Status of and strategies for improving adherence to COPD treatment

Despite the wide application of adherence as a concept, the definition, evaluation and improvement of the adherence to treatment by patients with chronic obstructive pulmonary disease (COPD) still present some challenges. First, it is necessary to clearly define the concepts of treatment adherence,...

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Authors: López-Campos Bodineau, José Luis, Quintana Gallego, María Esther, Carrasco Hernández, Laura
Format: article
Status:Published version
Publication Date:2019
Country:España
Institution:Universidad de Sevilla (US)
Repository:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:dnet:idus________::03cf8807d871e4c192e817186ab935a2
Online Access:https://hdl.handle.net/11441/186417
https://doi.org/10.2147/COPD.S170848
Access Level:Open access
Keyword:COPD
Adherence
Inhaled therapy
Medication reminders
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spelling Status of and strategies for improving adherence to COPD treatmentStatus of and strategies for improving adherence to COPD treatmentLópez-Campos Bodineau, José LuisQuintana Gallego, María EstherCarrasco Hernández, LauraCOPDAdherenceInhaled therapyMedication remindersDespite the wide application of adherence as a concept, the definition, evaluation and improvement of the adherence to treatment by patients with chronic obstructive pulmonary disease (COPD) still present some challenges. First, it is necessary to clearly define the concepts of treatment adherence, compliance and persistence. Second, it is critical to consider the various methods of evaluating and quantifying adherence when interpreting adherence studies. In addition, the advantages and disadvantages of the different ways of measuring treatment adherence should be taken into account. Another subject of some debate is the number of variables associated with COPD treatment adherence. Adherence is a complex concept that goes beyond the dosage or the use of inhalation devices, and a number of variables are involved in determining adherence, from the clinical aspects of the disease to the patient’s confidence in the doctor’s expertise and the level of social support experienced by the patient. Notably, despite these challenges, the importance of adherence has been well established by clinical trials and routine clinical practice. The available evidence consistently shows the substantial impact that a lack of adherence has on the control of the disease and its long-term prognosis. For these reasons, the correct evaluation of therapeutic adherence should be a key objective in clinical interviews of patients. In recent years, various initiatives for improving adherence have been explored. All these initiatives have been based on patient education. Therefore, health care professionals should be aware of the issues pertaining to adherence and take the opportunity to educate patients each time they contact the health care system.DovepressMedicinaInstituto de Biomedicina de Sevilla (IBIS)2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/186417https://doi.org/10.2147/COPD.S170848reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésInternational Journal of Chronic Obstructive Pulmonary Disease, 14, 1503-1515. https://www.dovepress.com/status-of-and-strategies-for-improving-adherence-to-copd-treatment-peer-reviewed-fulltext-article-COPDinfo:eu-repo/semantics/openAccessoai:dnet:idus________::03cf8807d871e4c192e817186ab935a22026-06-17T12:51:07Z
dc.title.none.fl_str_mv Status of and strategies for improving adherence to COPD treatment
Status of and strategies for improving adherence to COPD treatment
title Status of and strategies for improving adherence to COPD treatment
spellingShingle Status of and strategies for improving adherence to COPD treatment
López-Campos Bodineau, José Luis
COPD
Adherence
Inhaled therapy
Medication reminders
title_short Status of and strategies for improving adherence to COPD treatment
title_full Status of and strategies for improving adherence to COPD treatment
title_fullStr Status of and strategies for improving adherence to COPD treatment
title_full_unstemmed Status of and strategies for improving adherence to COPD treatment
title_sort Status of and strategies for improving adherence to COPD treatment
dc.creator.none.fl_str_mv López-Campos Bodineau, José Luis
Quintana Gallego, María Esther
Carrasco Hernández, Laura
author López-Campos Bodineau, José Luis
author_facet López-Campos Bodineau, José Luis
Quintana Gallego, María Esther
Carrasco Hernández, Laura
author_role author
author2 Quintana Gallego, María Esther
Carrasco Hernández, Laura
author2_role author
author
dc.contributor.none.fl_str_mv Medicina
Instituto de Biomedicina de Sevilla (IBIS)
dc.subject.none.fl_str_mv COPD
Adherence
Inhaled therapy
Medication reminders
topic COPD
Adherence
Inhaled therapy
Medication reminders
description Despite the wide application of adherence as a concept, the definition, evaluation and improvement of the adherence to treatment by patients with chronic obstructive pulmonary disease (COPD) still present some challenges. First, it is necessary to clearly define the concepts of treatment adherence, compliance and persistence. Second, it is critical to consider the various methods of evaluating and quantifying adherence when interpreting adherence studies. In addition, the advantages and disadvantages of the different ways of measuring treatment adherence should be taken into account. Another subject of some debate is the number of variables associated with COPD treatment adherence. Adherence is a complex concept that goes beyond the dosage or the use of inhalation devices, and a number of variables are involved in determining adherence, from the clinical aspects of the disease to the patient’s confidence in the doctor’s expertise and the level of social support experienced by the patient. Notably, despite these challenges, the importance of adherence has been well established by clinical trials and routine clinical practice. The available evidence consistently shows the substantial impact that a lack of adherence has on the control of the disease and its long-term prognosis. For these reasons, the correct evaluation of therapeutic adherence should be a key objective in clinical interviews of patients. In recent years, various initiatives for improving adherence have been explored. All these initiatives have been based on patient education. Therefore, health care professionals should be aware of the issues pertaining to adherence and take the opportunity to educate patients each time they contact the health care system.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/186417
https://doi.org/10.2147/COPD.S170848
url https://hdl.handle.net/11441/186417
https://doi.org/10.2147/COPD.S170848
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Journal of Chronic Obstructive Pulmonary Disease, 14, 1503-1515.
https://www.dovepress.com/status-of-and-strategies-for-improving-adherence-to-copd-treatment-peer-reviewed-fulltext-article-COPD
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Dovepress
publisher.none.fl_str_mv Dovepress
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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