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A Method To Calculate Adherence To Inhaled Therapy That Reflects The Changes In Clinical Features Of Asthma, Imran Sulaiman, Jansen Seheult, Elaine Machale, Fiona Boland, Susan M. O’Dwyer, Viliam Rapcan, Shona D’Arcy, Breda Cushen, Matshediso Mokoka, Isabelle Killane, Sheila A. Ryder, Richard B. Reilly, Richard W. Costello
A Method To Calculate Adherence To Inhaled Therapy That Reflects The Changes In Clinical Features Of Asthma, Imran Sulaiman, Jansen Seheult, Elaine Machale, Fiona Boland, Susan M. O’Dwyer, Viliam Rapcan, Shona D’Arcy, Breda Cushen, Matshediso Mokoka, Isabelle Killane, Sheila A. Ryder, Richard B. Reilly, Richard W. Costello
Articles
Electronic monitors are considered the gold standard for objectively quantifying adherence to inhaled therapy (1). Most studies using electronic recording devices have reported adherence as the mean adherence, or the mean daily dose, over the study period (2–4). However, this method does not reflect variations in the way that patients use their treatments. For example, the mean adherence is the same whether an individual took the medication according to the prescribed schedule or took all the doses in the first half of a dosing period, leaving none in the second half. Inhaler technique must …