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PMID- 28802371
DA  - 20170813
DCOM- 20170907
LR  - 20170907
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 100
DP  - 2017 Sep
TI  - How can we improve medical adherence to intranasal corticosteroids in children?
PG  - 194-197
LID - S0165-5876(17)30323-3 [pii]
LID - 10.1016/j.ijporl.2017.07.010 [doi]
AB  - OBJECTIVE: To evaluate the factors which may be related to nonadherence to
      intranasal corticosteroids (ICS) in the treatment of allergic rhinitis (AR) in
      children. METHODS: A prospective study was conducted on children with AR
      diagnosis in a tertiary referral hospital. All participants were provided with
      mometasone furoate nasal sprays for 30 days after the diagnosis. Caregivers were 
      called back when the therapy was over and completed a questionnaire about the
      factors that may influence the adherence to the treatment. Afterwards each
      caregiver completed 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.
      CONCLUSION: The clinician must consider the factors which may lead to
      non-adherence while setting up a treatment plan. The demographic and
      sociocultural factors must be taken into consideration and treatment schedule
      should be made in respect of daily activities of the children. Moreover the
      father can be involved in the therapy plan and back up the mother as they are
      usually the responsible parent for children's medical therapy.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Ocak, Emre
AU  - Ocak E
AD  - Department of Otorhinolaryngology, Kecioren Research and Training Hospital,
      Ankara, Turkey.
FAU - Kocaoz, Deniz
AU  - Kocaoz D
AD  - Department of Otorhinolaryngology, Kecioren Research and Training Hospital,
      Ankara, Turkey.
FAU - Acar, Baran
AU  - Acar B
AD  - Department of Otorhinolaryngology, Kecioren Research and Training Hospital,
      Ankara, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20170712
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
RN  - 0 (Anti-Allergic Agents)
RN  - 0 (Glucocorticoids)
RN  - 0 (Nasal Sprays)
RN  - 04201GDN4R (Mometasone Furoate)
SB  - IM
MH  - Administration, Intranasal
MH  - Anti-Allergic Agents/*administration & dosage
MH  - Child
MH  - Female
MH  - Glucocorticoids/*administration & dosage
MH  - Humans
MH  - Male
MH  - *Medication Adherence
MH  - Mometasone Furoate/*administration & dosage
MH  - Nasal Sprays
MH  - Prospective Studies
MH  - Rhinitis, Allergic/*drug therapy
MH  - Surveys and Questionnaires
OT  - Adherence
OT  - Allergic rhinitis
OT  - Children
OT  - Corticosteroids
OT  - Intranasal
EDAT- 2017/08/15 06:00
MHDA- 2017/09/08 06:00
CRDT- 2017/08/14 06:00
PHST- 2017/03/01 [received]
PHST- 2017/07/10 [revised]
PHST- 2017/07/10 [accepted]
AID - S0165-5876(17)30323-3 [pii]
AID - 10.1016/j.ijporl.2017.07.010 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 Sep;100:194-197. doi:
      10.1016/j.ijporl.2017.07.010. Epub 2017 Jul 12.