The Impact of Adherence and Health Literacy on Difficult-to-Control Asthma.
The Impact of Adherence and Health Literacy on Difficult-to-Control Asthma.
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DOI：
10.1016/j.jaip.2021.11.003
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发表时间：
2022-02
影响因子：
9.4
通讯作者：
Rand, Cynthia
中科院分区：
文献类型：
--
作者：
Zaeh, Sandra E.;Ramsey, Rachelle;Bender, Bruce;Hommel, Kevin;Mosnaim, Giselle;Rand, Cynthia
药物不依从性和健康素养是影响难以控制的哮喘管理的关键因素。依从性，或患者遵循治疗计划的程度，超出了哮喘药物的使用，包括适当的吸入器技术。在诊断严重哮喘和加强哮喘治疗之前，评估依从性至关重要，但在临床上具有挑战性。健康素养，或个人可以获得，处理和理解做出医疗保健决策所需的健康信息和服务的程度，对哮喘管理也很重要，并已被证明会影响药物依从性。旨在改善难以控制的哮喘的举措应解决药物依从性和健康素养问题。除了制定低健康素养哮喘行动计划外，还建议在与患者沟通时采取普遍的健康素养预防措施。为了提高依从性，应进行依从性的全面评估。旨在提高依从性的其他循证干预措施侧重于适当的吸入器使用，改善药物获取，使用数字平台，以学校为基础的哮喘干预措施以及实施文化定制的干预措施。关于在重度或难以控制的哮喘患者中使用这些措施的数据有限。
Medication nonadherence and health literacy are key factors that influence the management of difficult-to-control asthma. Adherence, or the extent to which a patient follows a treatment plan, extends beyond asthma medication use and includes an appropriate inhaler technique. Assessment of adherence is critical before making a diagnosis of severe asthma and stepping up asthma therapy but is challenging in the clinical context. Health literacy, or the degree to which individuals can obtain, process, and understand health information and services needed to make health care decisions, is additionally important for asthma management and has been shown to impact medication adherence. Initiatives aiming to improve difficult-to-control asthma should address medication adherence and health literacy. Universal health literacy precautions are recommended while communicating with patients, in addition to the creation of low health literacy asthma action plans. To improve adherence, a comprehensive assessment of adherence should be conducted. Additional evidence-based interventions aiming to improve adherence focus on appropriate inhaler use, improved access to medications, the use of digital platforms, school-based asthma interventions, and the implementation of culturally tailored interventions. Data are limited regarding the use of these initiatives in patients with severe or difficult-to-control asthma.
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DOI：
10.1016/j.jaci.2020.10.003
发表时间：
2020-12
期刊：
The Journal of allergy and clinical immunology
影响因子：
--
作者：
Expert Panel Working Group of the National Heart, Lung, and Blood Institute (NHLBI) administered and coordinated National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC);Cloutier MM;Baptist AP;Blake KV;Brooks EG;Bryant-Stephens T;DiMango E;Dixon AE;Elward KS;Hartert T;Krishnan JA;Lemanske RF Jr;Ouellette DR;Pace WD;Schatz M;Skolnik NS;Stout JW;Teach SJ;Umscheid CA;Walsh CG
通讯作者：
Walsh CG
影响因子：
14.2
作者：
Apter, AJ;Boston, RC;Feldman, HI
通讯作者：
Feldman, HI
影响因子：
24.3
作者：
Chung, Kian Fan;Wenzel, Sally E.;Teague, W. Gerald
通讯作者：
Teague, W. Gerald
影响因子：
--
作者：
Barr, RG;Somers, SC;Camargo, CA
通讯作者：
Camargo, CA
DOI：
10.1111/cea.13787
发表时间：
2021-01
期刊：
Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology
影响因子：
--
作者：
Alahmadi F;Peel A;Keevil B;Niven R;Fowler SJ
通讯作者：
Fowler SJ