Professor Paul
Brand, Princess Amalia children's Clinic, The
Netherlands presented a study on parental problems which prevent children
taking much-needed asthma medication.
The motive of realising this
investigation is the indeterminacy of major barriers which many little patients
face while asthma treatment. The research was based not only on clinical cases,
but mostly on discussion of hows and whys of (non)adherence. A part of
qualitative study consisted in recording and analysing of factors associated
with family lifestyles which could be causing low adherence to asthma
medication.
It was established that there are several types of users:
1) Followers manifest stable adherence to doctor's prescriptions. These are highly disciplined parents who are always aware of giving the medicine to their children.
2) Self-managers usually look closely at how child is
doing. They have a high observation spirit and link the treatment to their
schedule.
3) A highly variable adherence is typical for Strugglers who follow the medication in a disordered
way.
4) Chaotic users belong to the families with lower education. They never force the child
and are even shocked when the kids do not take the medication. They think of a
child as of an adult who is responsible and can do everything by himself.
In-depth interviews have shown that the lifestyle factors often hide
behind children's non-adherence to the prescribed medication. It was concluded
that parenting problems can be the reasons of ineffective following of the
treatment.
Therefore it would be reasonable if doctors would give a genuine
interest in what happens with the patient and would encourage the parents to
keep a close eye on their child's adherence. Otherwise it will be impossible to
reveal and to remove the barriers preventing the appropriate asthma treatment
in children.
Liudmila CORLATEANU,
Respiratory Decade Official Media-Representative at ERS 2012 Vienna Congress
Liudmila CORLATEANU,
Respiratory Decade Official Media-Representative at ERS 2012 Vienna Congress
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