Imperial College London
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DrLouiseFleming

Faculty of Medicine, National Heart & Lung Institute

Honorary Senior Research Fellow
 
 
 
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Contact

 

+44 (0)20 7352 8121 ext 2938l.fleming

 
 
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Location

 

Department of Respiratory PaediaRoyal BromptonRoyal Brompton Campus

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Summary

 

Publications

Citation

BibTex format

@article{Pearce:2018:10.1080/1744666X.2018.1532290,
author = {Pearce, CJ and Fleming, L},
doi = {10.1080/1744666X.2018.1532290},
journal = {Expert Review of Clinical Immunology},
pages = {1055--1063},
title = {Adherence to medication in children and adolescents with asthma: methods for monitoring and intervention},
url = {http://dx.doi.org/10.1080/1744666X.2018.1532290},
volume = {14},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Introduction: Poor adherence in children with asthma is a major cause of asthma attacks and poor control, leads to large health-care costs, and has been identified as a factor in asthma deaths. However, it is difficult to detect and frequently overlooked leading to inappropriate escalation of asthma treatment. There is a need for cost effective ways to monitor adherence in order to intervene to change this modifiable behavior.Areas covered: Several measurement tools have been developed to assess adherence in adults and children with asthma. The current methods for measuring adherence, both subjective and objective, have several flaws and even the current gold standard, electronic monitoring devices (EMDs), has limitations. This review will outline and critique the adherence monitoring tools and highlight ways in which they have been used for the purpose of intervention.Expert commentary: Although advances have been made in adherence monitoring, we still have some way to go in creating the ideal monitoring tool. There are no validated tailored self-monitoring questionnaires for children with asthma and most objective measures, such as prescription refill rate and weighing canisters, overestimate adherence. Current EMDs, although useful, need improved accuracy to ensure that both actuation and inhalation are measured, and the devices need to be affordable for use in routine health-care practice.
AU  - Pearce,CJ
AU  - Fleming,L
DO  - 10.1080/1744666X.2018.1532290
EP  - 1063
PY  - 2018///
SN  - 1744-666X
SP  - 1055
TI  - Adherence to medication in children and adolescents with asthma: methods for monitoring and intervention
T2  - Expert Review of Clinical Immunology
UR  - http://dx.doi.org/10.1080/1744666X.2018.1532290
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000450421200009&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/65130
VL  - 14
ER  -
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