Caregiver Depressive Symptoms and Primary Medication Nonadherence in Children With Asthma

Margolis, Rachel; Bellin, Melissa H.; Morphew, Tricia; Tsoukleris, Mona; Bollinger, Mary E.; Butz, Arlene

doi:10.1016/j.pedhc.2021.01.005

Cited by 8 publications

(5 citation statements)

References 48 publications

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“…Surprisingly, caregiver depressive symptoms were not associated with medication adherence, as previous studies had showed caregiver depression to be associated with worse medication adherence ( 10 , 11 ). Depressive symptoms are likely linked to a number of other socio-ecological risk factors or stressors that were not examined in these analyses and affect medication adherence, which may mask an association being seen with adherence ( 26 ).…”

Section: Discussioncontrasting

confidence: 51%

Asthma routinization, family asthma management, caregiver depressive symptoms, and medication adherence in Head Start preschool children

Lu,

Ruvalcaba,

McQuaid

et al. 2023

Front. Allergy

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IntroductionMedication adherence is suboptimal in childhood asthma. Children rely on caregivers to manage medication administration. It is important to detect families who are at risk for poor adherence or to identify potential areas that can assist families with better adherence to asthma medications in order to improve asthma outcomes. We investigated the association between asthma routines, family asthma management knowledge and skills, and caregiver depressive symptoms with daily controller medication adherence among Head Start preschool children in Baltimore City.MethodsOur study included 256 low-income urban preschool children who were prescribed a daily controller medication. Asthma routinization (by the Asthma Routines Questionnaire), family asthma management [by the Family Asthma Management System Scale (FAMSS)], and caregiver depressive symptoms (by the Center for Epidemiological Studies – Depression) were assessed at baseline. The medication possession ratio (MPR) to measure adherence to daily controller medications was calculated at baseline and 12 months from pharmacy fill records. Multiple regression models evaluated the relationship between asthma routinization, the FAMSS, the CES-D, and MPR.ResultsResults indicated that only 7% of families had an MPR above 80% at baseline, and 24% of caregivers had clinically significant depressive symptoms. Higher asthma medication routines were associated with higher MPR at baseline (b = 0.05, p = 0.03). Higher family asthma management was associated with higher MPR at both baseline (b = 0.04, p < 0.01) and 12 months (b = 0.05, p < 0.01).DiscussionOur findings highlight the importance of family asthma management and maintaining medication routines over time to improve asthma controller medication adherence.

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Section: Discussioncontrasting

confidence: 51%

Asthma routinization, family asthma management, caregiver depressive symptoms, and medication adherence in Head Start preschool children

Lu,

Ruvalcaba,

McQuaid

et al. 2023

Front. Allergy

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“…to affect the eating patterns of family caregivers (Lee et al, 2021;Margolis et al, 2021). Conversely, family caregivers who received some level of support experience normal routines and relatively adequate self-care (Mosher et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…The caregiving process affects the eating patterns of family caregivers. The intensity and hours spent in caregiving have been noted to affect the eating patterns of family caregivers (Lee et al, 2021; Margolis et al, 2021). Conversely, family caregivers who received some level of support experience normal routines and relatively adequate self‐care (Mosher et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Extreme exhaustion and burnout result in frequent hospitalization of family caregivers (Grant et al, 2013), which interferes with the caregiving process. Family caregivers noted meaningful disturbances and disruptions in their sleep patterns (Margolis et al, 2021). Their inability to sleep well alters daytime activities and their overall health (Barrera et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

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Physical and socioeconomic burden of caregiving on family caregivers of children with cancer at a tertiary Hospital in Ghana

et al. 2022

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Background Childhood cancer is proportionately higher in Africa and these result in increased demands on caregivers. The inability of affected children to take care of themselves; coupled with prescribed medical interventions presents physical and social burdens on family caregivers. Aims and methods This study used a qualitative exploratory design to explore the physical and socioeconomic challenges for family caregivers of children diagnosed with cancer and receiving care at one of the biggest tertiary hospitals in Ghana. A total of thirteen family caregivers of children with cancer were interviewed. Findings Two major themes were identified: Burden of care on Physical Health and Socioeconomic burdens of caregiving on the family caregiver. It was reported that family caregivers encounter physical challenges such as Aches and Pains when performing caregiving activities, Loss of Appetite, Fatigue, Compromised Functional State and Sleep Disruption. The second theme, Socioeconomic burdens of caregiving on family caregivers account for the consequences of caregiving on social lives, family relationships, finance and employment. Conclusions and recommendations The study recommends that measures that provided relief for the caregivers such as teaching them to adopt local measures of pain relief such as massage should be encouraged. Policies should adopt measures that encourage caregivers to have some days of rest whiles providing care to their children with cancer. Also, health insurance packages that provide relief for the cost of accessing healthcare, should be extended to children with cancers to support their caregivers.

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“…Social anxiety disorder (SAD), characterized by the fear of social exposure, a narrow circle of friends, anxiety, depression, poor academic performance and the avoidance of interpersonal relationships, is even more common among adolescents with asthma compared to healthy ones, thus leading to the decrease in compliance with therapy, possibly due to the reluctance to administer their medication in front of others so as not to feel different and isolated from their colleagues [ 85 ]. Another cause of the nonadherence (primary) to therapy is represented by depressive symptoms in the caregivers of patients with asthma, such as compromised memory, lack of concentration, the inability to complete tasks and fatigue, drawing attention to the negative impact they have regarding the procurement of medicines from the pharmacy for the child [ 92 ].…”

Section: Challenges In Managementmentioning

confidence: 99%

Current Approaches in the Multimodal Management of Asthma in Adolescents—From Pharmacology to Personalized Therapy

Lupu,

Jechel,

Fotea

et al. 2023

Biomedicines

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Asthma and adolescence are two sensitive points and are difficult to manage when they coexist. The first is a chronic respiratory condition, with frequent onset in early childhood (between 3 and 5 years), which can improve or worsen with age. Adolescence is the period between childhood and adulthood (12–19 years), marked by various internal and external conflicts and a limited capacity to understand and accept any aspect that is delimited by the pattern of the social circle (of the entourage) frequented by the individual. Therefore, the clinician is faced with multiple attempts regarding the management of asthma encountered during the adolescent period, starting from the individualization of the therapy to the control of compliance (which depends equally on the adverse reactions, quality of life offered and support of the close circle) and the social integration of the subject, communication probably having a more important role in the monitoring and evolution of the condition than the preference for a certain therapeutic scheme. Current statistics draw attention to the increase in morbidity and mortality among children with bronchial asthma, an aspect demonstrated by the numerous hospitalizations recorded, due either to an escalation in the severity of this pathology or to faulty management. The purpose of this article is to review the delicate aspects in terms of controlling symptoms and maintaining a high quality of life among teenagers.

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Caregiver Depressive Symptoms and Primary Medication Nonadherence in Children With Asthma

Cited by 8 publications

References 48 publications

Asthma routinization, family asthma management, caregiver depressive symptoms, and medication adherence in Head Start preschool children

Asthma routinization, family asthma management, caregiver depressive symptoms, and medication adherence in Head Start preschool children

Physical and socioeconomic burden of caregiving on family caregivers of children with cancer at a tertiary Hospital in Ghana

Current Approaches in the Multimodal Management of Asthma in Adolescents—From Pharmacology to Personalized Therapy

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