Treatment Adherence in Adolescents with Asthma

The burden of asthma is particularly notable in adolescents, and is associated with higher rates of prevalence and mortality compared with younger children. One factor contributing to inadequate asthma control in adolescents is poor treatment adherence, with many pediatric studies reporting mean adh...

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Bibliographic Details
Published inJournal of asthma and allergy Vol. 13; pp. 39 - 49
Main Authors Kaplan, Alan, Price, David
Format Journal Article
LanguageEnglish
Published New Zealand Dove Medical Press Limited 01.01.2020
Taylor & Francis Ltd
Dove
Dove Medical Press
Subjects
adherence
Adolescents
Age
Agonists
Asthma
Caregivers
Comparative analysis
Corticosteroids
Disease control
Diseases
Drug dosages
Electronic monitoring
France
Immunomodulators
Inhalers
Israel
Mortality
Patient compliance
Patients
Pediatrics
Pharmaceutical industry
Quality of life
Respiratory system agents
Review
Switzerland
Teenagers
treatment
United Kingdom
United States
Youth
United Kingdom
Israel
France
United States
Switzerland
United States > US
treatment
asthma
adolescents
adherence
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ISSN1178-6965
1178-6965
DOI10.2147/JAA.S233268

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Summary:The burden of asthma is particularly notable in adolescents, and is associated with higher rates of prevalence and mortality compared with younger children. One factor contributing to inadequate asthma control in adolescents is poor treatment adherence, with many pediatric studies reporting mean adherence rates of 50% or lower. Identifying the reasons for poor disease control and adherence is essential in order to help improve patient quality of life. In this review, we explore the driving factors behind non-adherence in adolescents with asthma, consider their consequences and suggest possible solutions to ensure better disease control. We examine the impact of appropriate inhaler choice and good inhaler technique on adherence, as well as discuss the importance of selecting the right medication, including the possible role of as-needed inhaled corticosteroids/long-acting β -agonists vs short-acting β -agonists, for improving outcomes in patients with mild asthma and poor adherence. Effective patient/healthcare practitioner communication also has a significant role to engage and motivate adolescents to take their medication regularly.
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ISSN:1178-6965
1178-6965
DOI:10.2147/JAA.S233268