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Factors Associated with Medication Self Administration in Children with AsthmaJohns Hopkins Hospital Children's Center, Baltimore, MD; Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Room 444A Baltimore, MD 21205
Johns Hopkins University School of Nursing, Baltimore, MD; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
Johns Hopkins University School of Nursing, Baltimore, MD; Johns Hopkins University School of Medicine, Baltimore, MD
Department of Pediatrics, Allergy, and Immunology, Baltimore, MD; Johns Hopkins University School of Medicine, Baltimore, MD
Department of Pediatrics, UAMS Arkansas Children's Hospital, Little Rock, Baltimore, MD
Johns Hopkins University School of Medicine, Baltimore, MD; Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD This study investigated factors associated with early self-administration of inhaled asthma medications by minority children. Specifically, the study evaluated: (1) the reasons parents allow early administration of inhaled medications, (2) childhood activities associated with early medication administration, (3) parent's perception of the child's ability to use a metered-dose inhaler (MDI), (4) the child's actual ability to use an MDI, and (5) concordance/discordance between physician-parent reports and parent-child reports of asthma medications. Study results indicated that 93% of the children were taking inhaled asthma medications without adult supervision. Early self-administration of asthma medications was related to the parent's employment status and the performance of other childhood behaviors such as completion of homework independently and crossing the street alone. Only 7% of the children had effective MDI skills, but 60% of the parents rated their child's MDI skills as excellent. Twenty percent, 67%, and 50%, respectively, of the parents' reports of beta-agonists, daily inhaled steroids, and cromolyn were discordant with the physician's actual prescriptions. Sixty-two percent, 57%, and 79%, respectively, of the children's reports for inhaled beta-agonists, daily inhaled steroids, and cromolyn were discordant with their parents' reports. Implications for anticipatory guidance, future educational strategies, and supervision of MDI technique are provided.
Clinical Pediatrics, Vol. 39, No. 6,
337-345 (2000) This article has been cited by other articles:
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