Overcoming barriers to nonadherence in asthma treatment

Inadequate patient adherence to prescribed treatment regimens is a major cause of poor clinical outcomes in the treatment of asthma. Among children with asthma, adherence rates are often below 50%. Multiple treatment-, clinician-, and patient-related barriers prevent the achievement of satisfactory...

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Bibliographic Details
Published in:Journal of allergy and clinical immunology 2002-06, Vol.109 (6), p.S554-S559
Main Author: Bender, Bruce G.
Format: Article
Language:English
Subjects:
adherence
Adult
Airway management
Asthma
Asthma - therapy
Behavior
Child
Drug therapy
Humans
management
Motivation
outcomes
Patient Compliance
Patient Education as Topic
Physician-Patient Relations
Physicians
Self Care
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Summary:Inadequate patient adherence to prescribed treatment regimens is a major cause of poor clinical outcomes in the treatment of asthma. Among children with asthma, adherence rates are often below 50%. Multiple treatment-, clinician-, and patient-related barriers prevent the achievement of satisfactory levels of adherence. Treatment-related barriers include prolonged and complex regimens, adverse effects, cost, and delayed onset of action. Clinician-related barriers include difficulty in scheduling, treatment by one different care giver after another, perceived clinician disinterest, and time constraints. Patient-related barriers include mild or severe asthma, poor understanding of the need for treatment, insufficient confidence in the clinician or medication, the presence of psychological problems, and low motivation to change behavior. Although all of these factors must be addressed to maximize adherence, patient motivation may be the most critical. This task falls primarily to clinicians (physicians, nurses, staff), and it requires thorough patient and care giver education, more frequent patient contact, and the development of a patient-clinician partnership dedicated to the effective treatment of asthma. (J Allergy Clin Immunol 2002;109:S554-9.)
ISSN:0091-6749
1097-6825
DOI:10.1067/mai.2002.124570