The Patient's Perspective: Adherence or Non-adherence to Asthma Controller Therapy?

Study objective. Adherence with controller therapy poses a major challenge to the effective management of persistent asthma. The aim of this study was to explore the patient-related aspects of adherence among adult asthmatics. Design and participants. The participants (n = 509 adult asthmatics), recruited from all parts of Denmark, answered the questionnaire concerning asthma knowledge, attitudes, adherence, and treatment through the Internet. Results. A total of 67% of the patients were prescribed inhaled corticosteroids (ICS). However, according to Global Initiative for Asthma (GINA)-guidelines' symptom severity classification, 85% should have been on ICS. Accidental and intentional non-adherence with ICS at least twice a week was reported by 27% and 24%, respectively. In case of deterioration, 60% of the patients preferred to take more reliever medication, instead of increasing the ICS dose. Having a fixed daily routine with regard to medication and following the advice given by their doctor were the m...

[1]  Vibeke Backer,et al.  Internet-based monitoring of asthma: a long-term, randomized clinical study of 300 asthmatic subjects. , 2005, The Journal of allergy and clinical immunology.

[2]  M. Joffe,et al.  Influences of earlier adherence and symptoms on current symptoms: a marginal structural models analysis. , 2005, The Journal of allergy and clinical immunology.

[3]  B. Bender,et al.  Patient-identified barriers to asthma treatment adherence: responses to interviews, focus groups, and questionnaires. , 2005, Immunology and allergy clinics of North America.

[4]  K. Schechtman,et al.  Community Asthma Program Improves Appropriate Prescribing in Moderate to Severe Asthma , 2005, The Journal of asthma : official journal of the Association for the Care of Asthma.

[5]  Christine C Johnson,et al.  Relationship between adherence to inhaled corticosteroids and poor outcomes among adults with asthma. , 2004, The Journal of allergy and clinical immunology.

[6]  Kevin B Weiss,et al.  Worldwide severity and control of asthma in children and adults: the global asthma insights and reality surveys. , 2004, The Journal of allergy and clinical immunology.

[7]  C. Rand,et al.  Medication non-adherence and asthma treatment cost , 2004, Current opinion in allergy and clinical immunology.

[8]  S. Janson,et al.  Effects of individual self-management education on clinical, biological, and adherence outcomes in asthma. , 2003, The American journal of medicine.

[9]  S. Weiss,et al.  The burden of asthma in the United States: level and distribution are dependent on interpretation of the national asthma education and prevention program guidelines. , 2002, American journal of respiratory and critical care medicine.

[10]  S. Suissa,et al.  Inhaled corticosteroids: impact on asthma morbidity and mortality. , 2001, The Journal of allergy and clinical immunology.

[11]  S. R. Hill,et al.  Enhancing care for people with asthma: the role of communication, education, training and self-management , 2000 .

[12]  S. R. Hill,et al.  Enhancing care for people with asthma: the role of communication, education, training and self-management. 1998 World Asthma Meeting Education and Delivery of Care Working Group. , 2000, The European respiratory journal.

[13]  D. Nolan,et al.  Athletes and fenoterol , 2000, Thorax.

[14]  R Horne,et al.  Compliance in asthma. , 1999, Respiratory medicine.

[15]  R. Pauwels,et al.  GLOBAL STRATEGY FOR ASTHMA MANAGEMENT AND PREVENTION , 1996 .