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Medication use in Australian children with asthma: user's perspective
Charu Grover1, Carol Armour, Peter Paul Van Asperen
1Faculty of Pharmacy, The University of Sydney, Sydney, NSW, Australia. cgro9516@uni.sydney.edu.au
Summary
Medication adherence in childhood asthma is complex. Children struggle with self-image and responsibility, while parents lack understanding and face administration challenges, impacting effective asthma management.
Area of Science:
- Pediatric Pulmonology
- Behavioral Health
- Health Services Research
Background:
- Childhood asthma management faces persistent medication use challenges despite effective strategies.
- Understanding parental and child perspectives on medication is crucial for improving adherence.
Purpose of the Study:
- To explore parents/carers' and children's views on medication use in childhood asthma.
- To identify barriers and facilitators to medication adherence from the patient and caregiver perspectives.
Main Methods:
- Qualitative study employing semi-structured interviews with 26 children with asthma and 26 parents/carers.
- Purposive convenience sampling from general practices in Sydney, Australia.
- Thematic analysis of verbatim interview transcripts.
Main Results:
- Children reported issues with self-image, resistance to medication, and lack of responsibility in taking medication.
- Parents/carers experienced difficulties understanding medication mechanisms, administration challenges, cost concerns, and held beliefs contrary to quality use.
- Significant gaps in parental understanding of their child's asthma and medication were identified.
Conclusions:
- This study highlights the critical need to address children's perspectives on asthma medication.
- Enhanced communication strategies, including involving children in consultations, are essential for empowering them in their asthma care.
- Improving parental understanding and addressing practical barriers can significantly enhance medication adherence and asthma management outcomes.
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