Differences in parent/child ratings of perceived asthma symptoms and barriers to medication adherence in children with asthma

2.50
Hdl Handle:
http://hdl.handle.net/10755/164100
Category:
Abstract
Type:
Presentation
Title:
Differences in parent/child ratings of perceived asthma symptoms and barriers to medication adherence in children with asthma
Author(s):
Nowack, Kristin; Tuite, Patricia; Holt, Lori; Hoffman, Leslie
Author Details:
Kristin Nowack, DNP, MSN, BSN, University of Pittsburgh, Pittsburgh, Pennsylvania, USA, email: ptuite@pitt.edu; Patricia Tuite, MSN, BSN; Lori Holt CRNP; Leslie Hoffman, PhD, RN, FAAN
Abstract:
PURPOSE/OBJECTIVES: The purpose of this study was to evaluate barriers to medication adherence in children with asthma and determine if there was a difference in perceived asthma symptoms between the parent and child. SIGNIFICANCE: Asthma is the leading cause of chronic illness among school age children and the most common cause of school absenteeism. Asthma also results in significant amount of healthcare dollars spent each year. Non-adherence to controller inhaled corticosteroids represents one of the most important barriers to achieving optimal asthma control. DESIGN: Descriptive/comparative study of parent-child dyads. METHODS: Convenience sample of 23 biological parents and 23 children between the ages of 8 and 12 with a physician diagnosis of asthma was obtained from pulmonary clinics of a pediatric facility located in southwestern Pennsylvania. Parents completed a Demographic and Barrier Identification Questionnaire and the Perceived Asthma Symptoms Questionnaire: Adult Version. The child completed the Perceived Asthma Symptoms Questionnaire: Child Version. Parent / child responses were analyzed using the nonparametric Cramer's V and Phi coefficient. FINDINGS: All (100%) parents identified asthma as a serious disease and 74% identified it as a lifelong disease. The majority (57%) of parents were concerned about the side effects of asthma medications and considered this a barrier to medication adherence. A minority (13%) of parents believed asthma was only present when their child was experiencing symptoms. There was moderate to high agreement for child and parent for the time and type of symptoms experienced by the child. CONCLUSIONS: Most parents and children identified asthma as a serious and lifelong disease that required medication use when symptoms were not present; a minority reported not consistently adhering to their medication regimen. IMPLICATIONS FOR PRACTICE: The perceived barriers identified will be used to develop an appropriate educational intervention for the parent and child. The questionnaires used for this study could be easily incorporated into a routine clinic visit and thereby, assist the CNS to identify individuals who are most in need of education or reinforcement of prior education.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDifferences in parent/child ratings of perceived asthma symptoms and barriers to medication adherence in children with asthmaen_GB
dc.contributor.authorNowack, Kristinen_US
dc.contributor.authorTuite, Patriciaen_US
dc.contributor.authorHolt, Lorien_US
dc.contributor.authorHoffman, Leslieen_US
dc.author.detailsKristin Nowack, DNP, MSN, BSN, University of Pittsburgh, Pittsburgh, Pennsylvania, USA, email: ptuite@pitt.edu; Patricia Tuite, MSN, BSN; Lori Holt CRNP; Leslie Hoffman, PhD, RN, FAANen_US
dc.identifier.urihttp://hdl.handle.net/10755/164100-
dc.description.abstractPURPOSE/OBJECTIVES: The purpose of this study was to evaluate barriers to medication adherence in children with asthma and determine if there was a difference in perceived asthma symptoms between the parent and child. SIGNIFICANCE: Asthma is the leading cause of chronic illness among school age children and the most common cause of school absenteeism. Asthma also results in significant amount of healthcare dollars spent each year. Non-adherence to controller inhaled corticosteroids represents one of the most important barriers to achieving optimal asthma control. DESIGN: Descriptive/comparative study of parent-child dyads. METHODS: Convenience sample of 23 biological parents and 23 children between the ages of 8 and 12 with a physician diagnosis of asthma was obtained from pulmonary clinics of a pediatric facility located in southwestern Pennsylvania. Parents completed a Demographic and Barrier Identification Questionnaire and the Perceived Asthma Symptoms Questionnaire: Adult Version. The child completed the Perceived Asthma Symptoms Questionnaire: Child Version. Parent / child responses were analyzed using the nonparametric Cramer's V and Phi coefficient. FINDINGS: All (100%) parents identified asthma as a serious disease and 74% identified it as a lifelong disease. The majority (57%) of parents were concerned about the side effects of asthma medications and considered this a barrier to medication adherence. A minority (13%) of parents believed asthma was only present when their child was experiencing symptoms. There was moderate to high agreement for child and parent for the time and type of symptoms experienced by the child. CONCLUSIONS: Most parents and children identified asthma as a serious and lifelong disease that required medication use when symptoms were not present; a minority reported not consistently adhering to their medication regimen. IMPLICATIONS FOR PRACTICE: The perceived barriers identified will be used to develop an appropriate educational intervention for the parent and child. The questionnaires used for this study could be easily incorporated into a routine clinic visit and thereby, assist the CNS to identify individuals who are most in need of education or reinforcement of prior education.en_GB
dc.date.available2011-10-27T11:42:02Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:42:02Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.