Adherence in young children with asthma

Current Opinion in Allergy and Clinical Immunology
Montserrat M GravesJay M Portnoy

Abstract

To discuss the unique challenges of managing asthma in young children and to review the literature over the past year with regard to regimen adherence in this relatively understudied population. Young children and their families face unique challenges in dealing with asthma and these have the potential to affect regimen adherence. They include the time and effort required by asthma-management activities (e.g. nebulizer use), dependency on parents for asthma care, and the limited ability of children to communicate about their symptoms. Five published studies were found for the past year. They covered three areas: adherence assessment (e.g. electronic monitoring versus diary cards), device impact on adherence (e.g. influence of the novelty of medication-delivery device), and adherence interventions (e.g. parental education regarding symptoms). Research suggests that several components need to be considered when designing interventions to improve adherence for young children with asthma: to consider the strain in the caregiver role when developing the treatment regimen, to provide devices that parents and children can use, to monitor adherence with electronic monitoring, and to address parents' concerns and perceptions about treat...Continue Reading

References

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Citations

May 1, 2008·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Franz Petermann, G Schauerte
Oct 5, 2011·Current Allergy and Asthma Reports·Mauli Desai, John J Oppenheimer
Feb 5, 2013·Journal of Asthma and Allergy·Nicola ScichiloneVincenzo Bellia
Mar 10, 2009·Journal of Pediatric Nursing·Anne M FitzpatrickW Gerald Teague
May 16, 2008·Pulmonary Pharmacology & Therapeutics·Hirotsugu HasegawaKingo Chida
Mar 1, 2015·Pulmonary Pharmacology & Therapeutics·Nicola ScichiloneAlessandro Sanduzzi
Dec 23, 2011·Respiratory Medicine·Nulma S JentzschJean Bousquet
Jun 26, 2007·Pediatric Pulmonology·S W BurgessS G Devadason
Oct 13, 2016·ERJ Open Research·Amy H Y ChanJeff Harrison
Jun 11, 2020·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Mamidipudi Thirumala KrishnaDevasahayam Jesudas Christopher
Jun 20, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Gloria C LawHelen E Smith

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