Factors Related to Medical Adherence Among Caregivers of Children with Reactive Airway Disease
Keywords:
Caregivers, Medical adherence, Reactive airway diseaseAbstract
Medication adherence among caregivers of children with reactive airway disease is important for controlling symptoms of the disease in children younger than 5 years old. These children depend on their caregivers for medicine administration. This descriptive correlational study aimed to examine medication adherence among caregivers of children with reactive airway disease and to investigate the relationships between caregiver personal factors, perceptions of reactive airway disease, and caregiver medication adherence. The participants, purposively selected using stratified sampling, were 85 primary caregivers who provided care for their children, aged under 5 years of age, with reactive airway disease for at least 6 months. Data were collected at two private hospitals in Chiang Mai. Research instruments included the Personal Information Questionnaire, the Perception of Reactive Airway Disease Questionnaire, and the Inhalers Therapy Adherence Questionnaire. Data were analyzed using descriptive statistics, Spearman's rank correlation, and eta correlation coefficients.
The results showed that 60% of participants demonstrated a high level of medication adherence (M = 32.70, SD = 7.26). Income and education levels were positively and significantly correlated with medication adherence (η = .23, p < .01 and η = .26, p < .01, respectively). Age and duration of caregiving were negatively and significantly correlated with medication adherence (r = -.22, p < .05 and r = -.22, p < .05, respectively). In addition, perception of reactive airway disease was positively and significantly correlated with medication adherence (r = .39, p < .01).
This study’s findings serve as preliminary data for nurses’ awareness of factors affecting medication adherence among caregivers of children with reactive airway disease and may be used to develop appropriate care plans for children requiring continuous inhalation therapy.
References
Andrews, A. L., Bundy, D. G., Simpson, K. N., Teofell II. R. J., Harvey, J., & Simpson, A. N. (2017). Inhaled corticosteroid claims and outpatient visits after hospitalization for asthma among commercially insured children. Academic Pediatrics, 17(2), 212-217. https://doi.org/10.1016/j.acap.2016.10.016
Becker, M. H. (1974). The health belief model and personal health behavior. Health Education Monographs, 2, 324-473. http://dx.doi.org/10.1177/109019817400200407
Bellin, M. H., Osteen, P., Kub, J., Bollinger, M. E., Tsoukleris, M., Chaikind, L., & Butz, A. M. (2015). Stress and quality of life in urban caregivers of children with poorly controlled asthma: A longitudinal analysis. Journal of Pediatric Health Care, 29(6), 536-546. https://doi.org/10.1016/j.pedhc.2015.04.018
Biggers, A. (2018). What does reactive airway disease mean? Medical New Today. https://www.medicalnewstoday.com/articles/321061
Biggers, A., Sharp, L. K., Nimitphong, H., Saetung, S., Siwasaranond, N., Manodpitipong, A., Crowley, S. J., Hood, M. M., Gerber, B. S., & Reutrakul, S. (2019). Relationship between depression, sleep quality, and hypoglycemia among person with type 2 diabetes. Journal of Clinical & Translational Endocrinology, 15, 62-64. https://doi.org/10.1016/j.jcte.2018.12.007
Bowen, F. (2013). Asthma education and health outcomes of children aged 8 to 12 years. Clinical Nursing Research, 22(2), 172-185. https://doi.org/10.1177/1054773812461914
Charach, A., Volpe, T., Boydell, K. M., & Gearing, R. E. (2008). A theoretical approach to medication adherence for children and youth with psychiatric disorders. Harvard Review of Psychiatry, 16(2), 126-135. https://doi.org/10.1080/10673220802069715
Chiu, K. C., Boonsawat, W., Cho, S. H., Cho, Y. J., Hsu, J. Y., Liam, C. K., Muttalif, A. R., Nguyen, H. D., Nguyen, V. N., Wang, C., & Kwon, N. (2014). Patients’ beliefs and behaviors related to treatment adherence in patients with asthma requiring maintenance treatment in Asia. Journal of Asthma, 51(6), 652-659. https://doi.org/10.3109/02770903.2014.898772
Chinratanapisit, S., Suratanon, N., Pacharn, P., Sritipsukho, P., & Vichyanond, P. (2019). Prevalence and severity of asthma, rhinoconjuctivitis and eczema in children from the Bangkok area: The Global Asthma Network (GAN) phase I. Asian Pacific Journal of Allergy and Immunology, 37(4), 226-231. https://doi.org/10.12932/AP-120618-0336
Douglas, L. C., & Feder, K. J. (2017). RAD: Reactive airways disease or really asthma disease? Pediatrics, 139(1), e20160625. https://doi.org/10.1542/peds.2016-0625
Faengphong, N., Junprasert, S., & Rattanagreethakul, S. (2020). Effects of health belief development program among parent on perceptions and hand-foot-mouth disease preventive behaviors for preschool-aged children in child development center. The Journal of Faculty of Nursing Burapha University, 28(3). 114-125.
Fahy, J. V., & O’Byrne, P. M. (2001). “Reactive airways disease”. A lazy term of uncertain meaning that should be abandoned. American Journal of Respiratory and Critical Care Medicine, 163(4), 822-823. https://doi.org/10.1164/ajrccm.163.4.2005049
França, F. A., Figueredo, A. C. F, Tessmann, L., Tiziani, V., Córdoba, J. C. M, Magalhães, I., Tavares, N. U. L., & Medeiros-Souza, P. (2024). Barriers to medication adherence by caregivers of children with leukemia: An observational study. Revista Paulista de Pediatria, 42, e2022214. https://doi.org/10.1590/1984-0462/2024/42/2022214
GBD 2017 Chronic Respiratory Disease Collaborators. (2020). Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet Respiratory Medicine, 8(6), 585-596. https://doi.org/10.1016/S2213-2600(20)30105-3
GBD 2017 Risk Factor Collaborators. (2018). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990 – 2017: A systematic analysis for the global burden of disease study 2017. The Lancet Respiratory Medicine, 392(10159), 1923-1994. https://doi.org/10.1016/S0140-6736(18)32225-6
Gomes, M. D. M., & Maia Filho, H. D. S. (1998). Medication-talking behavior and drug self regulation in people with epilepsy. Arquivos de Neuro-Psiquiatria, 56(4), 714-719. https://doi.org/10.1590/s0004-282x1998000500003
Grove, S. K., Burns, N., & Gray, J. R. (2013). The practice of nursing research: Appraisal, synthesis, and generation of evidence (7th ed.). Elsevier.
Judang, V., & Jatupoka, S. (2020). Caring behavior of the guardians of pediatric patients with asthma aged 0-5 years in Damnoen Saduak Hospital, Ratchaburi. Region 4-5 Medical Journal, 39(3), 488-499. (in Thai)
Kasemsuk, K., & Boonbunjob, U. (2018). Health promotion of early adulthood development: Nurse’ important role. Royal Thai Air Force Medical Gazette, 64(3), 101-107. (in Thai)
Laforest, L., Belhassen, M., Devouassoux, G., Didier, A., Ginoux, M., & Ganse, E. V. (2016). Long-term inhaled corticosteroid adherence in asthma patients with short-term adherence. Journal of Allergy and Clinical Immunology, 4(5), 890-899.e2. https://doi.org/10.1016/j.jaip.2016.07.008
Manatpreeprem, B., Lerkvaleekul, B., & Vilaiyuk, S. (2023). Factors associated with medication adherence among children with rheumatic diseases. Frontiers in Pharmacology, 14, 1149320. https://doi.org/10.3389/fphar.2023.1149320
Masefield, S., Edwards, J., Hansen, K., Hamerlijnck, D., Lisspers, K., Marc, V. D. S., Silva, L., Matthews, J., Gaga, M., Adcock, I., Holgate, S., Walker, S., & Powell, P. (2017). The future of asthma research and development: A roadmap from the european asthma research and innovation partnership (EARIP). European Respiratory Journal, 49(5), 1602295. https://doi.org/10.1183/13993003.02295-2016
Modi, A. C., Rausch, J. R., & Glauser, T. A. (2011). Patterns of nonadherence to antiepileptic drug therapy in children with newly diagnosed epilepsy. JAMA, 305(16), 1669-1676. https://doi.org/10.1001/jama.2011.506
Niyomwit, K. (2017). Nursing care for ill children with acute asthmatic attack. Journal of Phrapokklao Nursing College, 28(1), 1-12. (in Thai)
Peddersen, E. S., Hurd, S. S., Lemanske, R. F. Jr., Becke,r A., Zar, H. J., Sly, P. D., Soto-Quiroz, M., Wong, G., & Bateman, E. D. (2011). Globa strategy for the diagnosis and management of asthma in children 5 years and younger. Pediatric Pulmonology, 46(1), 1-7. https://doi.org/10.1002/ppul.21321
Rajavej Hospital Chiang Mai. (2023). Statistics on children with reactive airway disease, year 2021-2023. Rajavej Hospital Chiang Mai. (in Thai)
Saopeng, H., Jintrawet, U., & Chotibang, J. (2019). Factors related to caregiver burden of children with congenital heart disease after open heart surgery. Nursing Journal, 46(4), 13-24. (in Thai)
Sooksai, N., Rittirod, T., Pachanasoontorn, N., Maneekanonta, S., Chaiyo, N., Samthong, S., Pienwittayapun, R., & Navanukraw, C. (2019). The guardian’s beliefs on psychotropic medications adherence of autistic pediatric patients. Srinagarind Medical Journal, 34(6), 595-601. (in Thai)
Sribenchamas, N., Samruayruen, K., & Srijaroen, W. (2017). Factors affecting health behavior prevention of hand foot mouth disease among guardians at the child development center in Pitsanulok Province. PSRU Journal of Science and Technology, 2(3), 9-19. https://ph01.tci-thaijo.org/index.php/Scipsru/article/view/91644/85360 (in Thai)
The Commission on Higher Education Standards. (2022). The standards for the bachelor’s degree program curriculum, 2022. http://www.ops.go.th/th/ches-download/edu-standard/item/6942-2022-07-22-03-17-22 (in Thai)
Thai Asthma Council. (2020). Thai asthma guideline in adults 2020. Thai Asthma Council.
Wadvaree, S. (2017). Problems of child rearing and community welfare management: Case studies of four communities in Wangthonglang District, Bangkok. Romphruek Journal, 35(2), 100-118. (in Thai)
Wathanachaporn, P., Aree, P., & Lamchang, S. (2016). Asthma severity, family management behavior and asthma symptom control in children among family caregivers. Nursing Journal, 43(2), 1-12. (in Thai)
Wanngamwiset, S., Seamkhumhom, D., & Thienphuride, T. (2021). Nurse’s roles in promoting medication adherence in the use of inhalers for asthmatic children. Journal of Nursing and Education, 14(2), 1-10. (in Thai)
World health Organization. (2003). Adherence to long-term therapies evidence for action. https://iris.who.int/bitstream/handle/10665/42682/9241545992
Wu, Y., Huang, L., Sun, J., Wang, H., Fang, L., & Miao, J. (2022). Prevalence and predictors of medication non-adherence in children with inflammatory bowel disease in China: A cross-sectional study. Frontiers in Pharmacology, 13, 1062728. https://doi.org/10.3389/fphar.2022.1062728
Yang, X., Zhang, T., Zhang, X., Chu, C., & Sang, S. (2022). Global burden of lung cancer attributable to ambient fine particulate matter pollution in 204 countries and territories, 1990-2019. Environmental Research, 204(Pt A), 112023. https://doi.org/10.1016/j.envres.2021.112023
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Nursing Journal CMU
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
