Abstract

ASSESSMENT OF MEDICATION ADHERENCE OF ASTHMA PATIENTS ON SINGLE MAINTENANCE AND RELIEVER THERAPY: A SYSTEMIC LITERATURE REVIEW

Arya S. D.*, Dr. Prasobh G. R., Dr. Nithin Manohar R., Dr. Jasmy E.S., Joshin Lal E., N. Kishore, Jasmi S.

Abstract

Long-term management techniques are necessary for asthma, a chronic inflammatory airway disease marked by fluctuating airflow restriction and recurrent symptoms. The medication adherence of asthma patients undergoing Single Maintenance and Reliever Therapy (SMART), which combines long-acting β2-agonists and inhaled corticosteroids in a single inhaler for both maintenance and symptom relief, is the main focus of this comprehensive literature review. Research shows that, in comparison to traditional treatment approaches, SMART therapy dramatically reduces exacerbations, enhances asthma control, and lowers total corticosteroid exposure. Nonetheless, poor inhaler technique, complicated treatment plans, a lack of patient education, and constraints in the healthcare system all contribute to medication non- adherence, which continues to be a significant obstacle to the best possible asthma outcomes. Adherence is measured using a variety of techniques, each with its own limitations, such as self-report scales and electronic monitoring devices. Along with methods to increase adherence, such as patient education, motivational interviewing, and pharmacist-led interventions, the review also identifies obstacles unique to SMART therapy, such as incorrect inhaler use and low patient participation. All things considered, increasing adherence through focused interventions is crucial to optimizing the therapeutic advantages of SMART treatment and improving asthma patients' quality of life. This review also highlights the increasing significance of patient-centered and individualized care in the management of asthma. Adherence and treatment outcomes can be greatly enhanced by customized interventions that take into account each patient's unique habits, beliefs, and socioeconomic circumstances. Promising prospects for real-time monitoring and patient assistance are provided by the integration of digital health technology, such as smart inhalers and mobile health apps. Increasing cooperation between medical professionals can improve adherence and provide the best possible treatment results, particularly when pharmacists are involved in long-term care. Future studies should concentrate on creating standardized adherence assessment instruments and assessing creative approaches to get over enduring obstacles in the application of SMART therapy.

Keywords: Asthma, SMART therapy, medication adherence, asthma management.