Adherence to treatment in allergic respiratory diseases

Expert Rev Respir Med. 2019 Jan;13(1):53-62. doi: 10.1080/17476348.2019.1554438. Epub 2018 Dec 5.

Abstract

Introduction: Asthma and allergic rhinitis (AR) are chronic conditions in which management needs adherence to prescribed drugs. Despite the benefits of regular maintenance of asthma and AR therapy, low adherence is a frequent issue in clinical practice. Areas covered: The aim of this review is to provide a targeted analysis of the more recent literature on adherence in asthma and AR, focused on the following areas: adherence extent, barriers and consequences, effects of educational interventions and use of new technologies to improve the level of adherence. Expert commentary: Despite the extent, reasons and effects of this problem being well known, non-adherence in asthma and allergic AR remains worryingly high. Poor adherence leads to unsatisfactory health outcomes, with a negative impact on patients and society. Recent literature suggests that successful programs to improve adherence should include a combination of strategies. The new technologies represent a promising tool to improve adherence.

Keywords: Adherence; allergic rhinitis; asthma; education; new technologies.

Publication types

  • Review

MeSH terms

  • Asthma / drug therapy*
  • Humans
  • Medication Adherence*
  • Rhinitis, Allergic / drug therapy*