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Optimizing adherence to medication to improve outcomes in asthma
Pamela Rackow1, Amelia Drennan1, Hilary Pinnock2
1University of Stirling, Faculty of Natural Sciences, Psychology, Stirling.
Current Opinion in Pulmonary Medicine
|March 19, 2025
Summary
Improving medication adherence in asthma requires personalized interventions addressing individual barriers and leveraging digital tools for better patient-provider communication. Holistic management, including mental health, is key for optimal asthma control and reduced exacerbations.
Area of Science:
- Pulmonology
- Behavioral Science
- Health Services Research
Background:
- Medication adherence is critical for effective asthma management and preventing exacerbations.
- Recent research has focused on understanding adherence barriers and developing targeted interventions.
- This review synthesizes current advancements in asthma adherence research for practical application.
Purpose of the Study:
- To review recent advances in asthma medication adherence research.
- To highlight the potential of these advances for clinical practice.
- To identify key determinants and effective intervention strategies for improving adherence.
Main Methods:
- Literature review of recent studies on asthma medication adherence.
- Analysis of factors influencing adherence (individual, social, health service-related).
- Evaluation of digital technologies and tailored interventions for adherence support.
Main Results:
- Adherence is influenced by individual factors, social context, and health service delivery.
- Tailored interventions, brief barrier assessments, and evidence-based strategies are effective.
- Digital technologies like smart inhalers and telemedicine show promise but face implementation challenges.
- Integrating mental health support and single-site care improves adherence and outcomes.
Conclusions:
- Holistic asthma management should incorporate mental health considerations.
- Personalized adherence interventions tailored to individual needs are feasible and effective.
- Digital health solutions offer potential for enhanced asthma care but require sustained implementation strategies.
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