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New insights to improve treatment adherence in asthma and COPD

Authors George M, Bender B

Received 22 March 2019

Accepted for publication 14 June 2019

Published 31 July 2019 Volume 2019:13 Pages 1325—1334


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Johnny Chen

Maureen George,1 Bruce Bender2

1School of Nursing, Columbia University, New York, NY, USA; 2Division of Pediatric Behavioral Health, National Jewish Health, Denver, CO, USA

Abstract: Chronic respiratory diseases such as asthma and COPD are typically managed by daily inhaled medication. However, the efficacy of an inhaled medication depends upon a patient’s adherence to therapy, which refers to whether the medication is actually taken as prescribed. In patients with these diseases, higher adherence has been associated with better health outcomes, such as improved disease control and a reduction in severe and potentially costly exacerbations. Adherence is a multifaceted concept that includes medication-related, intentional, and unintentional reasons that patients may or may not take their medication as directed. The purpose of this integrative review is to present the individual patient factors that contribute to suboptimal adherence to inhaled therapies and the associated effects on health outcomes, while also highlighting evidence-based strategies for health care providers to improve adherence to such therapies in patients with asthma or COPD. Working closely with patients to establish a model of shared decision-making, which takes patient beliefs and preferences into account when choosing treatment options, has the potential to improve adherence and overall patient outcomes in the management of asthma and COPD.

Keywords: chronic disease, health behavior, evidence-based medicine, inhalers

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