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They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity

Heather Hoch De Keyser1, Rachelle Ramsey2,3, Monica J Federico1

  • 1Breathing Institute, Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, Colorado.

Pediatric Pulmonology
|January 17, 2020
PubMed

Insights

Improving medication adherence in children with asthma is crucial for better health outcomes. Addressing complex barriers requires patient-centered strategies and further research for sustainable improvements in pediatric asthma management.

Area of Science:

  • Pediatric Pulmonology
  • Health Services Research
  • Behavioral Medicine

Background:

  • Suboptimal adherence to asthma medications is common in children, particularly those with difficult-to-treat asthma.
  • Parents frequently overreport adherence, complicating accurate assessment.
  • Adherence significantly impacts asthma control, exacerbations, and healthcare costs.

Purpose of the Study:

  • To highlight the importance of assessing and addressing medication adherence in pediatric asthma.
  • To identify factors influencing adherence, including social determinants of health and patient-related variables.
  • To explore potential strategies for improving adherence in children with asthma.

Main Methods:

  • Review of factors affecting medication adherence in pediatric asthma.
  • Discussion of patient-centered, technology-based, and habit-formation strategies.
  • Emphasis on the need for further research and tailored interventions.

Main Results:

  • Medication adherence is influenced by a complex interplay of factors unique to each family.
  • Multicomponent, patient-centered strategies show promise for improving adherence.
  • Accurate assessment of adherence remains a challenge due to parental overreporting.

Conclusions:

  • Improving medication adherence in children with asthma is essential for enhanced control and reduced exacerbations.
  • Addressing adherence requires individualized, multicomponent strategies considering social determinants and patient factors.
  • Further research is needed to develop reliable and sustainable interventions for widespread application in pediatric asthma care.

Keywords:
asthma and early wheezemedication adherencesocial dimensions of pulmonary medicine

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