Korean Journal of Pediatrics 2010;53(3):364-372.
Published online March 15, 2010.
Caregivers’adherence factors affecting maintenance treatment in children with well-controlled asthma : A qualitative analysis through in-depth interview
Ic Sun Choi1, Saeng Koo Cho2, Kyong Suk La2, Jung Hye Byeon2, Dae Jin Song3, Young Yoo3, Ji Tae Choung3
1nvironmental Research Center, Korea University Anam Hospital, Department of Pediatrics, Mokpo Hansarang Hospital
2Department of Pediatrics, Mokpo Hansarang Hospital
3Environmental Research Center, Korea University Anam Hospital, Department of Pediatrics, College of Medicine, Korea University
천식 조절 상태 환아의 유지 치료에 대한 보호자 순응 요인: 심층 면담을 통한 질적 분석
최익선1, 조생구2, 라경숙2, 변정혜2, 송대진3, 유영3, 정지태3
1고려대학교 안암병원 환경보건센터, 목포한사랑병원 소아청소년과
2목포한사랑병원 소아청소년과
3고려대학교 안암병원 환경보건센터, 고려대학교 의과대학 소아과학교실
Correspondence: 
Ji Tae Choung, Email: jt42525@korea.ac.kr
Received: 25 November 2009   • Revised: 22 December 2009   • Accepted: 8 February 2010
Abstract
Purpose
: Good adherence of caregivers is essential for successful health outcomes in the treatment of childhood asthma. The purpose of this study was to identify the factors contributing to good adherence of maintenance treatment in children with well-controlled asthma.
Methods
: Children with well-controlled asthma being treated with a daily controller for at least 3 months in Korea University Anam Hospital were selected. Their caregivers who had good adherence to maintenance treatment were recruited. Qualitative study through in-depth interviews was conducted with 18 caregivers who agreed to the study.
Results
: The 18 caregivers (mean age, 40.0 years) consisted of 15 mothers, 2 grandmothers, and 1 father. The resulting consensus were identified and grouped into 2 domains: the caregiver/patient aspect with 8 theme factors and the treatment aspect with 4 theme factors. The main theme factors in the caregiver/patient aspect were enabling participation in physical activities and exercise (77.8%), perceptions regarding asthma and the need for long-term treatment (50.0%), and perceived value of the medications outweighing the risk of side effects (38.9%). The main theme factors in the treatment aspect were trust in the physician (77.8%), general satisfaction with the manner and attitude of the physician (77.8%) and verification of the necessity of further treatment by performing tests (38.9%).
Conclusions
: Efforts to improve caregivers’ adherence to the treatment of childhood asthma must include a range of factors related to both caregiver/patient aspects and treatment aspects. Among all of these factors, it may be most important to establish a physician-caregiver partnership.
Key Words: Asthma, Children, Adherence, Caregiver, Interview


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