Betsy Sleath1, Delesha M Carpenter2, Kathleen E Walsh3, Scott A Davis2, Claire Hayes Watson2, Charles Lee4, Ceila E Loughlin5, Nacire Garcia2, Daniel S Reuland6, Gail Tudor7. 1. a University of North Carolina at Chapel Hill, Eshelman School of Pharmacy & Cecil G. Sheps Center for Health Services Research , Chapel Hill , USA. 2. b University of North Carolina at Chapel Hill, Eshelman School of Pharmacy , Chapel Hill , USA. 3. c The James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center , Cincinnati , USA. 4. g Polyglot Systems, Inc. , Morrisville , USA. 5. d University of North Carolina at Chapel Hill, Division of Pediatric Pulmonology, School of Medicine , Chapel Hill , USA. 6. e Division of General Internal Medicine and Clinical Epidemiology, School of Medicine, University of North Carolina at Chapel Hill , Chapel Hill , USA. 7. f Department of Science and Mathematics , Husson University , Bangor , USA.
Abstract
OBJECTIVES: The purpose of this study was to: (a) describe the types of medication problems/concerns youth with asthma and their caregivers reported and (b) examine the association between sociodemographic characteristics and youth and caregiver reported medication problems/concerns. METHODS: English- and Spanish-speaking youth ages 11-17 with persistent asthma were recruited at four pediatric clinics. Youth were interviewed and caregivers completed questionnaires about reported asthma medication concerns/problems. Multiple logistic regression was used to analyze the data. RESULTS: Three hundred and fifty-nine youth were recruited. Eighty percent of youth and 70% of caregivers reported one or more problems in using asthma medications. The most commonly reported problems by youth were: (a) hard to remember when to take the asthma medication (54%) and (b) hard to use asthma medication at school (34%). Younger children were significantly more likely to report difficulty in understanding their asthma medication's directions and difficulty reading the print on the medication's package. Caregivers' top-reported problem was that it is hard for their child to remember to take their asthma medications (49%). Caregivers without Medicaid were significantly more likely to express difficulty paying for their child's asthma medications. CONCLUSIONS: Difficulty remembering to take asthma medication was a significant problem for youth and their caregivers. Providers should work with youth and their caregivers to identify asthma medication problems and discuss strategies to address those problems.
OBJECTIVES: The purpose of this study was to: (a) describe the types of medication problems/concerns youth with asthma and their caregivers reported and (b) examine the association between sociodemographic characteristics and youth and caregiver reported medication problems/concerns. METHODS: English- and Spanish-speaking youth ages 11-17 with persistent asthma were recruited at four pediatric clinics. Youth were interviewed and caregivers completed questionnaires about reported asthma medication concerns/problems. Multiple logistic regression was used to analyze the data. RESULTS: Three hundred and fifty-nine youth were recruited. Eighty percent of youth and 70% of caregivers reported one or more problems in using asthma medications. The most commonly reported problems by youth were: (a) hard to remember when to take the asthma medication (54%) and (b) hard to use asthma medication at school (34%). Younger children were significantly more likely to report difficulty in understanding their asthma medication's directions and difficulty reading the print on the medication's package. Caregivers' top-reported problem was that it is hard for their child to remember to take their asthma medications (49%). Caregivers without Medicaid were significantly more likely to express difficulty paying for their child's asthma medications. CONCLUSIONS: Difficulty remembering to take asthma medication was a significant problem for youth and their caregivers. Providers should work with youth and their caregivers to identify asthma medication problems and discuss strategies to address those problems.
Authors: Betsy Sleath; Guadalupe X Ayala; Chris Gillette; Dennis Williams; Stephanie Davis; Gail Tudor; Karin Yeatts; Deidre Washington Journal: Pediatrics Date: 2011-03-28 Impact factor: 7.124
Authors: Yanxia Lu; Kwok-Kei Mak; Hugo P S van Bever; Tze Pin Ng; Anselm Mak; Roger Chun-Man Ho Journal: Pediatr Allergy Immunol Date: 2012-09-09 Impact factor: 6.377