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Journal of Pediatric Psychology 15(4) pp. 437-458, 1990
© 1990 Society of Pediatric Psychology
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Adherence Issues in the Medical Management of Asthma
University of Pennsylvania School of Medicine
1All correspondence should be sent to Kathleen L. Lemanek, Division of Child Development and Rehabilitation, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, Pennsylvania 19104
Asthma is a common chronic illness of childhood that requires coordinated efforts by children, families, and health care professionals for proper medical management. The medical management of pediatric asthma involves pharmacological and behavioral recommendations to both prevent and control asthma attacks. However, management of these attacks is hindered by failure to adhere to the prescribed recommendations. While the literature on adherence in pediatric asthma has grown over the past 10 years, few definitive statements can be made about causes and treatment. Various issues related to adherence and pediatric asthma are reviewed in this paper, including assessment methods, factors influencing adherence, and treatment strategies. Recommendations for future research are provided, starting with more controlled randomized studies.
Key words: adherence; asthma; pediatrics; medical management.
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