At what age do children start taking daily asthma medicines on their own?

Use of daily controller medications is a critical task in management of persistent asthma. Study aims were to examine (1) the association between child age and extent of daily controller-medication responsibility in a sample aged 4 to 19 years, (2) parent, child, and disease predictors of child dail...

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Vydáno v:Pediatrics (Evanston) Ročník 122; číslo 6; s. e1186
Hlavní autoři: Orrell-Valente, Joan K, Jarlsberg, Leah G, Hill, Laura G, Cabana, Michael D
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.12.2008
Témata:
Adolescent
Age Factors
Anti-Asthmatic Agents - administration & dosage
Asthma - diagnosis
Asthma - drug therapy
California
Child
Child, Preschool
Cross-Sectional Studies
Dose-Response Relationship, Drug
Drug Administration Schedule
Female
Follow-Up Studies
Humans
Male
Medication Adherence - statistics & numerical data
Patient Compliance - statistics & numerical data
Predictive Value of Tests
Probability
Risk Factors
Self Administration - standards
Self Administration - trends
Severity of Illness Index
Surveys and Questionnaires
Young Adult
California
ISSN:1098-4275, 1098-4275
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Shrnutí:Use of daily controller medications is a critical task in management of persistent asthma. Study aims were to examine (1) the association between child age and extent of daily controller-medication responsibility in a sample aged 4 to 19 years, (2) parent, child, and disease predictors of child daily controller-medication responsibility and overall daily controller-medication adherence, and (3) the association between child daily controller-medication responsibility and overall daily controller-medication adherence. We conducted a cross-sectional telephone survey of 351 parents of children who were prescribed daily controller medication. Children's mean age was 10.4 years; 61.5% were male, and 88.1% were white. Parents provided all data, including an estimate of the percentage of child and parent daily controller-medication responsibility. Daily controller-medication adherence was measured as parents' report of percentage of daily doses taken per doses prescribed in a typical week. We used multivariate linear regression to determine associations between parent race/ethnicity, education, income, number of dependents, child age, gender, years since diagnosis, parent perception of symptom severity and control, and dependent variables (child daily controller-medication responsibility and daily controller-medication adherence). We also examined associations between child daily controller-medication responsibility and daily controller-medication adherence. Child daily controller-medication responsibility increased with age. By age 7, children had assumed, on average, almost 20% of daily controller-medication responsibility; by age 11, approximately 50%; by age 15, 75%; and by age 19, 100%. In multivariate models, child age and male gender remained significantly associated with child daily controller-medication responsibility, and child's age and parents' race/ethnicity remained significantly associated with daily controller-medication adherence. Clinicians may need to screen for child daily controller-medication management and include even young children when educating families on the use of asthma medications and other key asthma-management tasks.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1098-4275
1098-4275
DOI:10.1542/peds.2008-0292