Sunday, November 09, 2008

Physicians Underestimate Non-adherence by 50% in Asthma Study

Comparing physician estimates of compliance with actual pharmacy refill rates, physicians identified only 21 of 43 patients whose controller medication rate was less than 50 percent prescribed.

"According to Dr. Luskin, M.D., associate professor of medicine at the University of Wisconsin in Madison, risks for non adherence include:
• More than one medication, or more than one medication per day
• Worry about medication side effects
• Multiple asthma care givers
• Takes medication for other problems.
• Worries about too much or too little medication
• Has problems using the medicine or child refuses
• Feels medication is only somewhat effective
• Has trouble getting an appointment
• Doesn’t have medication in the house if needed"

Comment: Pleio GoodStart 100-Day adherence programs for asthma address patient and caregiver motivation, knowledge, skills, tools, rehearsal, reinforcement, assessment and feedback. The development of rituals or habits is also important and is seen as a 21-30 day process.