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Medication Adherence in Children with Asthma
Paddy McCrossan1, Michael D Shields2, James C McElnay3
1Paediatric Respiratory Medicine, Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland.
Insights
Poor adherence to asthma action plans is common in children, impacting quality of life and increasing the risk of severe attacks. Improving adherence to preventer medication is crucial for better asthma control.
Area of Science:
- Pediatric Pulmonology
- Public Health
Background:
- Childhood asthma is a prevalent chronic condition with significant impacts on quality of life and risk of fatal attacks.
- Personalized asthma action plans (PAAPs), including inhaled corticosteroids, are key to effective asthma management.
Purpose of the Study:
- To investigate medication adherence in pediatric asthma patients.
- To answer key questions regarding adherence: definition, prevalence, barriers, impact on outcomes, and improvement strategies.
Main Methods:
- Systematic review of recent evidence.
- Analysis of data addressing five core questions on asthma medication adherence in children.
Main Results:
- Evidence indicates suboptimal adherence to preventer medications in children with asthma.
- Identified numerous barriers contributing to poor adherence.
- Good adherence is linked to improved asthma outcomes.
Conclusions:
- Addressing barriers and implementing strategies to improve adherence are essential for effective pediatric asthma management.
- Enhanced adherence to personalized asthma action plans can reduce symptoms and prevent severe exacerbations.
Abstract:
Asthma is the most common chronic disease in childhood. If untreated, asthma can lead to debilitating daily symptoms which affect quality of life, but more importantly can lead to fatal asthma attacks which unfortunately still occur globally. The most effective treatment strategy for controlling asthma is for the patient to follow a personalised asthma action plan (PAAP) which will invariably include regular use of an inhaled corticosteroid. To examine medication adherence in children with asthma, we collated recent evidence from systematic reviews in this area to address the following 5 key questions; What is adherence? Is there evidence that children are not adhering to preventer medication? Why is adherence poor and what are the barriers to adherence? Does good adherence improve outcomes in asthma? And lastly, how can treatment adherence be improved?
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