The utility of the necessity-concerns framework (NCF) in explaining adherence and parental beliefs about controller medication in Saudi Arabian children with asthma

• Published in: The Journal of asthma 2024-05, Vol.61 (5), p.436-443
• Main Authors: Alyami, Marja A, Alyami, Mohammed M, Alasimi, Ahmed H, Alqahtani, Jaber S, Alqarni, Abdullah A, Aldhahir, Abdulelah M
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Anti-Asthmatic Agents - administration & dosage; Anti-Asthmatic Agents - therapeutic use; Asthma - drug therapy; Asthma - psychology; Child; Child, Preschool; Cross-Sectional Studies; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Medication Adherence - psychology; Medication Adherence - statistics & numerical data; Parents - psychology; Saudi Arabia; Surveys and Questionnaires
• ISSN: 0277-0903; 1532-4303; 1532-4303
• DOI: 10.1080/02770903.2023.2288320

This study aims to assess beliefs about asthma controller medications among parents of Saudi Arabian children with asthma and the association between these beliefs and medication adherence using the Necessity-Concerns Framework. A cross-sectional survey was provided to parents of children with asthma when they brought their children to routine appointments at local public clinics between May 16 and July 10, 2018. Participants electronically filled out validated Arabic versions of the Medication Adherence Reported Scale (MARS) and Beliefs About Medications Questionnaire (BMQ). Descriptive statistics were used to characterize the study participants, while hierarchical linear regression analysis assessed associations between parental beliefs about controller medications and medication adherence. A total of 381 parents of children with asthma completed the study survey. The vast majority (89%) of study participants were non-adherent to their children's prescribed medications while only 11% were adherent. Additionally, our study revealed a significantly positive association between adherence and parents' beliefs in the necessity of the medication ( < .001), with concerns about the adverse effects of medication being negatively associated with parental adherence. A higher mean score for medication adherence was reported among the ambivalent groups compared to the accepting, indifferent, and skeptical groups. Medication adherence among parents of children with asthma was relatively low. In addition, necessity beliefs were significantly associated with parental adherence to controller medications for their children with asthma. Further studies are warranted to investigate potential factors contributing to poor parental adherence and develop tailored interventions that support parental medication adherence for their asthmatic children.