Factors associated with levels of adherence to inhaled corticosteroids in minority adolescents with asthma

Mosnaim, Giselle; Li, Hong; Martin, Molly A.; Richardson, DeJuran; Belice, Paula Jo; Avery, Elizabeth; Ryan, Norman; Bender, Bruce G.; Powell, Lynda H.

doi:10.1016/j.anai.2013.11.021

Cited by 56 publications

(77 citation statements)

References 29 publications

(40 reference statements)

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“…Research has shown that asthma is less well controlled especially among adolescents of lower socioeconomic status and ethnic minorities [4,26]. The main reason for this appears to be a low level of understanding health related information, low health literacy and language barrier [26]. For ethnic minorities, both older age and low asthma knowledge are associated with poor adherence [26].…”

Section: Patient Perspective: Health Literacymentioning

confidence: 99%

“…The main reason for this appears to be a low level of understanding health related information, low health literacy and language barrier [26]. For ethnic minorities, both older age and low asthma knowledge are associated with poor adherence [26]. The complexity of treatment regimens and the lack of comprehension of treatment benefits set a barrier to adherence and therefore create a lack of trust between patient and healthcare provider.…”

Section: Patient Perspective: Health Literacymentioning

confidence: 99%

“…Improved asthma education is associated with effective symptom control, better self-management of the disease and better asthma control, whereas, poor understanding of treatment and its importance pose a risk to adherence [18]. Research has shown that asthma is less well controlled especially among adolescents of lower socioeconomic status and ethnic minorities [4,26]. The main reason for this appears to be a low level of understanding health related information, low health literacy and language barrier [26].…”

Section: Patient Perspective: Health Literacymentioning

confidence: 99%

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Enabling and hindering factors influencing adherence to asthma treatment among adolescents: A systematic literature review

Ahmad

Sørensen

2016

Journal of Asthma

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Objectives: The aim of this systematic literature review is to study the enabling and hindering factors influencing adherence to asthma treatment among adolescents. Furthermore, it explores the role of caregivers and the healthcare provider in terms of supporting adolescents to manage and live with asthma. Data sources: The literature review was conducted using the MeSH terms asthma, adherence, health literacy, behavior, adolescents, tools, healthcare provider, caregiver, peer influence, self-management, quality of life, morbidity and mortality in PubMed, PsycInfo, MEDLINE and CINAHL. Study selection: The literature search resulted in 652 articles of which 304 were screened based on title and abstracts. Ninety-one of the screened articles were then selected for full-text assessment resulting in 42 articles for in-depth analysis. Results: The literature review identified nine enabling and hindering factors relevant for adherence to asthma treatment among adolescents: behavior, belief, self-management, health literacy, role of health provider, assessment of adherence, role of caregiver, role of peers and the national asthma guidelines. Conclusion: Working with this particular age group is complex and further research in understanding adolescent's behavior, motives, beliefs and perceptions towards adherence to asthma treatment is required to guide them towards better self-management and acceptance of their condition.

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Section: Patient Perspective: Health Literacymentioning

confidence: 99%

Section: Patient Perspective: Health Literacymentioning

confidence: 99%

Section: Patient Perspective: Health Literacymentioning

confidence: 99%

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Enabling and hindering factors influencing adherence to asthma treatment among adolescents: A systematic literature review

Ahmad

Sørensen

2016

Journal of Asthma

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“…[56][57][58] Previous research has shown that adherence to Failing to prime the device, using the device after it is empty, exhaling through the device before inhalation, failing to inhale forcefully pMDIs ϭ pressurized metered-dose inhalers DPIs ϭ dry powder inhalers prescribed medication is an issue especially in low-income and minority subjects. [59][60][61] Lack of adherence is divided into 2 categories: (1) unintentional nonadherence and (2) intentional nonadherence.…”

Section: Factors Affecting Patient Adherence To Prescribed Aerosol Thmentioning

confidence: 99%

Patient Education and Adherence to Aerosol Therapy

Ari

2015

Respir Care

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SummaryNonadherence to prescribed medications results in disease instability and poor clinical control, with increases in hospital admissions, emergency room visits, school/work absenteeism, morbidity, and mortality. Poor patient adherence to therapy can be due to lack of cognition, competence, or contrivance. Patients who have not been trained or fail to understand use of drug and device combinations (cognition) often do not have the ability to use an aerosol device correctly (competence). Many patients have the competence to use the device correctly and know why they should RESPIRATORY CARE • JUNE 2015 VOL 60 NO 6 941 use the device in the way they were taught; however, they still contrive to use it in an ineffective and suboptimal manner that reduces its efficiency and effectiveness. Ensuring effective aerosol therapy and optimizing its role in disease management involve not only delivery of aerosolized medications to the lungs, but also understanding why, when, and how to use the medications, competence to use the device, motivation to adhere to therapy, and not contriving to use the device in a way that will prevent effective drug delivery. This paper explains some of the problems with patient education and adherence to aerosol therapy and suggests strategies to evaluate, monitor, and improve patient adherence effectively in primary care. Factors affecting patient adherence to prescribed medications, effective educational interventions, and strategies to promote patient adherence to aerosol therapy are also discussed.

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“…[9] Barriers to controller medication adherence among youth with asthma include forgetfulness, poor asthma knowledge and false beliefs, child avoidance of inhaler use at school, and parental stress with medication delivery. [10][11][12][13][14] Less is known about other social and emotional contextual factors (e.g., anger, boredom, and symptoms), and how changes in these factors over-time impact day-to-day adherence behavior for youth with asthma. Emotional factors such as anger or panic, are frequently reported in association with asthma symptoms, but their effect on asthma self-management including adherence is poorly understood.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Smartphones for Real-time Assessment of Adherence Behavior and Symptom Exacerbation for High Risk Youth and Adolescents with Asthma: A Pilot Study (Preprint)

Teufel¹,

Patel²,

Shuler³

et al. 2018

JMIR mHealth and uHealth

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Background: Youth with asthma who have poor medication adherence, limited access to care, and are frequently seen in the acute care setting are often termed "high risk." Objective: Our purpose was to design and test the feasibility of using smartphone technology to assess contextual factors that may impact changes in daily medication adherence and identify new symptom episodes among high risk youth with asthma in their home environment. Methods: Youth 8-17 years with high risk asthma from two children's hospitals were eligible for the 2-month study. An App was downloaded on participants' phones at enrollment. Daily text reminders were sent to complete ecological momentary assessment of asthma symptoms and other contextual factors such as emotional state using the App. Bluetooth inhaler devices were used to record timestamps of inhaler use with the ability to review and manually enter data. Acceptability was assessed with surveys, key informant

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Factors associated with levels of adherence to inhaled corticosteroids in minority adolescents with asthma

Cited by 56 publications

References 29 publications

Enabling and hindering factors influencing adherence to asthma treatment among adolescents: A systematic literature review

Enabling and hindering factors influencing adherence to asthma treatment among adolescents: A systematic literature review

Patient Education and Adherence to Aerosol Therapy

Feasibility of Smartphones for Real-time Assessment of Adherence Behavior and Symptom Exacerbation for High Risk Youth and Adolescents with Asthma: A Pilot Study (Preprint)

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