Association of Asthma Illness Representations and Reported Controller Medication Adherence Among School-Aged Children and Their Parents

Sonney, Jennifer; Insel, Kathleen C.; Segrin, Chris; Gerald, Lynn B.; Moore, Ida M.

doi:10.1016/j.pedhc.2017.06.002

Cited by 26 publications

(24 citation statements)

References 25 publications

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“…Moreover, lately increased attention is being paid to the prevention of dementia through the involvement in health behaviors aimed at decreasing and managing risk factors associated with its development 9. Given these developments and in light of the accumulated knowledge regarding other diseases and the associations between IRs and health behavior,10,11 it is surprising that up until now the topic has not been widely examined in relation to dementia.…”

Section: Introductionmentioning

confidence: 99%

<p>Illness representations of dementia: a scoping review</p>

Shinan-Altman

Werner

2019

CIA

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As the number of persons with dementia grows, an increasing number of families, professionals, and laypersons will come into contact with persons with cognitive deterioration. Assessing dementia illness representations (IRs) among these groups may have great importance for understanding their responses to dementia. The purpose of this study was to summarize and critically review the literature on dementia IRs. A total of 25 articles that satisfied the inclusion criteria were identified. The review revealed that conceptually, research attention on dementia IRs has increased over the past several years as a result of changes in the notion of IRs and in the dementia discourse. Regardless of the population examined, dementia was mostly described as a chronic condition, presenting more cognitive than behavioral symptoms, and as being caused mainly by age, heredity, and abnormal brain changes. Methodologically, the area of dementia IRs is characterized by design, sample, and data collection weaknesses. Findings suggest that although the literature in the area of dementia and IRs is increasing, several conceptual and methodological limitations still have to be resolved in order to advance knowledge in the area. The research and clinical implications of these findings stress the importance of IRs in the area of dementia.

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Section: Introductionmentioning

confidence: 99%

<p>Illness representations of dementia: a scoping review</p>

Shinan-Altman

Werner

2019

CIA

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“…Improved necessity beliefs among adolescents with asthma have also been associated with improved self‐reported adherence 52 . Even young school children may develop illness representations that are different than their parents, which may affect self‐reported medication adherence 53 . Parents may also be placing the responsibility for medication administration on children at inappropriately young ages 54 …”

Section: Patient and Family Level Factorsmentioning

confidence: 99%

They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity

Keyser

Ramsey

Federico

2020

Pediatric Pulmonology

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Assessing and addressing suboptimal adherence to asthma medications is a key component in the treatment of all children with asthma, particularly those with difficult‐to‐treat asthma. However, parents often overreport adherence to asthma medications. Increased medication adherence could lead to improved outcomes in the form of better asthma control and decreased asthma exacerbations, as well as decreased healthcare utilization costs. Yet there are many complex factors that affect medication adherence, and barriers are often different in each family. Social determinants of health, complex healthcare relationships, and patient‐related factors may all affect medication adherence. Multicomponent patient‐centered strategies, as well as strategies that utilize technology and habit formation strategies may be helpful in improving medication adherence. Further study is needed to reliably and sustainably improve medication adherence in children with asthma across the broader population; in some populations, alternate diagnoses, adjusting therapy, and other intervention may be required to improve asthma control and health.

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“…3 Management of this chronic illness often requires repeated physician visits and is associated with increased emergency department visits. 4 Standard of care for patients with persistent asthma includes long term control medications that reduce airway inflammation, relieve symptoms, and prevent exacerbations. 3,5 According to the National Heart, Lung, and Blood Institute asthma practice guidelines, the preferred treatment for persistent asthma consists of low dose inhaled corticosteroids (ICS), with step up therapy increasing ICS dose or adding additional agents (long acting beta agonist, montelukast, or oral corticosteroids).…”

Section: Introductionmentioning

confidence: 99%

“…3 Management of this chronic illness often requires repeated physician visits and is associated with increased emergency department visits. 4…”

Section: Introductionmentioning

confidence: 99%

Medication Errors in Adolescents Using Asthma Controller Medications

Clark

Carpenter

Walsh

et al. 2020

Global Pediatric Health

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The purpose of this study was to describe the number and types of errors that adolescents and caregivers report making when using asthma controller medications. A total of 319 adolescents ages 11 to 17 with persistent asthma and their caregivers participated in this cross-sectional study. Adolescent and caregiver reports of asthma medication use were compared to the prescribed directions in the medical record. An error was defined as discrepancies between reported use and the prescribed directions. About 38% of adolescents reported 1 error in using asthma controller medications, 16% reported 2 errors, and 5% reported 3 or more errors. About 42% of caregivers reported 1 error in adolescents using asthma controller medications, 14% reported 2 errors, while 6% reported 3 or more errors. The type of error most frequently reported by both was not taking the medication at all. Providers should ask open-ended questions of adolescents with asthma during visits so they can detect and educate families on how to overcome errors in taking controller medication use.

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Association of Asthma Illness Representations and Reported Controller Medication Adherence Among School-Aged Children and Their Parents

Cited by 26 publications

References 25 publications

<p>Illness representations of dementia: a scoping review</p>

<p>Illness representations of dementia: a scoping review</p>

They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity

Medication Errors in Adolescents Using Asthma Controller Medications

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