Multicenter Adherence Study of Asthma Medication for Children in Korea
10.4168/aair.2019.11.2.222
- Author:
Chang Keun KIM
1
;
Zak CALLAWAY
;
Jungi CHOI
;
Hyo Bin KIM
;
Eun Mi KWON
;
Yoon Seok CHANG
;
Yeong Ho RHA
;
Soo Jong HONG
;
Jae Won OH
;
Hyun Hee KIM
;
Dae Hyun LIM
;
Sung Won KIM
;
Kang Seo PARK
;
Yong Hoon CHO
;
Hai Lee CHUNG
;
Hee Ju PARK
;
Sang Gun JUNG
;
Im Joo KANG
;
Myung Chul HYUN
;
Moo Young OH
;
Jin A JUNG
;
Myung Sung KIM
;
Jung Yeon SHIM
;
Jin Tack KIM
;
Young Yull KOH
;
Author Information
1. Asthma and Allergy Center, Department of Pediatrics, Inje University Sanggye Paik Hospital, Seoul, Korea. kimck@paik.ac.kr
- Publication Type:Multicenter Study
- Keywords:
Adherence;
asthma;
medication
- MeSH:
Asthma;
Caregivers;
Child;
Delivery of Health Care;
Humans;
Hypersensitivity;
Korea;
Medication Adherence;
Transdermal Patch
- From:Allergy, Asthma & Immunology Research
2019;11(2):222-230
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
