Journal
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE
Volume 10, Issue 2, Pages 386-394Publisher
ELSEVIER
DOI: 10.1016/j.jaip.2021.11.003
Keywords
Adherence; Difficult-to-control asthma; Health literacy; Interventions
Categories
Funding
- NIH [F32HL149195-01]
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Medication nonadherence and health literacy are crucial factors in managing difficult-to-control asthma, requiring comprehensive assessment and interventions, such as appropriate inhaler use and improved health information communication.
Medication nonadherence and health literacy are key factors that influence the management of difficult-to-control asthma. Adherence, or the extent to which a patient follows a treatment plan, extends beyond asthma medication use and includes an appropriate inhaler technique. Assessment of adherence is critical before making a diagnosis of severe asthma and stepping up asthma therapy but is challenging in the clinical context. Health literacy, or the degree to which individuals can obtain, process, and understand health information and services needed to make health care decisions, is additionally important for asthma management and has been shown to impact medication adherence. Initiatives aiming to improve difficult-to-control asthma should address medication adherence and health literacy. Universal health literacy precautions are recommended while communicating with patients, in addition to the creation of low health literacy asthma action plans. To improve adherence, a comprehensive assessment of adherence should be conducted. Additional evidence-based interventions aiming to improve adherence focus on appropriate inhaler use, improved access to medications, the use of digital platforms, school-based asthma interventions, and the implementation of culturally tailored interventions. Data are limited regarding the use of these initiatives in patients with severe or difficult-to-control asthma. (C) 2021 American Academy of Allergy, Asthma & Immunology
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