How can you improve ICS adherence in patients with asthma?
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Education, electronic trackers/reminders, and simplified regimens may increase adherence to inhaled corticosteroid (ICS) therapy among adolescent patients with asthma.
No intervention clearly improved asthma control or rate of exacerbations requiring oral corticosteroids.
Evidence was of low-moderate quality.
Why this matters
Nonadherence is common in asthma, particularly with preventative medications.
Poor ICS adherence may contribute to 24% of exacerbations and 60% of asthma-related hospitalizations.
Basic reminders might address erratic adherence (generally the result of forgetfulness).
Unwitting nonadherence (failure to understand regimen) or intelligent nonadherence (choosing to reduce/discontinue ICS) may require education and partnership-building between patients and healthcare providers.