How can adherence to asthma medication be enhanced? Triangulation of key asthma stakeholders' perspectives

Background and objectives: Adherence to daily asthma controller medication has been shown to be the most effective component of asthma self-management; however, patient's adherence to asthma medication remains poor. This study aimed to understand how patients' long-term asthma controller m...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of asthma 2016-12, Vol.53 (10), p.1076-1084
Main Authors: Peláez, Sandra, Bacon, Simon L., Lacoste, Guillaume, Lavoie, Kim L.
Format: Article
Language:English
Subjects:
Adult
Aged
Anti-Asthmatic Agents - therapeutic use
Asthma - drug therapy
Attitude of Health Personnel
education
facilitators
Female
Focus Groups
health care professionals
Health Personnel
Humans
intervention
Male
Medication Adherence - statistics & numerical data
Middle Aged
Patients
physicians
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background and objectives: Adherence to daily asthma controller medication has been shown to be the most effective component of asthma self-management; however, patient's adherence to asthma medication remains poor. This study aimed to understand how patients' long-term asthma controller medication adherence may be improved and facilitated by comparing key asthma stakeholders' perspectives. Method: Six focus group interviews including 38 asthma stakeholders (n = 13 patients, n = 13 pulmonologist physicians, and n = 12 allied healthcare professionals) were conducted. Interviews were qualitatively analysed. Results: Although similar themes were brought up across different asthma stakeholders, the way in which they were framed differed across stakeholders. The most salient discussion revolved around the content and the moment in which asthma education should be approached to facilitate patients' adherence to asthma medication. Conclusion: Asthma medication adherence is a complex process and successful interventions aimed at its improvement would benefit from: (a) making an effort to understand patients' experiences and negotiate the treatment regimen, rather than imposing recommendations; (b) considering treatment as a shared responsibility involving the patient, the healthcare professional(s), and the patients' social networks; and, (c) taking into account different stakeholders' concerns, needs, perspectives, and knowledge.
ISSN:0277-0903
1532-4303
DOI:10.3109/02770903.2016.1165696