They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity.
They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity.
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DOI：
10.1002/ppul.24643
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发表时间：
2020-03
影响因子：
3.1
通讯作者：
Federico, Monica J.
中科院分区：
文献类型：
--
作者：
De Keyser, Heather Hoch;Ramsey, Rachelle;Federico, Monica J.
评估和解决对哮喘药物的次优依从性是治疗所有哮喘儿童，特别是那些难以治疗的哮喘儿童的关键组成部分。然而，家长经常夸大哮喘药物的依从性。增加药物依从性可能导致更好的哮喘控制和减少哮喘恶化的形式改善结果，以及降低医疗保健利用成本。然而，有许多复杂的因素影响药物依从性，每个家庭的障碍往往不同。健康的社会决定因素、复杂的医疗保健关系和患者相关因素都可能影响药物依从性。以患者为中心的多组分策略，以及利用技术和习惯形成策略的策略可能有助于提高药物依从性。需要进一步的研究来可靠和可持续地改善更广泛人群中哮喘儿童的药物依从性；在一些人群中，可能需要替代诊断、调整治疗和其他干预措施来改善哮喘控制和健康。
Assessing and addressing suboptimal adherence to asthma medications is a key component in the treatment of all children with asthma, particularly those with difficult-to-treat asthma. However, parents often overreport adherence to asthma medications. Increased medication adherence could lead to improved outcomes in the form of better asthma control and decreased asthma exacerbations, as well as decreased healthcare utilization costs. Yet there are many complex factors that affect medication adherence, and barriers are often different in each family. Social determinants of health, complex healthcare relationships, and patient-related factors may all affect medication adherence. Multicomponent patient-centered strategies, as well as strategies that utilize technology and habit formation strategies may be helpful in improving medication adherence. Further study is needed to reliably and sustainably improve medication adherence in children with asthma across the broader population; in some populations, alternate diagnoses, adjusting therapy, and other intervention may be required to improve asthma control and health.
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