Medical Adherence to Intranasal Corticosteroids in Children: Related Factors in a Developing Country

¹Department of Pediatrics, Dr.Sami Ulus Women and Childrens Training and Research Hospital.

²Department of Otorhinolaryngology, Kecioren Training and Research Hospital.

Corresponding Author:Baran Acar, Kecioren Training and Research Hospital,Department of Otorhinolaryngology,Pinarbasi mahallesi sanatoryum caddesi Ardahan sok.no:25,Kecioren,06380, Ankara, Turkey, Tel: +90 312 356 90 00; E-Mail: [email protected]

Received Date: 19 Jun 2016   
Accepted Date: 16 Jan 2017   
Published Date: 17 Jan 2017

Copyright © 2017 Acar M

Citation: Acar M, Ocak E, Acar B and Kocaoz D. (2017). Medical Adherence to Intranasal Corticosteroids in Children: Related Factors in a Developing Country. Mathews J Pediatr. 1(1): 007.

ABSTRACT

Aim: To evaluate the factors which may be related to non-adherence to intranasal corticosteroids (ICS) in the treatment of allergic rhinitis (AR) in children.
Materials and Methods: The study was conducted on children with diagnosis AR in a tertiary hospital. All participants were provided with mometasone furoat nasal sprays for 30 days after the diagnosis was made. Caregivers were all called back when the therapy was over and filled a questionnaire about the factors that may influence the adherence to the treatment. Afterwards each caregiver filled the Turkish language validated Morisky Medical Adherence Scale (MMAS-8) form. Each factor was evaluated according to MMAS-8 score and all variables were analyzed statistically.
Results: A total number of 76 children with a mean age of 7.82 years were included in the study. The mean overall MMAS-8 score was 2.80. There was only one factor significantly related to low adherence; the number of dependent children to the caregiver (p=0.011). Besides this, 71.51% of the answers to MMAS-8 scale were compatible with good adherence.
Conclusions: The clinician must consider the factors which may lead to non-adherence while setting up a treatment plan. The demographic and socio-cultural factors must be taken into consideration and treatment schedule should be made in respect of daily activities of the children. Moreover the father could be involved in the therapy plan and support the mother especially in countries like Turkey.

KEYWORDS

Adherence; Allergic Rhinitis; Children; Intranasal Corticosteroids.