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An Overview of Adherence-What It Is and Why It Is Important
Ellen R Conroy1, Tina M Banzon1, Tregony Simoneau2
1Division of Immunology, Department of Medicine, Boston Children's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Summary
Poor adherence to asthma, allergic rhinitis, and food allergy management worsens outcomes. This review defines adherence, explores measurement methods, and discusses the causes and impacts of nonadherence in allergic diseases.
Area of Science:
- Allergy and Immunology
- Public Health
- Health Outcomes Research
Background:
- Asthma, allergic rhinitis, and food allergy are prevalent allergic diseases.
- Poor adherence to management strategies negatively impacts patient health and incurs significant societal costs.
Purpose of the Study:
- To define adherence in allergic disease management, encompassing initiation, implementation, and persistence.
- To review methods for measuring adherence to various allergic disease treatments.
- To examine the epidemiology, causes, and consequences of nonadherence.
Main Methods:
- Literature review of adherence to asthma and allergic rhinitis medications.
- Review of adherence to allergen immunotherapy and oral immunotherapy.
- Analysis of factors contributing to poor adherence and its effects.
Main Results:
- Adherence is a complex issue with multiple contributing factors.
- Nonadherence is associated with adverse health outcomes and increased healthcare burden.
- Understanding adherence is crucial for improving management of allergic diseases.
Conclusions:
- Multifaceted factors underlie poor adherence to allergic disease management.
- Addressing nonadherence is essential to improve patient outcomes and reduce healthcare costs.
- Further research into effective adherence interventions is warranted.
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