Many Children With Asthma Do Not Have Medications Ready

Low-income urban preschoolers with asthma may not meet home medication readiness criteria.
Low-income urban preschoolers with asthma may not meet home medication readiness criteria.

HealthDay — News Many low-income urban preschool-aged children with asthma do not meet the criteria for home medication readiness, according to a study published online August 7 in Pediatrics.

Jennifer A. Callaghan-Koru, PhD, from the University of Maryland in Baltimore, and colleagues examined asthma medication readiness among low-income urban minority preschool-aged children. A caregiver survey was administered to caregivers of 288 enrolled children, and five criteria in the medication readiness index were observed. 

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The researchers found that 96% of the caregivers reported a rescue medication, but only 79% had it in the home; all 5 of the medication readiness criteria were met by only 60%. Only 79% of the 161 children prescribed a controller medication had it in the home; only 49% met all 5 criteria for medication readiness. The odds of meeting all 5 readiness criteria for controller medications were increased in association with fewer worries and concerns about medications.

"Inadequate availability of asthma medications in the home is a barrier to adherence among low-income urban preschoolers," the authors write. "Assessment of medication readiness should be incorporated into clinical care because this is an under-recognized barrier to adherence, and interventions are needed to improve medication management and knowledge to increase adherence."

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