Association of caregiver health beliefs and parenting stress with medication adherence in preschoolers with asthma

Abstract

Because the findings for parenting stress are not consistent with that of the literature on school-aged children with asthma, our results may suggest that preschool children are a unique developmental group. A review of endorsed health beliefs also highlights strengths and concerns for caregivers of these very young children. Overall, our study findings underscore the importance of caregivers' health-related beliefs in promoting adherence to ICS in young children with asthma.

Medication adherence in pediatric asthma: A systematic review of the literature

“…One study linked greater parental distress with better adherence, and two others found a negative association between caregiver depressive symptoms and adherence . Three studies found no relationship between caregiver psychological functioning and adherence …”

“…Research examining non‐modifiable individual influences has resulted in mixed findings. Related to youth age and medication adherence, there is some evidence indicating that older youth are less adherent to medication while other studies found a null association between youth age and adherence . While a number of studies have found no gender differences in adherence, others have found that females are less likely to have difficulties with adherence .…”

“…Inaccurate parental report of disease (eg, asthma is an intermittent condition) and medication knowledge (eg, name of medication, proper administration of medication, course, and efficacy of medication) are associated with poorer adherence . Similarly, erroneous medication beliefs (eg, prescribed medication use can lead to drug dependency; medication use is unnecessary for the child's health), doubts regarding usefulness, and concerns about side‐effects are related to decreased adherence. Certain parental factors, such as outcome expectancies and management efficacy, and preferences on how children's exacerbations are managed (short vs long prednisone course) are not associated with ICS adherence …”

Medication adherence 1 month after hospital discharge in medical inpatients

“…Our findings are consistent with other studies that have investigated the impact of caregivers on adherence. A recent study found that parents with negative health beliefs were significantly associated with poorer adherence to inhaled corticosteroid therapy for their children . In an older demographic, Foebel et al .…”

Adherence: Its Role in Achieving Control Over Bronchial Asthma in Children

“…При этом некоторые родители открыто «сопротивляются» ежедневному приему препа-ратов ребенком, аргументируя это тем, что незачем «пичкать» лекарствами, если ребенок и так хорошо себя чувствует [34]. Такая мотивация может быть подкреплена и стероидофобией -опасением развития нежелатель-ных побочных эффектов у пациентов, которым назначены ИГКС [35,36].…”