • Anti-Asthmatic Agents / administration & dosage*
  • Asthma / drug therapy*
  • Beclomethasone / administration & dosage
  • Blacks
  • Child
  • Cromolyn Sodium / administration & dosage
  • Female
  • Follow-Up Studies
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Nebulizers and Vaporizers
  • Nedocromil / administration & dosage
  • Parent-Child Relations / ethnology
  • Patient Compliance / psychology*
  • Patient Education as Topic / statistics & numerical data
  • Smoking / epidemiology
  • Social Class
  • Socioeconomic Factors
  • Triamcinolone Acetonide / administration & dosage
  • United States

Substances

  • Anti-Asthmatic Agents
  • Nedocromil
  • Triamcinolone Acetonide
  • Beclomethasone
  • Cromolyn Sodium