Asthma

Updated 26 July 2016

Many parents lack info about kids' asthma meds

In a recent survey, under 50% of parents completely understood how to use their children's asthma medication and deviations from doctors' directions were common.

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Only half of parents of children with asthma fully understand how to use their youngsters' asthma medications, a new study found.

Improved outcomes

A survey of parents of 740 children with probable persistent asthma found just 49 percent knew what kind of medication their child was prescribed and how often to use it.

Following recommended guidelines is key to controlling asthma symptoms, experts say.

"Adherence to the guidelines has demonstrated improved outcomes: decreased hospitalisations, emergency department visits and outpatient visits," said study primary author Dr Ann Chen Wu, of the Harvard Pilgrim Health Care Institute in Boston.

Read: Procedure relieves asthma symptoms

Parents were asked which asthma controller medications their child was prescribed and how often they should be taken. Responses were compared to instructions from their child's health care provider.

Records showed that 77 percent of the children were supposed to use inhaled corticosteroids, 22 percent were to take leukotriene antagonists and 1 in 10 were to take a combination of inhaled corticosteroids and long-acting beta agonists such as Advair.

Communication needs to be improved

But deviations from the doctor's directions were common. For instance, nearly 30 percent of kids prescribed inhaled corticosteroids – an important preventive measure – weren't taking them as directed.

Children with severe asthma were not included in the study, which was published recently in the Journal of Allergy and Clinical Immunology.

Among roughly 200 children who were supposed to use the inhaled corticosteroids every day of the year, 27 percent of parents said otherwise. Among the 263 children who were supposed to use inhaled corticosteroids daily when asthma is active, more than half of parents said they weren't compliant.

Read: Asthma inhalers up diabetes risk

"Of course, we need to improve provider-patient communication in the medical office, especially for controller medications for children with asthma, but providers may be unaware of their patient's lack of adherence," Wu said in a journal news release.

"A mismatch between parent and provider was more likely to happen if the parents felt that the medicine was not helping, or, conversely, if the parent believed their child did not need as much as prescribed," Wu added.

"Mismatches" were also more likely to occur among Hispanic parents, she and her colleagues said.

Read more:

Poverty may affect the outcome of asthma treatment

How does asthma medication work?

How your asthma treatment will be tailored specifically for you

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Asthma Expert

Professor Keertan Dheda has received of several prestigious awards including the 2014 Oppenheimer Award, and has published over 160 peer-reviewed papers and holds 3 patents related to new TB diagnostic or infection control technologies. He serves on the editorial board of the journals PLoS One, the International Journal of Tuberculosis and Lung Disease, American Journal of Respiratory and Critical Medicine, Lancet Respiratory Diseases and Nature Scientific Reports, amongst others.Read his full biography at the University of Cape Town Lung Institute

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