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Adherence to asthma treatment and their association with asthma control in children

Shahnai Basharat1, Uzma Jabeen2, Fatima Zeeshan2

  • 1University Institute of Diet & Nutritional Sciences.

JPMA. the Journal of the Pakistan Medical Association
|June 10, 2018
PubMed

Insights

High adherence to asthma medication is crucial for better disease control in children. This study found a significant link between high medication adherence and well-controlled asthma in pediatric patients.

Area of Science:

  • Pediatric Pulmonology
  • Clinical Pharmacy
  • Public Health

Background:

  • Asthma is a chronic respiratory condition affecting millions of children worldwide.
  • Effective asthma management relies heavily on consistent medication adherence.
  • Understanding factors influencing adherence is key to improving patient outcomes.

Purpose of the Study:

  • To evaluate medication adherence levels in pediatric asthma patients.
  • To determine the association between asthma control and medication adherence.
  • To inform strategies for optimizing asthma care in children.

Main Methods:

  • A descriptive cross-sectional study involving persistent asthma patients at The Children's Hospital and The Institute of Child Health, Lahore, Pakistan.
  • Medication adherence assessed using the Morisky Medication Adherence Assessment Questionnaire.
  • Asthma control categorized per Global Initiative for Asthma guidelines; data analyzed using SPSS 16.

Main Results:

  • The study included 310 pediatric asthma patients (65% male), with a mean age of 8.9 years.
  • Over half (55.8%) had uncontrolled asthma; low adherence was observed in 44.5% of subjects.
  • High medication adherence demonstrated a significant positive association with well-controlled asthma (p<0.05).

Conclusions:

  • Medication adherence is essential for achieving optimal therapeutic benefits in children with asthma.
  • Improving adherence rates can lead to better asthma control and quality of life.
  • Targeted interventions may be needed to address low adherence in pediatric populations.
Abstract

Keywords:
Childhood asthma, Asthma control, Medication, Adherence, Assessment.

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