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Poor adherence to self-medication instructions in children with asthma and their parents

Vivian T Colland1, Liesbeth E M van Essen-Zandvliet, Caroline Lans

  • 1Asthma Centre Heideheuvel Soestdijkerstraatweg 1291213 VX Hilversum The Netherlands. vcolland@heideheuvel.nl

Patient Education and Counseling
|December 8, 2004
PubMed

Insights

Parents struggled to recognize asthma warning signs and adhere to treatment plans. This highlights the need for tailored programs to improve self-management in pediatric asthma care.

Area of Science:

  • Pediatric Pulmonology
  • Asthma Management
  • Self-Treatment Programs

Background:

  • Asthma exacerbations in children pose significant health challenges.
  • Effective self-treatment programs are crucial for managing pediatric asthma.
  • Current self-treatment strategies often lack components for early symptom recognition and adherence.

Purpose of the Study:

  • To evaluate a self-treatment program for parents of children with asthma.
  • To assess the ability of parents and children to recognize asthma prodromal signs.
  • To determine adherence to increased inhaled corticosteroid (ICS) medication instructions and its impact on asthma exacerbations.

Main Methods:

  • A one-year prospective randomized study involving 29 children (4-11 years) with moderate asthma.
  • All participants received structured information on asthma, symptoms, and medication.
  • The experimental group received additional training on recognizing prodromal signs and doubling ICS for one week.

Main Results:

  • Parents and children demonstrated poor recognition of asthma prodromal signs.
  • Compliance with increasing inhaled corticosteroids (ICS) was inadequate in 75% of cases.
  • No significant decrease in asthma symptom frequency or severity was observed in the experimental group.

Conclusions:

  • Current self-treatment programs for pediatric asthma require improvement.
  • Healthcare providers should offer tailored, multi-component programs for early symptom recognition and adherence.
  • Enhanced patient education and support are vital for effective pediatric asthma self-management and continuous self-regulation.

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