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Clinical Trial
. 1998 Dec;23(6):345-9.
doi: 10.1093/jpepsy/23.6.345.

Treatment adherence among low-income children with asthma

M Celano  1 , R J Geller, K M Phillips, R Ziman
Affiliations
Clinical Trial

Treatment adherence among low-income children with asthma

M Celano et al. J Pediatr Psychol. 1998 Dec.

Abstract

Objective: To investigate the adherence behaviors (MDI use, MDI/spacer technique, appointment attendance, smoking in the home) of low-income, urban, primarily African American children with asthma.

Method: Participants were 55 children ages 6 to 17 with moderate to severe asthma. Adherence to MDI anti-inflammatory agents was estimated primarily from canister weight at the follow-up appointment.

Results: The mean use of MDI medication was 44% of prescribed use, with 27% of subjects demonstrating MDI/spacer technique likely to prevent drug delivery. Almost half reported that household members smoked cigarettes, and 21% missed scheduled follow-up appointments.

Conclusions: These findings have implications for how clinicians should assess and improve adherence.

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