Adherence to Asthma Medication Regimens Tends to be Very Poor, with the Reported Rates of Nonadherence

Abstract Introduction: Asthma is becoming one of the most devastating chronic diseases affecting populations globally[1–3]. The World Health Organization in 2016 estimated that around 339 million individuals are suffering from asthma worldwide[5], and the condition is more prevalent among children [2,3]. Hence, it is important to implement strategies that may prevent asthma exacerbation, such as ensuring adherence to asthma medications[6,7]. Aim: This study aimed to assess adherence to asthma controller therapy and the factors that might influence the level of adherence among asthmatic children. Materials and Methods: A cross-sectional study was conducted among parents of children aged 1–14 years attending Dr. Sulaiman Al Habib Medical Group. A validated, self-administered questionnaire was used to collect sociodemographic data and assess adherence using the pediatric inhaler adherence questionnaire[9,10]. Results: Of 150 participants, 66.7% were mothers. While 78% showed good adherence to metered dose inhaler (MDI) use, 56.7% had overall poor adherence. Being a mother was associated with better adherence [adjusted odds ratio (AOR) = 0.458], whereas knowledge of inhaler dose count was paradoxically associated with poorer adherence (AOR = 6.546). Forgetfulness and perceived symptom improvement were the most common reasons for nonadherence. Conclusion: Poor adherence to asthma medication remains a concern. Targeted parental education and improved awareness may enhance adherence and reduce asthma-related complication in children [12].