Patient-identified barriers to asthma treatment adherence: responses to interviews, focus groups, and questionnaires
Section snippets
Procedures
Numerous qualitative studies using interviews, questionnaires, and focus groups to assess patient perspectives have been published in recent years. To provide a better understanding of this literature, reports of patient perceptions and attitudes toward their treatment, particularly in relation to taking prescribed inhaled steroids to treat their disease, were reviewed. There were 29 published articles in which adults with asthma or children with asthma and their parents were surveyed. These
Results
Recurring reasons for nonadherence from interviews, questionnaires, and focus groups with adult asthma patients and children with asthma and their parents are listed below. This listing is ordered in estimated degree of emphasis (highest emphasis followed by lower emphasis). Considered in making this dual ranking was frequency with which each reason was reported and the emphasis placed on specific factors by the study's author. The resulting list is not so precise as to indicate that, for
Discussion
Asthma may be unstable because patients do not adhere to their treatment plan. Many patients with asthma do not easily accept the belief that daily use of controller medications is essential to controlling their asthma, and some are concerned that the risks or inconveniences of these medications may exceed their benefits. Several studies identified patients who reported that they possessed insufficient information about their asthma or its treatment, but across studies neither inadequate
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