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Pulmonary Medicine
Volume 2011, Article ID 973849, 6 pages
Review Article

Adherence with Preventive Medication in Childhood Asthma

1Department of Respiratory Medicine, Mater Children's Hospital, QLD 4101, Australia
2Queensland Children's Medical Research Institute, QLD 4029, Australia
3University of Western Australia, WA 6009, Australia

Received 29 November 2010; Accepted 12 February 2011

Academic Editor: Linjie Zhang

Copyright © 2011 Scott Burgess et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Suboptimal adherence with preventive medication is common and often unrecognised as a cause of poor asthma control. A number of risk factors for nonadherence have emerged from well-conducted studies. Unfortunately, patient report a physician's estimation of adherence and knowledge of these risk factors may not assist in determining whether non-adherence is a significant factor. Electronic monitoring devices are likely to be more frequently used to remind patients to take medication, as a strategy to motivate patients to maintain adherence, and a tool to evaluate adherence in subjects with poor disease control. The aim of this paper is to review non-adherence with preventive medication in childhood asthma, its impact on asthma control, methods of evaluating non-adherence, risk factors for suboptimal adherence, and strategies to enhance adherence.