Effect of the COVID-19 Pandemic on Treatment Adherence Among Children With Congenital Adrenal Hyperplasia

Effect of the COVID-19 Pandemic on Treatment Adherence Among Children With Congenital Adrenal Hyperplasia

Background: This study determined the effect of the COVID-19 pandemic on adherence to medication among children with congenital adrenal hyperplasia (CAH) living in the Kingdom of Saudi Arabia (KSA).Methods: Data were collected from April 2020 to April 2022 through face-to-face or telephonic intervie...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) Vol. 14; no. 8; p. e27762
Main Authors: Alsulaimani, Samahir A, Mazi, Ahlam, Bawazier, Mohammed, Bahabri, Ali, Eibani, Wael, Batarfi, Abdulrahman, Al-Agha, Abdulmoein
Format: Journal Article
Language:English
Published: Palo Alto Cureus Inc 07-08-2022
Cureus
Subjects:
Age
Caregivers
Congenital diseases
Coronaviruses
COVID-19
Diabetes
Disease transmission
Drug administration
Education
Elementary schools
Endocrinology/Diabetes/Metabolism
Gender
Hyperplasia
Laboratories
Mothers
Pandemics
Patient compliance
Pediatrics
Questionnaires
Secondary schools
Socioeconomic factors
Teenagers
Variables
Saudi Arabia
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Summary:Background: This study determined the effect of the COVID-19 pandemic on adherence to medication among children with congenital adrenal hyperplasia (CAH) living in the Kingdom of Saudi Arabia (KSA).Methods: Data were collected from April 2020 to April 2022 through face-to-face or telephonic interviews at a virtual paediatric endocrine clinic in Jeddah, KSA.Results: A total of 55 children, with a mean age of 12.9 ± 5.8 years, participated in the study. Most children (32/55, 58%) were administered treatment by their mother. Before the COVID-19 pandemic, 51 patients (93%) reported adhering to their CAH treatment. After the onset of the COVID-19 pandemic, this number decreased to 49 (89%, p = 0.516). The most common reasons for non-adherence before and after the pandemic included restricted access to medication (supply and financial problems) and challenges in obtaining new prescriptions and refills. These challenges increased after the onset of the pandemic. Before and after the onset of the pandemic, mothers with a university degree were significantly more likely to administer medication than mothers without a university degree, but fathers’ education level did not affect their role in medication administration, before or after the onset of the pandemic.Conclusion: This study confirms that the COVID-19 pandemic did not have a significant effect on medication adherence in children with CAH in Jeddah.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.27762