At what age do children start taking daily asthma medicines on their own?

Joan K. Orrell-Valente, Leah G. Jarlsberg, Laura G. Hill, Michael D. Cabana

Research output: Contribution to journalArticle

101 Citations (Scopus)

Abstract

OBJECTIVE. Use of daily controller medications is a critical task in management of persistent asthma. Study aims were to examine (1) the association between child age and extent of daily controller-medication responsibility in a sample aged 4 to 19 years, (2) parent, child, and disease predictors of child daily controller-medication responsibility and overall daily controller-medication adherence, and (3) the association between child daily controller-medication responsibility and overall daily controller-medication adherence. METHODS. We conducted a cross-sectional telephone survey of 351 parents of children who were prescribed daily controller medication. Children's mean age was 10.4 years;61.5% were male, and 88.1% were white. Parents provided all data, including an estimate of the percentage of child and parent daily controller-medication responsibility. Daily controller-medication adherence was measured as parents' report of percentage of daily doses taken per doses prescribed in a typical week. We used multivariate linear regression to determine associations between parent race/ethnicity, education, income, number of dependents, child age, gender, years since diagnosis, parent perception of symptom severity and control, and dependent variables (child daily controller-medication responsibility and daily controller-medication adherence). We also examined associations between child daily controller-medication responsibility and daily controller-medication adherence. RESULTS. Child daily controller-medication responsibility increased with age. By age 7, children had assumed, on average, almost 20% of daily controller-medication responsibility;by age 11, ̃50% by age 15, 75%;and by age 19, 100%. In multivariate models, child age and male gender remained significantly associated with child daily controller-medication responsibility, and child's age and parents' race/ethnicity remained significantly associated with daily controller- medication adherence. CONCLUSIONS. Clinicians may need to screen for child daily controller-medication management and include even young children when educating families on the use of asthma medications and other key asthma-management tasks.

Original languageEnglish (US)
Pages (from-to)e1186-e1192
JournalPediatrics
Volume122
Issue number6
DOIs
StatePublished - Dec 1 2008
Externally publishedYes

Fingerprint

Asthma
Medication Adherence
Parents
Telephone
Linear Models
Cross-Sectional Studies

Keywords

  • Adherence
  • Asthma self-Management
  • Children
  • Daily asthma medications
  • Parents

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

At what age do children start taking daily asthma medicines on their own? / Orrell-Valente, Joan K.; Jarlsberg, Leah G.; Hill, Laura G.; Cabana, Michael D.

In: Pediatrics, Vol. 122, No. 6, 01.12.2008, p. e1186-e1192.

Research output: Contribution to journalArticle

Orrell-Valente, JK, Jarlsberg, LG, Hill, LG & Cabana, MD 2008, 'At what age do children start taking daily asthma medicines on their own?', Pediatrics, vol. 122, no. 6, pp. e1186-e1192. https://doi.org/10.1542/peds.2008-0292
Orrell-Valente, Joan K. ; Jarlsberg, Leah G. ; Hill, Laura G. ; Cabana, Michael D. / At what age do children start taking daily asthma medicines on their own?. In: Pediatrics. 2008 ; Vol. 122, No. 6. pp. e1186-e1192.
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abstract = "OBJECTIVE. Use of daily controller medications is a critical task in management of persistent asthma. Study aims were to examine (1) the association between child age and extent of daily controller-medication responsibility in a sample aged 4 to 19 years, (2) parent, child, and disease predictors of child daily controller-medication responsibility and overall daily controller-medication adherence, and (3) the association between child daily controller-medication responsibility and overall daily controller-medication adherence. METHODS. We conducted a cross-sectional telephone survey of 351 parents of children who were prescribed daily controller medication. Children's mean age was 10.4 years;61.5{\%} were male, and 88.1{\%} were white. Parents provided all data, including an estimate of the percentage of child and parent daily controller-medication responsibility. Daily controller-medication adherence was measured as parents' report of percentage of daily doses taken per doses prescribed in a typical week. We used multivariate linear regression to determine associations between parent race/ethnicity, education, income, number of dependents, child age, gender, years since diagnosis, parent perception of symptom severity and control, and dependent variables (child daily controller-medication responsibility and daily controller-medication adherence). We also examined associations between child daily controller-medication responsibility and daily controller-medication adherence. RESULTS. Child daily controller-medication responsibility increased with age. By age 7, children had assumed, on average, almost 20{\%} of daily controller-medication responsibility;by age 11, ̃50{\%} by age 15, 75{\%};and by age 19, 100{\%}. In multivariate models, child age and male gender remained significantly associated with child daily controller-medication responsibility, and child's age and parents' race/ethnicity remained significantly associated with daily controller- medication adherence. CONCLUSIONS. Clinicians may need to screen for child daily controller-medication management and include even young children when educating families on the use of asthma medications and other key asthma-management tasks.",
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AB - OBJECTIVE. Use of daily controller medications is a critical task in management of persistent asthma. Study aims were to examine (1) the association between child age and extent of daily controller-medication responsibility in a sample aged 4 to 19 years, (2) parent, child, and disease predictors of child daily controller-medication responsibility and overall daily controller-medication adherence, and (3) the association between child daily controller-medication responsibility and overall daily controller-medication adherence. METHODS. We conducted a cross-sectional telephone survey of 351 parents of children who were prescribed daily controller medication. Children's mean age was 10.4 years;61.5% were male, and 88.1% were white. Parents provided all data, including an estimate of the percentage of child and parent daily controller-medication responsibility. Daily controller-medication adherence was measured as parents' report of percentage of daily doses taken per doses prescribed in a typical week. We used multivariate linear regression to determine associations between parent race/ethnicity, education, income, number of dependents, child age, gender, years since diagnosis, parent perception of symptom severity and control, and dependent variables (child daily controller-medication responsibility and daily controller-medication adherence). We also examined associations between child daily controller-medication responsibility and daily controller-medication adherence. RESULTS. Child daily controller-medication responsibility increased with age. By age 7, children had assumed, on average, almost 20% of daily controller-medication responsibility;by age 11, ̃50% by age 15, 75%;and by age 19, 100%. In multivariate models, child age and male gender remained significantly associated with child daily controller-medication responsibility, and child's age and parents' race/ethnicity remained significantly associated with daily controller- medication adherence. CONCLUSIONS. Clinicians may need to screen for child daily controller-medication management and include even young children when educating families on the use of asthma medications and other key asthma-management tasks.

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