Long-term adherence to daily controller medication in children with asthma: The role of outpatient clinic visits.

摘要: ObjectiveTo investigate changes in inhaled corticosteroids adherence, both before and after a scheduled follow-up visit, young children comprehensive asthma management program. Study designOne-year prospective study 104 asthmatic (mean age 4.8 years). Adherence to was assessed using electronic (Smartinhaler (R)) devices. We adherence clinic visits. A >10% increase the 3 days preceding visit considered reflect clinically relevant white coat (WCA) if it exceeded background variation (median change >0, larger than visit). ResultsOverall high 85%). pre-visit of demonstrated 17 patients (22%), but median around 0. There were no significant differences between or (P>0.2). The coefficient 9%, did not significantly differ with without (P=0.12). Twelve (15.4%) showed an month following visit; their overall mean (SE) slightly lower (73% (4.6%)) those such (80% (2.2%), P=0.054). ConclusionsThere WCA enrolled program adherence. This suggests that pediatric chronic conditions primarily occurs against low Pediatr Pulmonol. 2015; 50:1060-1064. (c) 2014 Wiley Periodicals, Inc.