ArticleNPJ primary care respiratory medicine2015
Towards tailored and targeted adherence assessment to optimise asthma management.
Article in NPJ primary care respiratory medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Meta-Analysis of Adherence Promotion Interventions in Pediatric Asthma.Journal of pediatric psychology · 2021Pooled it
- Effectiveness and success factors of educational inhaler technique interventions in asthma & COPD patients: a systematic review.NPJ primary care respiratory medicine · 2017Pooled it
- A Pharmacy-Based eHealth Intervention Promoting Correct Use of Medication in Patients With Asthma and COPD: Nonrandomized Pre-Post Study.Journal of medical Internet research · 2022Trial
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- Trial
- Determinants of adherence to inhaler use in patients with asthma: the role of knowledge, self-efficacy, and perceived barriers.BMC pulmonary medicine · 2025Article
- Are Treatment Adherence Factors Apparent in Patients with Asthma and to Physicians? Results from the APPaRENT 3 Survey.Advances in therapy · 2025Article
- Investigating Adherence to Asthma Management with an Electronic Monitoring System.Patient preference and adherence · 2025Article
- Viewpoint: defining adherence phenotype and endotypes to personalise asthma management.The European respiratory journal · 2025Article
- Unlocking Better Asthma Control: A Narrative Review of Adherence to Asthma Therapy and Innovative Monitoring Solutions.Journal of clinical medicine · 2024Review
- Impact of treatment adherence and inhalation technique on asthma outcomes of pediatric patients: a longitudinal study.Frontiers in pharmacology · 2024Article
- Digital health in chronic obstructive pulmonary disease.Chronic diseases and translational medicine · 2023Review
- The Design of a Persuasive Game to Motivate People with Asthma in Adherence to Their Maintenance Medication.Patient preference and adherence · 2023Article
- Effectiveness, usability and acceptability of a smart inhaler programme in patients with asthma: protocol of the multicentre, pragmatic, open-label, cluster randomised controlled ACCEPTANCE trial.BMJ open respiratory research · 2022Article
- Digital Coaching Using Smart Inhaler Technology to Improve Asthma Management in Patients With Asthma in Italy: Community-Based Study.JMIR mHealth and uHealth · 2022Article
- Understanding relationships between asthma medication use and outcomes in a SABINA primary care database study.NPJ primary care respiratory medicine · 2022Article
- Inhaler Non-Adherence, Associated Factors and Asthma Control among Asthma Patients in a Tertiary Level Hospital in Tanzania.The East African health research journal · 2022Article
- Digital Inhalers for Asthma or Chronic Obstructive Pulmonary Disease: A Scientific Perspective.Pulmonary therapy · 2021Review
- Global burden of medication non-adherence in chronic obstructive pulmonary disease (COPD) and asthma: a narrative review of the clinical and economic case for smart inhalers.Journal of thoracic disease · 2021Review
- Precision Medicine for Paediatric Severe Asthma: Current Status and Future Direction.Journal of asthma and allergy · 2021Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In this paper, we aim to emphasise the need for a more comprehensive and tailored approach to manage the broad nature of non-adherence, to personalise current asthma management. Although currently several methods are available to measure the extent of asthma patients' adherence, the vast majority do not incorporate confirmation of the actual inhalation, dose and inhalation technique. Moreover, most current measures lack detailed information on the individual consequences of non-adherence and on when and how to take action if non-adherence is identified. Notably, one has to realise there are several forms of non-adherence (erratic non-adherence, intelligent non-adherence and unwitting non-adherence), each requiring a different approach. To improve asthma management, more accurate methods are needed that integrate measures of non-adherence, asthma disease control and patient preferences. Integrating information from the latest inhaler devices and patient-reported outcomes using mobile monitoring- and feedback systems ('mHealth') is considered a promising strategy, but requires careful implementation. Key issues to be considered before large-scale implementation include patient preferences, large heterogeneity in patient and disease characteristics, economic consequences, and long-term persistence with new digital technologies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.