Table 4.
Issues in childhood asthma
Issues | Findings |
Symptoms and resource use | • Children achieve a better level of symptom control than adults, and use more healthcare resources [32] |
• 72% of parents reported their children having experienced a serious asthma event [14] | |
Understanding of asthma and its treatment | • Only 41% of parents referred to their child's disease as 'asthma' [14] |
• 33% of parents of asthmatic children did not understand the terms 'controller' or 'preventer' therapy [12] | |
Impact on the life of children and family | • 21% of children had missed school within previous 3 months [12] |
• 36% of children had limitations on physical activities [12] | |
• 6% of parents had missed work within previous 3 months [12] | |
• 20% of parents believed their children are treated badly at school [14] | |
• 50% of parents believed their lives were affected by their child's asthma [14] | |
Adherence | • Only 38% of parents stated that their children used controller medication regularly [12] |
• Juveniles presented particular adherence issues, showing reluctance to use inhalers in the presence of others [13] | |
• In juveniles, specific decision-making tools for professionals as well as parents are helpful in identifying true severity and optimizing management [30] | |
• Customized self-reported questionnaires can help identify potential noncompliance in juveniles before this became a major issue [31] | |
Concerns about treatments | • 70% of parents were concerned about their children using inhaled corticosteroids [11] |
• 33% of parents specified a desire for convenient nonsteroid treatments [14] | |
• 66% of parents would switch their child's therapy if possible because of concerns about side effects of current drugs [14] |