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
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Clinical Trial
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Research Support, Non-U.S. Gov't
MeSH terms
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Adolescent
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Adult
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African Americans
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Anti-Asthmatic Agents / administration & dosage*
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Asthma / drug therapy*
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Beclomethasone / administration & dosage
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Blacks
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Child
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Cromolyn Sodium / administration & dosage
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Female
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Follow-Up Studies
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Health Knowledge, Attitudes, Practice*
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Humans
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Incidence
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Male
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Middle Aged
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Nebulizers and Vaporizers
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Nedocromil / administration & dosage
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Parent-Child Relations / ethnology
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Patient Compliance / psychology*
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Patient Education as Topic / statistics & numerical data
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Smoking / epidemiology
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Social Class
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Socioeconomic Factors
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Triamcinolone Acetonide / administration & dosage
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United States
Substances
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Anti-Asthmatic Agents
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Nedocromil
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Triamcinolone Acetonide
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Beclomethasone
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Cromolyn Sodium