Improving adherence with inhaler therapy in COPD

Suzanne C Lareau1, Barbara P Yawn21College of Nursing, University of Colorado Denver, Aurora, Colorado; 2Department of Research, Olmsted Medical Center, Rochester, Minnesota, USAAbstract: Chronic obstructive pulmonary disease (COPD) is a major public health problem, associated with considerable morb...

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Main Authors: Suzanne C Lareau, Barbara P Yawn
Format: Article
Language:English
Published: Dove Medical Press 2010-11-01
Series:International Journal of COPD
Online Access:http://www.dovepress.com/improving-adherence-with-inhaler-therapy-in-copd-a5734
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author Suzanne C Lareau
Barbara P Yawn
author_facet Suzanne C Lareau
Barbara P Yawn
author_sort Suzanne C Lareau
collection DOAJ
description Suzanne C Lareau1, Barbara P Yawn21College of Nursing, University of Colorado Denver, Aurora, Colorado; 2Department of Research, Olmsted Medical Center, Rochester, Minnesota, USAAbstract: Chronic obstructive pulmonary disease (COPD) is a major public health problem, associated with considerable morbidity and health care costs. The global burden of COPD morbidity is predicted to rise substantially in the coming decade, but could be moderated by better use of existing management strategies. Smoking cessation, medication therapy, and pulmonary rehabilitation have all been shown to diminish morbidity and improve patient outcomes. But each of these strategies requires adherence. Adherence is crucial for optimizing clinical outcomes in COPD, with nonadherence resulting in a significant health and economic burden. Suboptimal medication adherence is common among COPD patients, due to a number of factors that involve the medication, the delivery device, the patient, and the health professionals caring for the patient. Lack of medication adherence needs to be identified and addressed by using simplified treatment regimens, increasing patient knowledge about self-management, and enhancing provider skills in patient education, communication, and adherence counseling. This article reports some of the challenges of medication nonadherence faced by the clinician in the management of COPD, and suggests ways to evaluate and improve adherence effectively in primary care.Keywords: chronic obstructive pulmonary disease, adherence, clinician
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spelling doaj.art-dd5381a1e163466f8e7fe502e1012f152022-12-21T18:49:30ZengDove Medical PressInternational Journal of COPD1176-91061178-20052010-11-012010default401406Improving adherence with inhaler therapy in COPDSuzanne C LareauBarbara P YawnSuzanne C Lareau1, Barbara P Yawn21College of Nursing, University of Colorado Denver, Aurora, Colorado; 2Department of Research, Olmsted Medical Center, Rochester, Minnesota, USAAbstract: Chronic obstructive pulmonary disease (COPD) is a major public health problem, associated with considerable morbidity and health care costs. The global burden of COPD morbidity is predicted to rise substantially in the coming decade, but could be moderated by better use of existing management strategies. Smoking cessation, medication therapy, and pulmonary rehabilitation have all been shown to diminish morbidity and improve patient outcomes. But each of these strategies requires adherence. Adherence is crucial for optimizing clinical outcomes in COPD, with nonadherence resulting in a significant health and economic burden. Suboptimal medication adherence is common among COPD patients, due to a number of factors that involve the medication, the delivery device, the patient, and the health professionals caring for the patient. Lack of medication adherence needs to be identified and addressed by using simplified treatment regimens, increasing patient knowledge about self-management, and enhancing provider skills in patient education, communication, and adherence counseling. This article reports some of the challenges of medication nonadherence faced by the clinician in the management of COPD, and suggests ways to evaluate and improve adherence effectively in primary care.Keywords: chronic obstructive pulmonary disease, adherence, clinicianhttp://www.dovepress.com/improving-adherence-with-inhaler-therapy-in-copd-a5734
spellingShingle Suzanne C Lareau
Barbara P Yawn
Improving adherence with inhaler therapy in COPD
International Journal of COPD
title Improving adherence with inhaler therapy in COPD
title_full Improving adherence with inhaler therapy in COPD
title_fullStr Improving adherence with inhaler therapy in COPD
title_full_unstemmed Improving adherence with inhaler therapy in COPD
title_short Improving adherence with inhaler therapy in COPD
title_sort improving adherence with inhaler therapy in copd
url http://www.dovepress.com/improving-adherence-with-inhaler-therapy-in-copd-a5734
work_keys_str_mv AT suzanneclareau improvingadherencewithinhalertherapyincopd
AT barbarapyawn improvingadherencewithinhalertherapyincopd