Taylor L Brooks|Howard Leventhal|Michael S. Wolf|Rachel O’Conor|José Morillo|Melissa Martynenko|Juan P. Wisnivesky|Alex D. Federman
Strategies Used by Older Adults with Asthma for Adherence to Inhaled Corticosteroids
New York University|Rutgers, The State University of New Jersey|Northwestern University|Northwestern University|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai
older adults asthma low levels adherence prescribed inhaled corticosteroids ics prior research identified demographic cognitive factors associated ics adherence among elderly asthmatics little known strategies older adults use achieve daily use medications identifying strategies could provide clinicians useful advice patients counseling patients ics adherence identify medication use strategies associated good ics adherence older adults englishspeaking spanishspeaking adults ages 60 years older moderate severe asthma recruited primary care pulmonary practices new york city ny chicago il patients chronic obstructive pulmonary disease chronic lung diseases smoking history greater 10 packyears excluded medication adherence assessed medication adherence rating scale mars medication use strategies assessed via openended questioning good adherence defined mean mars score 45 greater rate good adherence ics 37 identified six general categories medication adherence strategies keeping medication usual location 442 integrating medication use daily routine 326 taking medication specific time 217 taking medication medications 134 using medication needed 134 using reminders 119 good adherence rate greater among individuals kept ics medication bathroom adjusted odds ration aor 305 95 ci 103902 p 004 integrated use daily routine aor 377 95 ci 162877 p 0002 keeping ics medications bathroom integrating daily routines strategies associated good ics adherence clinicians concerned adherence consider recommending strategies older asthmatic patients although additional research needed determine whether advice would improve adherence behaviors