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- W2894722668 abstract "Introduction: Poor adherence in children with asthma is a major cause of asthma attacks and poor control, leads to large health-care costs, and has been identified as a factor in asthma deaths. However, it is difficult to detect and frequently overlooked leading to inappropriate escalation of asthma treatment. There is a need for cost effective ways to monitor adherence in order to intervene to change this modifiable behavior.Areas covered: Several measurement tools have been developed to assess adherence in adults and children with asthma. The current methods for measuring adherence, both subjective and objective, have several flaws and even the current gold standard, electronic monitoring devices (EMDs), has limitations. This review will outline and critique the adherence monitoring tools and highlight ways in which they have been used for the purpose of intervention.Expert commentary: Although advances have been made in adherence monitoring, we still have some way to go in creating the ideal monitoring tool. There are no validated tailored self-monitoring questionnaires for children with asthma and most objective measures, such as prescription refill rate and weighing canisters, overestimate adherence. Current EMDs, although useful, need improved accuracy to ensure that both actuation and inhalation are measured, and the devices need to be affordable for use in routine health-care practice." @default.
- W2894722668 created "2018-10-12" @default.
- W2894722668 creator A5013346591 @default.
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- W2894722668 date "2018-10-15" @default.
- W2894722668 modified "2023-10-14" @default.
- W2894722668 title "Adherence to medication in children and adolescents with asthma: methods for monitoring and intervention" @default.
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- W2894722668 doi "https://doi.org/10.1080/1744666x.2018.1532290" @default.
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