Adherence in paediatric respiratory medicine: A review of the literature

Kotecha, Ella A., Fitzgerald, Dominic A. and Kotecha, Sailesh ORCID: https://orcid.org/0000-0003-3535-7627 2024. Adherence in paediatric respiratory medicine: A review of the literature. Paediatric Respiratory Reviews 50 , pp. 41-45. 10.1016/j.prrv.2023.09.004

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Abstract

Poor adherence is an important factor in unstable disease control and treatment failure. There are multiple ways to monitor a patient’s adherence, each with their own advantages and disadvantages. The reasons for poor adherence are multi-factorial, inter-related and often difficult to target for improvement. Although practitioners can implement different methods of adherence, the ultimate aim is to improve health outcomes for the individual and the health care system. Asthma is a common airway disease, particularly diagnosed in children, often treated with inhaled corticosteroids and long-acting bronchodilators. Due to the disease’s tendency for exacerbations and consequently, when severe will require unscheduled health care utilisation including hospital admissions, considerable research has been done into the effects of medication adherence on asthma control. This review discusses the difficulties in defining adherence, the reasons for and consequences of poor adherence, and the methods of recording and improving adherence in asthma patients, including an in-depth analysis of the uses of smart inhalers.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Elsevier
ISSN:	1526-0542
Date of First Compliant Deposit:	28 November 2023
Date of Acceptance:	29 September 2023
Last Modified:	03 Jun 2024 13:28
URI:	https://orca.cardiff.ac.uk/id/eprint/164355

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