Decision‐Making in Children with Asthma and their Parents

Meng, Anne; McConnell, Susan

doi:10.1111/j.1745-7599.2002.tb00137.x

Cited by 35 publications

(46 citation statements)

References 20 publications

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“…Previous research has shown that for some parents nonadherence to recommended medication for pediatric chronic illness such as asthma reflect well reasoned, purposeful decisions (not usually shared with providers) that weigh the perceived benefits versus burdens of treatment over the course of illness management. 25,[42][43][44] It is important to note that parental beliefs demonstrated more powerful relationships with treatment adherence than their factual knowledge of asthma and prescribed medical treatment. Studies with a range of chronic conditions have shown that asthma-related knowledge is not sufficient to enhance treatment adherence and needs to include motivation and the ability to apply knowledge to influence adherence.…”

Section: Refining the Model Of Influences On Adherence To Pediatric Amentioning

confidence: 99%

Influences on Adherence to Pediatric Asthma Treatment: A Review of Correlates and Predictors

Drotar

Bonner

2009

Journal of Developmental &Amp; Behavioral Pediatrics

144

141

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Nonadherence to treatment is an important influence on the health outcomes of children and adolescents with pediatric asthma, which is the most prevalent childhood chronic illness. Because the factors that influence treatment adherence for pediatric asthma are not well understood, a comprehensive review of relevant research is needed. To address this need, research concerning the correlates and predictors of adherence to inhaled corticosteroid treatment for pediatric asthma was reviewed. Significant predictors and correlates of treatment adherence identified in this review were consistent with a conceptual model that included family demographic characteristics and functioning, parent and child characteristics, health care system and provider characteristics, and child health outcomes. Family functioning and parental beliefs about asthma and medication treatment demonstrated consistent relationships with treatment adherence. Future research should test multivariate models of influences on treatment adherence in pediatric asthma in prospective studies using reliable and valid measures of predictors and outcomes. Intervention studies are also needed that target potentially modifiable, empirically supported influences to enhance treatment adherence. The clinical management of pediatric asthma would be enhanced by routine assessment of barriers to treatment adherence and anticipatory interventions that address them to prevent nonadherence.

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Section: Refining the Model Of Influences On Adherence To Pediatric Amentioning

confidence: 99%

Influences on Adherence to Pediatric Asthma Treatment: A Review of Correlates and Predictors

Drotar

Bonner

2009

Journal of Developmental &Amp; Behavioral Pediatrics

144

141

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“…Parents may feel tied down by medication regimens (14) and have difficulty remembering dosing schedules (15). Children may not be motivated to adhere to regimens (16) and may therefore need reminding by parents (17). Previous research has identified a strong parental fear of side effects from asthma medicines, particularly from corticosteroids (18,19).…”

Section: Introductionmentioning

confidence: 98%

What Affects Asthma Medicine Use in Children? Australian Asthma Educator Perspectives

Chong¹,

Davidsson²,

Moles³

et al. 2009

Journal of Asthma

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The global burden of childhood asthma is significant. Health care systems are faced with increasing financial costs, while children with asthma and their caretakers are faced with poorer physical health, emotional health, and quality of life. Despite the availability of effective treatment, the quality use of asthma medicines in children remains suboptimal. An investigation was conducted to explore issues related to children's asthma medicine usage from the perspective of the health care professional. Although current literature has elicited the views of caretakers and children, the health care professional viewpoint has been relatively unexplored. Semi-structured qualitative interviews were conducted with a convenience sample of 21 Australian asthma educators. Interviews were audiotaped and transcribed, and transcripts were thematically analyzed with the assistance of NVivo 7. Emergent themes associated with health care professionals, parents, medicines, children, and educational resources were found. Major issues included a lack of information provided to parents, poor parental understanding of medicines, the high cost of medicines and devices, child self-image, the need for more child responsibility over asthma management, and the lack of standardization, access to, and funding for educational resources on childhood asthma. There are multitudes of key issues that may affect asthma medicines usage in children. This research will help inform the development of educational tools on the use of medicines in childhood asthma that can be evaluated for their effectiveness in getting key messages to target audiences such as children, caretakers, and teachers.

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“…2002, McCarthy et al. 2002, Meng & McConnell 2002); and that families with different cultural backgrounds, such as African‐American and Swedish families, benefit from establishing good relationships with health care professionals (Jones et al. 2000, Englund et al.…”

Section: Introductionmentioning

confidence: 99%

Hardiness in families of young children with asthma

Svavarsdóttir¹,

Rayens²

2005

Journal of Advanced Nursing

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Focused interventions for families with young children with asthma should be developed to enable them to feel more confident in using their resources to meet their demands and increase parents' general well-being and family adaptation. Research is needed to develop and test such interventions, particularly with diverse participant samples, encompassing not only a variety of ethnicities, but also a range of children's ages.

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Decision‐Making in Children with Asthma and their Parents

Cited by 35 publications

References 20 publications

Influences on Adherence to Pediatric Asthma Treatment: A Review of Correlates and Predictors

Influences on Adherence to Pediatric Asthma Treatment: A Review of Correlates and Predictors

What Affects Asthma Medicine Use in Children? Australian Asthma Educator Perspectives

Hardiness in families of young children with asthma

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