Multicenter Adherence Study of Asthma Medication for Children in Korea
| Autor: | Dae Hyun Lim, Yong Hoon Cho, Sung-Won Kim, Yoon-Seok Chang, Zak Callaway, Kang Seo Park, Hyo Bin Kim, Moo Young Oh, Chang Keun Kim, Soo-Jong Hong, Myung Sung Kim, Jungi Choi, Jae-Won Oh, Hai Lee Chung, Young Yull Koh, Jin Tack Kim, Hyun Hee Kim, Hee Ju Park, Myung Chul Hyun, Jung Yeon Shim, Eun Mi Kwon, Sang Gun Jung, Yeong Ho Rha, Jin A Jung, Im Joo Kang |
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| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Medical treatment business.industry Transdermal patch Moderate asthma Immunology asthma Asthma medication medicine.disease 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Adherence Oral administration Internal medicine Health care medicine Immunology and Allergy Original Article medication 030223 otorhinolaryngology business Asthma Transdermal |
| Zdroj: | Allergy, Asthma & Immunology Research |
| ISSN: | 2092-7363 2092-7355 |
| Popis: | Purpose Adherence is a major component of successful medical treatment. However, non-adherence remains a barrier to effective delivery of healthcare worldwide. Methods Twenty healthcare facilities (secondary or tertiary hospitals) belonging to the Korean Academy of Pediatric Allergy and Respiratory Diseases (KAPARD) participated. Questionnaires were given to patients currently receiving treatment in the form of inhalant useor oral intake or transdermal patch for mild to moderate asthma. Results A total of 1,838 patients responded to the questionnaire. Mean age was 5.98 ± 3.79 years (range: 0-18 years). With help from their caregivers, the percentage of patients that answered “taking as prescribed” was 38.04% for inhalant users, 50.09% for oral medication users and 67.42% for transdermal users. Transdermal patch users had significantly greater adherence compared to the other 2 groups (P < 0.001). The 34.15% of inhalant users, 70.33% of oral medication users and 93.00% of transdermal patch users felt that their medication delivery system was “Easy” or “Very easy” to use (P < 0.001). “Method of administration” was deemed to be the most difficult part of the treatment regimen to follow, and 76.7% of patients preferred once-daily administration (i.e., “Frequency of administration”). Conclusions Asthma medication adherence in young children was found to be better in the transdermal patch group. This may be due to requiring fewer doses and easy to follow instructions. From an adherence point of view, the transdermal patch seems more useful for long-term asthma control in children compared to oral or inhaled medicine. |
| Databáze: | OpenAIRE |
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