title: Treatment adherence among low-income children with asthma.
abstract: OBJECTIVE
  To investigate the adherence behaviors (MDI use, MDI/spacer technique, appointment attendance, smoking in the home) of low-income, urban, primarily African American children with asthma.
  
  
  METHODS
  Participants were 55 children ages 6 to 17 with moderate to severe asthma. Adherence to MDI anti-inflammatory agents was estimated primarily from canister weight at the follow-up appointment.
  
  
  RESULTS
  The mean use of MDI medication was 44% of prescribed use, with 27% of subjects demonstrating MDI/spacer technique likely to prevent drug delivery. Almost half reported that household members smoked cigarettes, and 21% missed scheduled follow-up appointments.
  
  
  CONCLUSIONS
  These findings have implications for how clinicians should assess and improve adherence.
authors.affiliation: Emory University School of Medicine, USA. mcelano@emory.edu
authors.forename: M
authors.initials: M
authors.lastname: Celano
authors.forename: R J
authors.initials: RJ
authors.lastname: Geller
authors.forename: K M
authors.initials: KM
authors.lastname: Phillips
authors.forename: R
authors.initials: R
authors.lastname: Ziman
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage*; D001249:Asthma / Q000188:drug therapy*; D001507:Beclomethasone / Q000008:administration & dosage; D044383:Black People; D002648:Child; D004205:Cromolyn Sodium / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009330:Nebulizers and Vaporizers; D017835:Nedocromil / Q000008:administration & dosage; D010287:Parent-Child Relations / Q000208:ethnology; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic / Q000706:statistics & numerical data; D012907:Smoking / Q000453:epidemiology; D012923:Social Class; D012959:Socioeconomic Factors; D014222:Triamcinolone Acetonide / Q000008:administration & dosage; D014481:United States
chemical_list: D018927:Anti-Asthmatic Agents; D017835:Nedocromil; D014222:Triamcinolone Acetonide; D001507:Beclomethasone; D004205:Cromolyn Sodium