Journal of Pediatric Psychology, Vol. 28, No. 5, 2003, pp. 323-333
© 2003 Society of Pediatric Psychology
Medication Adherence in Pediatric Asthma: Reasoning, Responsibility, and Behavior
Rhode Island Hospital/Brown University School of Medicine
All correspondence should be sent to Elizabeth L. McQuaid, Child Psychiatry, Rhode Island Hospital, 593 Eddy Street, Providence, Rhode Island 02903. E-mail: emcquaid{at}lifespan.org.
Objective To assess child adherence to preventive asthma
medications; to investigate relations between knowledge, reasoning about
asthma, and responsibility for management and adherence; and to determine the
association between adherence and morbidity. Methods Participants were
106 children with asthma and their parents. Medication adherence was
electronically monitored for 1 month. Participants completed self-report
measures. Children were interviewed to assess reasoning about asthma.
Results Children's adherence was approximately 48% of prescribed doses.
Adherence was negatively related to age (r = -.21, p <
.05); minority status, F(1, 98) = 7.55, p < .01; and
morbidity (r = -.26, p < .01). Age was associated with
increased child knowledge (r = .47, p < .001), reasoning
about asthma (
= .23, p < .01), and responsibility for asthma
management (r = .44, p < .01). These variables were not
associated with adherence. Conclusions Although older children know
more about asthma and assume more responsibility for disease management, their
adherence is lower than that of younger children. No association was found
between adherence and child knowledge, reasoning about asthma, or
responsibility for asthma management.
Key words: asthma; childhood; adherence; concepts of illness.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  G. X. Ayala, K. Yeatts, and D. M. Carpenter Brief Report: Factors Associated with Asthma Management Self-Efficacy Among 7th and 8th Grade Students J. Pediatr. Psychol., February 11, 2009; (2009) jsn134v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. B. Gerald, L. A. McClure, J. M. Mangan, K. F. Harrington, L. Gibson, S. Erwin, J. Atchison, and R. Grad Increasing Adherence to Inhaled Steroid Therapy Among Schoolchildren: Randomized, Controlled Trial of School-Based Supervised Asthma Therapy Pediatrics, February 1, 2009; 123(2): 466 - 474. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. K. Orrell-Valente, L. G. Jarlsberg, L. G. Hill, and M. D. Cabana At What Age Do Children Start Taking Daily Asthma Medicines on Their Own? Pediatrics, December 1, 2008; 122(6): e1186 - e1192. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. A McClure, K. F Harrington, H. Graham, and L. B Gerald Internet-based monitoring of asthma symptoms, peak flow meter readings, and absence data in a school-based clinical trial Clinical Trials, February 1, 2008; 5(1): 31 - 37. [Abstract] [PDF]
|
|
|
|
 |
|
 E. Kae Kintner Testing the Acceptance of Asthma Model With Children and Adolescents West J Nurs Res, June 1, 2007; 29(4): 410 - 431. [Abstract] [PDF]
|
|
|
|
|
|
E. L. McQuaid, D. Koinis Mitchell, N. Walders, J. H. Nassau, S. J. Kopel, R. B. Klein, M. Z. Wamboldt, and G. K. Fritz Pediatric Asthma Morbidity: The Importance of Symptom Perception and Family Response to Symptoms J. Pediatr. Psychol., March 1, 2007; 32(2): 167 - 177. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Butz, M. Tsoukleris, M. Donithan, V. D. Hsu, K. Mudd, I. H. Zuckerman, and M. E. Bollinger Patterns of Inhaled Antiinflammatory Medication Use in Young Underserved Children With Asthma Pediatrics, December 1, 2006; 118(6): 2504 - 2513. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Flores, M. Abreu, S. Tomany-Korman, and J. Meurer Keeping Children With Asthma Out of Hospitals: Parents' and Physicians' Perspectives on How Pediatric Asthma Hospitalizations Can Be Prevented Pediatrics, October 1, 2005; 116(4): 957 - 965. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. L. McQuaid, N. Walders, S. J. Kopel, G. K. Fritz, and M. D. Klinnert Pediatric Asthma Management in the Family Context: The Family Asthma Management System Scale J. Pediatr. Psychol., September 1, 2005; 30(6): 492 - 502. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Kaugars, M. D. Klinnert, and B. G. Bender Family Influences on Pediatric Asthma J. Pediatr. Psychol., October 1, 2004; 29(7): 475 - 491. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. G. Bundy, M. C. Berkoff, K. E. Ito, M. S. Rosenthal, and M. Weinberger Interpreting Subgroup Analyses: Is a School-Based Asthma Treatment Program's Effect Modified by Secondhand Smoke Exposure? Arch Pediatr Adolesc Med, May 1, 2004; 158(5): 469 - 471. [Full Text] [PDF]
|
|