Perspectives

Improving adherence to treatment in COPD. A personalised approach

Johnson George, Job F.M. van Boven

Figures

© dean mitchell/ istockphoto.com models used for illustrative purposes only
© dean mitchell/ istockphoto.com models used for illustrative purposes only

Abstract

Nonadherence is a multidimensional quandary in patients with chronic obstructive pulmonary disease and encompasses a range of physical, economic, psychological and social factors. When assessing for nonadherence, engaging with patients to understand these factors is essential to formulating tailored,  long-term strategies and interventions.

Key Points

  • Nonadherence to chronic obstructive pulmonary disease (COPD) medications is common and is associated with poor clinical outcomes.
  • Nonadherence can result from patient, treatment, health professional or health system factors.
  • It can be classified into intentional and unintentional nonadherence.
  • Each form of nonadherence requires a personalised solution.
  • Structured questionnaires, smart inhalers and patient-centred communication are useful in promoting adherence.

Figures

© dean mitchell/ istockphoto.com models used for illustrative purposes only
© dean mitchell/ istockphoto.com models used for illustrative purposes only