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Emergency Department Visit by Inner City Children With Asthma Self-reported Adherence, Management Behavior, and Barriers to Care After an

Published on Jan 1, 2013
C. Wright , Richard Evans11
Estimated H-index: 11
+ 3 AuthorsDeanna Kruszon-Moran25
Estimated H-index: 25
Abstract
  • References (32)
  • Citations (0)
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References32
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1 CitationsSource
#1Herman MitchellH-Index: 40
#2Yvonne D. Senturia (Children's Memorial Hospital)H-Index: 9
Last. Kevin B. Weiss (NIH: National Institutes of Health)H-Index: 62
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Summary. The National Cooperative Inner-City Asthma Study (NCICAS) was established to identify and then intervene on those factors which are related to asthma morbidity among children in the inner-city. This paper describes the design and methods of the broad-based initial Phase I epidemiologic investigation. Eight research centers enrolled 1,528 children, 4 to 9 years of age, from English- or Spanish-speaking families, all of whom resided in major metropolitan inner-city areas. The protocol inc...
134 CitationsSource
#1Cynthia S. Rand (Johns Hopkins University)H-Index: 68
#2Mitchell A. Nides (Johns Hopkins University)H-Index: 31
Last. John E. Connett (Johns Hopkins University)H-Index: 66
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Poor adherence to medication regimens is a well-documented phenomenon in clinical practice and an ever-present concern in clinical trials. Little is known about adherence to inhaled medication regimens over extended periods. The present paper describes the 2-yr results of the Lung Health Study (LHS) program, which was developed to maintain long-term adherence to an inhaled medication regimen in 3,923 special intervention participants (as measured by self-report and medication canister weight). T...
157 CitationsSource
#1Joan TurnerH-Index: 21
#2Elizabeth WrightH-Index: 1
Last. Nicholas R. AnthonisenH-Index: 49
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Study objective Patients with moderate to severe COPD are frequently prescribed expensive and complicated therapies that require adjustments in usual activities of daily living. However, little is known about factors that are associated with adherence to such treatment. The objective of this study was to identify characteristics of patients who were adherent to long-term home nebulizer therapy. Design Patients were stratified into two adherence groups based on average minutes of nebulizer use ea...
78 CitationsSource
#1Donald P. Tashkin (UCLA: University of California, Los Angeles)H-Index: 79
67 CitationsSource
#1Alessandro FiocchiH-Index: 46
#2Gian Vincenzo Zuccotti (University of Milan)H-Index: 37
Last. Elisabetta Riva (University of Milan)H-Index: 30
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Between January 1 and December 31, 1988, 288 children [185 boys and 103 girls, mean age 8.75卤4.98 years (range 2.50 to 16.83)], followed at the Outpatient Clinic for Lung Diseases of the University of Milan 5th Pediatric Department, were interviewed blindly in order to assess their compliance with pharmacologic therapy. All children were suffering from episodic, frequent, or chronic asthma requiring therapy as needed and preventive drugs for at least 30 days. Prophylaxis (including cromolyn, bec...
23 Citations
#1Judy S. KellowayH-Index: 6
#2Richard A. WyattH-Index: 2
Last. Susan AdlisH-Index: 3
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Background: Noncompliance with medications is one of the most serious problems facing health care today. However, methods to measure compliance have many limitations. Methods: To measure specific drug compliance and dosing frequency of two asthma medications, we used medical records data and pharmacy claims data from 276 patients who had concurrent prescriptions for inhaled anti-inflammatory agents and oral theophylline. Patients were randomly selected from the pharmacy claims data files of a he...
309 CitationsSource
#1Brooks CmH-Index: 6
#2James M. RichardsH-Index: 15
Last. William C. BaileyH-Index: 47
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Poor adherence to recommended regimens is a substantial problem in the clinical management of adults with asthma and other chronic diseases. Research on adherence assessment is complicated by methodological difficulties including limitations associated with the use of self-report measures. In this s
83 CitationsSource
#1C. M. BosleyH-Index: 1
#2D. T. ParryH-Index: 1
Last. G.M. CochraneH-Index: 10
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Patient compliance with an inhaled corticosteroid may be greater if it is combined with a beta-agonist. This study compared compliance with an inhaled corticosteroid (budesonide), and a short-acting inhaled beta-agonist (terbutaline sulphate), and a Turbuhaler inhaler containing a combination of the two drugs. In an open, multicentre, parallel group study 102 asthmatic patients were randomly divided into two groups, either receiving the two drugs in separate Turbuhalers or combined into one Turb...
102 CitationsSource
The failure of patients to adhere to physician-prescribed regimens, either pharmacologic or behavioral, has been well documented in medical literature. Poor adherence to asthma medication regimens has been repeatedly demonstrated in both children and adults, with rates of nonadherence commonly reported from 30 to 70%. Medication regimens for asthma care are particularly vulnerable to adherence problems because of their duration, the use of multiple medications, and the periods of symptom remissi...
269 CitationsSource
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