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Towards tailored and targeted adherence assessment to optimise asthma management

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...

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Autores principales: van Boven, Job FM, Trappenburg, Jaap CA, van der Molen, Thys, Chavannes, Niels H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4588030/
https://www.ncbi.nlm.nih.gov/pubmed/26181850
http://dx.doi.org/10.1038/npjpcrm.2015.46
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author van Boven, Job FM
Trappenburg, Jaap CA
van der Molen, Thys
Chavannes, Niels H
author_facet van Boven, Job FM
Trappenburg, Jaap CA
van der Molen, Thys
Chavannes, Niels H
author_sort van Boven, Job FM
collection PubMed
description 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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spelling pubmed-45880302015-10-27 Towards tailored and targeted adherence assessment to optimise asthma management van Boven, Job FM Trappenburg, Jaap CA van der Molen, Thys Chavannes, Niels H NPJ Prim Care Respir Med Perspective 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. Nature Publishing Group 2015-07-16 /pmc/articles/PMC4588030/ /pubmed/26181850 http://dx.doi.org/10.1038/npjpcrm.2015.46 Text en Copyright © 2015 Primary Care Respiratory Society UK/Macmillan Publishers Limited http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
spellingShingle Perspective
van Boven, Job FM
Trappenburg, Jaap CA
van der Molen, Thys
Chavannes, Niels H
Towards tailored and targeted adherence assessment to optimise asthma management
title Towards tailored and targeted adherence assessment to optimise asthma management
title_full Towards tailored and targeted adherence assessment to optimise asthma management
title_fullStr Towards tailored and targeted adherence assessment to optimise asthma management
title_full_unstemmed Towards tailored and targeted adherence assessment to optimise asthma management
title_short Towards tailored and targeted adherence assessment to optimise asthma management
title_sort towards tailored and targeted adherence assessment to optimise asthma management
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4588030/
https://www.ncbi.nlm.nih.gov/pubmed/26181850
http://dx.doi.org/10.1038/npjpcrm.2015.46
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