Psychological Factors Associated with Medication Nonadherence in Asthmatic Children

Adherence with inhaled beta-agonists and corticosteroids in 24 asthmatic children was tracked over 3 months utilizing the metered-dose inhaler chronolog (MDIC). Patients seldom took all of their medications as prescribed, and failed to take any inhaled corticosteroid doses on a median of 41.8% of da...

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Bibliographic Details
Published in:The Journal of asthma 1998, Vol.35 (4), p.347-353
Main Authors: Bender, Bruce, Milgrom, Henry, Rand, Cynthia, Ackerson, Lynn
Format: Article
Language:English
Subjects:
Adherence
Anti-Asthmatic Agents - administration & dosage
Anti-Asthmatic Agents - therapeutic use
Asthma
Asthma - drug therapy
Asthma - psychology
Biological and medical sciences
Child
Deception
Female
Health Services Misuse
Humans
Male
Medical Records
Medical sciences
Medication
Patient Compliance
Pharmacology. Drug treatments
Psychology, Child
Respiratory system
Self Administration
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Summary:Adherence with inhaled beta-agonists and corticosteroids in 24 asthmatic children was tracked over 3 months utilizing the metered-dose inhaler chronolog (MDIC). Patients seldom took all of their medications as prescribed, and failed to take any inhaled corticosteroid doses on a median of 41.8% of days or inhaled beta-agonists on 28.1% of days despite prescribed daily use. Medication nonadherence was correlated with lower levels of asthma knowledge (Asthma Knowledge Questionnaire) and family dysfunction (Family Assessment Device), but not child behavior disorder (Child Behavior Checklist). Patients tended to dramatically over-report medication use. Improved identification of the markers of nonadherence can directly facilitate more efficient targeting of behavioral interventions, resulting in improved adherence, better illness control, and less requirement of urgent medication intervention.
ISSN:0277-0903
1532-4303
DOI:10.3109/02770909809075667