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 2023. Adherence in paediatric respiratory medicine: A review of the literature. Paediatric Respiratory Reviews 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:	Published Online
Status:	In Press
Schools:	Medicine
Publisher:	Elsevier
ISSN:	1526-0542
Date of First Compliant Deposit:	28 November 2023
Date of Acceptance:	29 September 2023
Last Modified:	29 Nov 2023 02:21
URI:	https://orca.cardiff.ac.uk/id/eprint/164355

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