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J Allergy Clin Immunol Pract. 2013 Mar;1(2):123-8. doi: 10.1016/j.jaip.2013.01.009. Epub 2013 Feb 26.

Asthma adherence management for the clinician.

Author information

  • Thomas Jefferson Medical College, Wilmington, Del. Electronic address: agwmd@aol.com.

Abstract

BACKGROUND:

Nonadherence to asthma treatment has been related to increased hospital and emergency care, morbidity, and unnecessary costs. Improving patient adherence is a key component to achieving optimal outcomes.

OBJECTIVE:

Review barriers, interventions, and communication skills shown to be effective in promoting asthma adherence.

METHODS:

Asthma adherence literature was reviewed.

RESULTS:

Sequential management principles to achieve adherence include the following: (1) measuring adherence, (2) identifying barriers that result in nonadherence, (3) using specific strategies to overcome barriers; and (4) using communication skills to enhance the delivery of selected strategies.

CONCLUSION:

Careful attention to adherence management principles may increase adherence, enhance outcomes, and reduce unnecessary morbidity and cost. The case described applies these principles and gives the reader a framework to review.

Copyright © 2013 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

Adherence; Adult/child asthma; Barriers; Health beliefs; Outcomes; Patient-centered communication

PMID:
24565451
[PubMed - indexed for MEDLINE]
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