Improving adherence in paediatric respiratory disease

Klok, Ted; Kaptein, Adrian A.; Brand, Paul

doi:10.1183/20734735.002513

Cited by 5 publications

(3 citation statements)

References 54 publications

(72 reference statements)

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“…The notion of adherence to treatment refers to “the extent to which a person's behavior, in terms of taking medications, following diets, or executing lifestyle changes, coincides with medical or health advice.”6 (p516) The lack of adherence to treatment has been described as a “worldwide problem of striking magnitude.” Adherence levels rarely exceed 50% in people with chronic diseases 7. In cases of CPD, poor adherence among children receiving pharmacological and nonpharmacological treatment has been related to inferior clinical outcomes such as pulmonary exacerbations, lung function decline, risk of hospitalization, and increased health care costs 8. In addition, adherence to treatment may be challenging, especially for younger children, younger than 18 years, given that they are asked to engage for up to 2 hours per day in conventional respiratory therapy sessions in order to mitigate lung function decline 9.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, adherence to treatment may be challenging, especially for younger children, younger than 18 years, given that they are asked to engage for up to 2 hours per day in conventional respiratory therapy sessions in order to mitigate lung function decline 9. There appears to be an urgent need for actions targeted to increase adherence rates in order to potentially reduce the physical, mental, and socioeconomic effects of chronic pediatric pulmonary diseases 8,10…”

Section: Introductionmentioning

confidence: 99%

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Technical Factors That May Influence mHealth Adherence in Children With Chronic Pulmonary Diseases: Scoping Review

Sapouna,

Dimitriadis,

Douros

et al. 2023

Pediatric Physical Therapy

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Purpose: To synthesize the technical factors influencing adherence to nonpharmacological treatment (NPhT) in children with chronic pulmonary diseases (CPDs), using mobile health (mHealth) technology. Methods: Five electronic databases were searched from inception to October 12, 2022, with terms related to pediatrics, CPDs, adherence, NPhT, and mHealth. The methodological quality was assessed using the Critical Appraisal Skills Programme and the Mixed Methods Appraisal Tool checklist. Results: Eleven articles were included. Six major technical themes were supported by the evidence that may influence adherence to NPhT: design and context, technical support/business model, connectivity, free availability, privacy and security, and cultural readiness. Conclusions: The design of mHealth applications (apps) should be done according to the needs of pediatric patients. This may mitigate any barriers and potentially foster adherence to the use of the apps. What This Adds to the Evidence: Six major technical themes may influence adherence to NPhT in children with chronic respiratory diseases. Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A487.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Technical Factors That May Influence mHealth Adherence in Children With Chronic Pulmonary Diseases: Scoping Review

Sapouna,

Dimitriadis,

Douros

et al. 2023

Pediatric Physical Therapy

View full text Add to dashboard Cite

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“…Noteworthy, in the management of chronic lung disease, adherence is considered crucial to treatment (either to pharmacological or to non-pharmacological). 6 Adherence to treatment has been described as a worldwide problem of striking magnitude and it reaches approximately 50% in most chronic diseases. 7 More specifically in pediatric population, poor adherence often leads to poorer clinical outcomes such as pulmonary exacerbations, lung function decline, risk of hospitalization and increased health care costs.…”

mentioning

confidence: 99%

Detecting technical factors that influence compliance to non-pharmacological treatment using mHealth technology in children with chronic pulmonary disease: a scoping review protocol

et al. 2022

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Background: Optimal adherence to pharmacological and non-pharmacological treatment in pediatric pulmonary diseases is crucial to address the increased morbidity levels. The purpose of this scoping review was to investigate the level of evidence about technical factors that facilitate adherence to non-pharmacological treatment with the use of mobile health (mHealth) in children with chronic respiratory diseases.Methods: The methodological framework for scoping review recommended by Arksey and O’Malley’s and Levac will be followed for conducting the present one. The preferred reporting items for systematic reviews and meta-analyses for scoping reviews (PRISMA-ScR) guidelines will be used. Methodological quality will be assessed using the critical appraisal skills programme (CASP) checklist and the mixed methods appraisal tool (MMAT). Five databases will be searched: Medline (via Ovid), PubMed, Scopus, CINAHL (EBSCOhost) and Cochrane Library. Two independent reviewers will screen titles and abstracts for assessment against the eligibility criteria. Any disagreements will be resolved through discussion and consensus among other authors. Data will be extracted and presented in a narrative summary.Conclusions: This scoping review does not require ethics approval as it only includes information from previously published studies. The results will be disseminated through a peer-review publication, conference presentations and/or as part of stakeholder meetings with physiotherapists, clinicians, academicians, technicians and researchers.Trial Registration: NA.

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Hospitalizations for asthma exacerbation in Chilean children: A multicenter observational study

Herrera

Brand

Cavada

et al. 2018

Allergologia et Immunopathologia

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Almost half of the patients were not diagnosed with asthma at the time of hospitalization despite having a medical history suggestive of the disease. In the remaining patients with an established diagnosis of asthma potentially modifiable factors like bad adherence to treatment and poor inhalation technique were found. Implementing a nationwide asthma program including continued medical education for the correct diagnosis and follow up of these patients and asthma education for patients and caregivers is needed to reduce asthma hospitalization rates in Chilean children.

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Improving adherence in paediatric respiratory disease

Cited by 5 publications

References 54 publications

Technical Factors That May Influence mHealth Adherence in Children With Chronic Pulmonary Diseases: Scoping Review

Technical Factors That May Influence mHealth Adherence in Children With Chronic Pulmonary Diseases: Scoping Review

Detecting technical factors that influence compliance to non-pharmacological treatment using mHealth technology in children with chronic pulmonary disease: a scoping review protocol

Hospitalizations for asthma exacerbation in Chilean children: A multicenter observational study

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