How can you improve ICS adherence in patients with asthma?

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Takeaway
  • 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.

Study design

  • 39 studies met eligibi...