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

Ahmad, Anam; Sørensen, Kristine

doi:10.3109/02770903.2016.1155217

Cited by 54 publications

(63 citation statements)

References 49 publications

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“…These concerns also seem particularly relevant for young patients with asthma. Consistent with the systematic review by Ahmad et al [80] on adherence to asthma treatment among adolescents, our findings suggest that adolescents may have additional barriers to adherence and engagement, such as feeling embarrassed about their asthma, social stigma and dependence on their peer group; and addressing these barriers can be highly complex as these may be influenced by psychosocial factors [81]. These findings also suggest that treatment beliefs and concerns can differ with age.…”

Section: Discussionsupporting

confidence: 88%

Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence

Lycett¹,

Wildman²,

Raebel³

et al. 2018

Respiratory Medicine

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Background: Non-adherence to asthma treatment is a contributing factor for poorly controlled asthma. Aim: The aim of this systematic review is to explore patients' perceptions of their inhaled asthma treatment, and how these relate to adherence, using both qualitative and quantitative data. Methods: Pre-determined search terms and inclusion criteria were used to search electronic databases (The Cochrane Library, MEDLINE, EMBASE and PsycINFO). Two researchers screened titles and abstracts using the Rayyan web app and data were extracted in relation to psychological components (beliefs about, and attitudes towards, medicines) and adherence. Results: Of 1638 papers, 36 met the inclusion criteria. Key themes were: Perceived need for treatment -all 12 studies using the BMQ to measure patients' perceived need for treatment found that patients' beliefs about their necessity for treatment were associated with adherence-; Concerns about treatment -immediate and longterm side effects (58%), worries about safety (19%), and potential addiction to asthma medication (31%)-; and Perceived social stigma -22% of studies reported that embarrassment contributed to poor adherence. Conclusions: Acknowledging and addressing patient treatment beliefs and perceptual barriers to adherence is integral to designing adherence interventions for asthma patients. Further research is needed to better our understanding of the relationship between treatment perceptions and adherence.

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Section: Discussionsupporting

confidence: 88%

Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence

Lycett¹,

Wildman²,

Raebel³

et al. 2018

Respiratory Medicine

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“…Medication adherence behavior falls into intentional (no perceived need, concerns about side effects) and unintentional nonadherence (forgetting or poor inhaler technique), 41 and both types of nonadherence affect children and adolescents with asthma. Positive family functioning, routines and communication skills, and positive parental medication efficacy beliefs have all been associated with improved medication adherence, 42 whereas high perceived burden of treatment or negative health beliefs including anxiety or concerns about medication use, 43,44 higher levels of psychological distress or depressive symptoms in caregivers has been associated with poorer adherence outcomes 35,45 .…”

Section: Patient and Family Level Factorsmentioning

confidence: 99%

“…In addition, children and adolescents with asthma present unique challenges to medication adherence. Adolescents may report erroneous medication beliefs (eg, medications are for when one is sick, “growing out of asthma,”) , poor knowledge, forgetting, lack of routines, hurrying, competing social priorities, difficulties communicating with healthcare providers, poor health literacy, concerns for side effects and social stigma associated with having asthma and using inhalers 41,47–50 . In addition, adolescents may feel that using controller medication may create a dependence 51 .…”

Section: Patient and Family Level Factorsmentioning

confidence: 99%

They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity

Keyser

Ramsey

Federico

2020

Pediatric Pulmonology

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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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“…The importance of quantity and frequency of the dosages should also be kept in mind in order to assure adherence. In asthma, one review reported that increasing number of medications was associated with lower adherence (Ahmad & Sorensen, 2016). In children with ADHD, increased dose frequency of ADHD medication had a negative effect on adherence (Gau et al, 2008).…”

Section: Factors With Possible Influence On Adherence Behaviour In Asmentioning

confidence: 99%

Treatment adherence in Asthma and Attention Deficit Hyperactivity Disorder (ADHD), Personality traits, Beliefs about medication and Illness perception

Emilsson¹

2017

Linköping University Medical Dissertations

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Adherence to medication in asthma and attention deficit hyperactivity disorder (ADHD) is important because medication may prevent serious consequences, possibly with lifelong effects. Several factors have been identified that influence adherence to medication in these disorders, but the importance of personality traits, beliefs about medication and illness perception has been insufficiently explored. The overall aim of this thesis was to study adherence to medication in asthma and ADHD, and in particular factors associated with adherence.The participants (n=268) in Study I were recruited epidemiologically and consisted of young adults with asthma, aged 22 years (±1 year). Impulsivity and, in men Antagonism and Alexithymia were associated with low adherence among respondents with regular asthma medication (n=109). The participants (n=35) in Study II were recruited from primary care clinics and consisted of adults (mean age 53 years). In men, Neuroticism was associated with low adherence, but Conscientiousness with high adherence. Beliefs about the necessity of medication were positively associated with adherence behaviour in women. In the total sample, a positive necessity-concern differential of beliefs predicted higher adherence. The participants in Study III, IV (n=101) and V (n=99) were recruited from Child and Adolescent Psychiatric clinics and consisted of adolescents with ADHD on long-term ADHD medication. Study IV assessed the reliability and validity of Swedish translations of the Beliefs about Medicines Questionnaire-specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with ADHD. Exploratory Principal Component Analysis (PCA) loadings of the BMQ-Specific items confirmed the original components, the specific-necessity and specific-concerns. The exploratory PCA for B-IPQ revealed two components; the first one, B-IPQ Consequences, captured questions regarding perceptions of the implication of having ADHD (items 1, 2, 5, 6 and 8) and the second one, B-IPQ-Control, the perceptions of the ability to manage the ADHD disorder (items 3, 4 and 7). Adherence correlated positively with BMQnecessity-concern differential but negatively with beliefs about medication regarding concerns and side effects as well as Antagonism. Adolescents with more beliefs in the necessity, but with less concerns and side effects were less intentionally non-adherent. Adolescents with more perceptions that ADHD affected life showed less unintentional non-adherence. Negative Affectivity was associated with beliefs in the necessity of medication, but also with concern about medication and side effects. Negative Affectivity was positively associated with perceived consequences in life caused by ADHD and less control over ADHD. Hedonic Capacity was associated with less concerns about medication. In conclusion: In asthma and ADHD, adherence was associated with personality and beliefs about medications treatment. The personality traits showed numerous associations with perception about ADHD a...

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

Cited by 54 publications

References 49 publications

Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence

Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence

They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity

Treatment adherence in Asthma and Attention Deficit Hyperactivity Disorder (ADHD), Personality traits, Beliefs about medication and Illness perception

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