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Understanding and resolving adherence problems

  • The Clinical Practice of Allergy
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Abstract

The expert panel report version 2 (EPR-2) is a comprehensive set of recommendations for the evaluation and treatment of asthma. However, physicians demonstrate scant adoption of many of the key evaluation and treatment components of the EPR-2, with primary care physicians being less likely to adopt EPR-2 recommendations than specialist physicians. Patients also demonstrate very limited adoption of physician recommendation such as the use of medications as prescribed. Predictors of physician and patient nonadherence are reviewed, as modifiable predictors may be targets for interventions to enhance adherence. Finally, areas for future efforts are identified.

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References

  1. Lang, D. M., Sherman, M. S., and Polansky, M. (1997), Arch. Int. Med. 157, 1193–1201.

    Article  CAS  Google Scholar 

  2. Meng, Y. Y., Leung, K. M., Berkbikler, D., Halbert, R. J., and Legorreta, A. P. (1999), J. Eval. Clin. Prac. 5, 213–221.

    Article  CAS  Google Scholar 

  3. Crain, E. F., Weiss, K. B., and Fagan, M. J. (1995), Arch. Ped. Adol. Med. 149, 893–899.

    CAS  Google Scholar 

  4. NHLBI Expert Panel Report 2: Guidelines for the Diagnosis and Management of Asthma (1997), NIH Publication No. 97, 4051.

  5. Weiss, K. B., and Sullivan, S. D. (2001), J. Allergy Clin. Immunol. 107, 3–8.

    Article  PubMed  CAS  Google Scholar 

  6. Vollmer, W. M., O'Hollaren, M., Ettinger, K. M., et al. (1997) Arch. Int. Med. 157, 1201–1209.

    Article  CAS  Google Scholar 

  7. Stepel, D. A., Curcannin-Robbins, J. F., Hedblom, E. C., Woolf, R., Sturm L. L., Stempl, A. B. (1996), Ann. Allergy Asthma Immunol. 76, 153–158.

    Google Scholar 

  8. Centers for Disease Control and Prevention. (2001), MMWR 50, 682–686.

    Google Scholar 

  9. Evans, D., Mellins, R., Lobach, K., et al. (1997), Pediatrics 99, 157–164.

    Article  PubMed  CAS  Google Scholar 

  10. Leynaert, B., Bousquet, J., Henry, C., Liard Renata, and Neukirch, F. (1997), Am. J. Respir. Crit. Care Med. 156, 1413–1420.

    PubMed  CAS  Google Scholar 

  11. Afari, N., and Schmaling, K. B. (2000), J. Asthma 37, 153–161.

    PubMed  CAS  Google Scholar 

  12. Osborne, M. L., Vollmer, W. M., Linton, K. L. P., and Buist, A. S. (1998) Am. J. Respir. Crit. Care Med. 157, 123–128.

    PubMed  CAS  Google Scholar 

  13. Mannino, D. M., Homa, D. M., Pertowski, C. A., et al. (1998), MMWR 47, 1–27.

    PubMed  CAS  Google Scholar 

  14. Malveaux, F. J., and Fletcher-Vincent, S. A. (1995), Environ. Health Perspect. 103, 59–62.

    Article  PubMed  Google Scholar 

  15. Beckett, W. S., Belnager, K., Gent, J. F., Holford T. R., and Leaderer, B. P. (1996), Am. J. Respir. Crit. Care Med. 154, 894–899.

    PubMed  CAS  Google Scholar 

  16. Lara, M. A., Allen, F., and Lange, L. (1999), J. Health care Poor Underserved 10, 27–44.

    PubMed  CAS  Google Scholar 

  17. Finkelstein, J. A., Brown, R. W., Schneider, L. C., et al. (1995), Pediatrics 95, 389–394.

    PubMed  CAS  Google Scholar 

  18. Birnbaum, H. G., Berger, W. E., Greenberg, P. E., et al. (2002), J. Allergy Clin. Immunol. 109, 264–270.

    Article  PubMed  Google Scholar 

  19. Taylor, W. R., and Newacheck, P. W. (1992), Pediatrics 90, 657–662.

    PubMed  CAS  Google Scholar 

  20. Hahn, B. A. (1995), Pediatrics 95, 727–732.

    PubMed  CAS  Google Scholar 

  21. Limbert, C., and Lamb, R. (2002), Psychol. Health Med. 7, 301–310.

    Article  Google Scholar 

  22. Ward, M. M., Vaughn, T. E., Uden-Holman, T., Doebbeling, B. N., Clarke, W. R., and Woolson, R. F. (2002) J. Eval. Clin. Prac. 8, 155–162.

    Article  Google Scholar 

  23. O'Dowd, L., Fife, D., Tenhave, T., and Panettieri, R. A. (2003), Am. J. Med. 114, 391–396.

    Article  PubMed  Google Scholar 

  24. Taylor, D. M., Auble, T. E., Calhoun, W. J., and Mosesso, V. N., Jr. (1999), Chest 116, 1638–1645.

    Article  PubMed  CAS  Google Scholar 

  25. Legorreta, A. P., Christian-Herman, J., O'Connor, R. D., Hasan, M. M., Evans, R., and Lueng, K.-M. (1998), Arch. Int. Med. 158, 457–465.

    Article  CAS  Google Scholar 

  26. Roughmann, M., and Sexton, M., (1999), J. Asthma 36, 381–387.

    Google Scholar 

  27. Cabana, M. D., Rand, C. S., Powe, N. R., Wu, A. W., Wilson, M. H., Abboud, P.-A. C., and Rubing, H. R. (1999), JAMA 282, 1458–1465.

    Article  PubMed  CAS  Google Scholar 

  28. Finkelstein, J. A., Lozano, P., Shulruff, R., Inui, T. S., Soumerai, S. B., Ng, M., and Weiss, K. B. (2000), Pediatrics 106, 886S-896S.

    Google Scholar 

  29. Baker, R., Fraser, R. C., Stone M., Lambert, P., Stevenson, K., and Shiels, C. (2003), Brit. J. Gen. Prac. 53, 284–291.

    Google Scholar 

  30. Rolnick, S. J., Flores, S. K., O'Fallon, A. M., and Vanderburg, N. R. (2000), Managed Care Quart. 8, 29–38.

    CAS  Google Scholar 

  31. Becker, G., Beyene, Y., Newsom, E. M., and Rodgers, D. V. (1998), Fam. Med. 30, 173–178.

    PubMed  CAS  Google Scholar 

  32. Kelloway, J. S., Wyatt, R. A., and Adlis, S. A. (1994), Arch. Intern. Med. 154, 1349–1352.

    Article  PubMed  CAS  Google Scholar 

  33. Watts, R. W., McLennan, G., Bassham, L., and El-Saadi, O. (1997), Aust. Fam. Physician 26(Suppl 1), S4-S6.

    PubMed  Google Scholar 

  34. Bender, B., Milgrom, H., and Rand, C. (1997), Ann. Allergy Asthma Immunol. 79, 177–185.

    PubMed  CAS  Google Scholar 

  35. Hand, C. H., and Bradley, C. (1996), J. Asthma 33, 331–338.

    Article  PubMed  CAS  Google Scholar 

  36. Kelloway, J. S., Wyatt, R., DeMarco, J., and Adlis, S. (2000), Ann. Allergy Asthma Immunol. 84, 324–328.

    PubMed  CAS  Google Scholar 

  37. Apter, A. J., Reisine, S. T., Affleck, G., Barrows, E., and ZuWallack, R. L. (1998), Am. J. Respir. Crit. Care Med. 157, 1810–1817.

    PubMed  CAS  Google Scholar 

  38. Schmaling, K. B., Afari, N., and Blume, A. W. (1998), J. Asthma 35, 631–636.

    PubMed  CAS  Google Scholar 

  39. Bosley, C. M., Fosbury, J. A., and Cochrane, G. M. (1995), Eur. Respir. J. 8, 899–904.

    PubMed  CAS  Google Scholar 

  40. Laird, R., Chamberlain, K., and Spicer, J. (1994), NZ Med. J. 107, 73–75.

    CAS  Google Scholar 

  41. Gray, S. L., Williams, D. M., Pulliam, C. C., Sirgo, M. A., Bishop, A. L., and Donohue, J. F. (1996), Arch. Intern. Med. 156, 984–988.

    Article  PubMed  CAS  Google Scholar 

  42. Jones, P. K., Jones, S. L., and Katz, J. (1987), J. Asthma 24, 199–206.

    Article  PubMed  CAS  Google Scholar 

  43. Chambers, C. V., Markson, L., Diamond, J. J., Lasch, L., and Berger, M. (1999), Respir. Med. 93, 88–94.

    Article  PubMed  CAS  Google Scholar 

  44. Horne, R., and Weinman, J. (1999), J. Psychosom. Res. 47, 555–567.

    Article  PubMed  CAS  Google Scholar 

  45. Schmaling, K. B., Afari, N., and Blume, A. W. (2000), J. Asthma 37, 335–343.

    PubMed  CAS  Google Scholar 

  46. Apter, A. J., Boston, R. C., George, M., et al. (2003), J. Allergy Clin. Immunol. 111, 1219–1226.

    Article  PubMed  Google Scholar 

  47. Clark, N. M., and Becker, M. H. (1998), in Theoretical models and strategies for improving adherence and disease management, Shumaker, S. A., Schron, E. B., Ockene, J. K., and McBee, W. L., eds., Handbook Health Behav. Change. Springer, NY: pp. 5–32.

    Google Scholar 

  48. Ihler, E. (2003), JAMA 289, 92.

    Article  PubMed  Google Scholar 

  49. Street, Jr., R. L. (2002), Patient Educ. Couns. 48, 201–206.

    Article  PubMed  Google Scholar 

  50. Hall, J. A., and Roter, D. L. (2002), Patient Educ. Couns. 48, 217–224.

    Article  PubMed  Google Scholar 

  51. Clark, N. M., Gong, M., Schork, M. A., et al. (1997), Health Educat. Beh. 24, 245–256.

    Article  CAS  Google Scholar 

  52. Hardie, G. E., Janson, S., Gold, W. M., Carrieri-Kohlman, V., and Boushey, H. A. (2000), Chest 117, 935–943.

    Article  PubMed  CAS  Google Scholar 

  53. Flores, G., Abreu, M., Olivar, M. A., and Kastner, B. (1998), Arch. Pediatr. Adol. Med. 152, 1119–1125.

    CAS  Google Scholar 

  54. Jones, E. M., and Portnoy, J. M. (2003), Curr. Allergy Asthma Rep. 3, 484–490.

    Article  PubMed  Google Scholar 

  55. Onyirimba, F., Apter, A., Reisine, S., Litt, M., McCusker, C., Connors, M. L., and ZuWallack R. (2003), Ann. Allergy Asthma Immunol. 90, 411–415.

    Article  PubMed  Google Scholar 

  56. Ruoff, G. (2002), Fam. Med. 34, 514–517.

    PubMed  Google Scholar 

  57. Schmaling, K. B., Blume, A. W., and Afari, N. (2001), J. Clin. Psychol. Med. Settings 8, 167–172.

    Article  Google Scholar 

  58. Put, C., van den Bergh, O., Lemaigre, V., Demedts, M., and Verleden, G. (2003), Eur. Respir. J. 21, 109–115.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. University of Texas at El Paso, TX

    Dolores V. Hernandez

  2. Dean, College of Health and Human Services, University of North Carolina at Charlotte, 9201 University City Blvd., 28223, Charlotte, NC

    Karen B. Schmaling

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  1. Dolores V. Hernandez
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  2. Karen B. Schmaling
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Correspondence to Karen B. Schmaling.

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Hernandez, D.V., Schmaling, K.B. Understanding and resolving adherence problems. Clinic Rev Allerg Immunol 27, 65–73 (2004). https://doi.org/10.1385/CRIAI:27:2:065

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