3 4000 -82.25 -41.75 Compliance with Asthma Medication

Compliance with Asthma Medication

164.55 83.5 37264708.swf37264708.swf 37264708 http://0103.static.prezi.com.s3.amazonaws.com/converted/3/d/b/af5a9fea674ec71ae65f6c664002a959193f3.swf 37993877.png37993877.png 37993877 http://0103.static.prezi.com.s3.amazonaws.com/media/b/b/0/9b87c6a507dcbae297b54b151b9655ee8abac.png -201.65 -59.6 Compliance study: 110 patients, FP 1 puff bd All doses captured by hidden chip ½ had beep reminder at dosing time

Compliance study:

  • 110 patients, FP 1 puff bd

  • All doses captured by hidden chip

  • ½ had beep reminder at dosing time

    • -211.5 -74 Compliance (defined as >90% doses) was 20% (64% with beeper) Patients reported mean of 5 doses missed over previous 4/52 – actually 17

    Compliance (defined as >90% doses) was 20% (64% with beeper)

    Patients reported mean of 5 doses missed over previous 4/52 – actually 17

    423.05 148     -198.55 -102.8 Reasons for Nonadherence: (>1 answer possible) 57% Forgot 39% Worried about side effects 22% Felt well 20% Think medication not working

    Reasons for Nonadherence:

    (>1 answer possible)

  • 57% Forgot

  • 39% Worried about side effects

  • 22% Felt well

  • 20% Think medication not working

    • -249.7 -189.2 Super Adherence: 10-15% Takes > 90% of prescribed therapy Good Adherence: 25-35% Takes 50-90%, some medication most of the time Poor Adherence: 40-45% Takes 10-50% Takes some medication some of the time Fairly compliant for short periods, then none Very Poor Adherence: 10-15% Takes < 10%

    Super Adherence: 10-15%

  • Takes > 90% of prescribed therapy

    • Good Adherence: 25-35%

    Takes 50-90%, some medication most of the time

    Poor Adherence: 40-45%

  • Takes 10-50%

  • Takes some medication some of the time

  • Fairly compliant for short periods, then none

    • Very Poor Adherence: 10-15%

  • Takes < 10%

    • 499.45 378.4     3237070.JPG3237070.JPG 3237070 http://0103.static.prezi.com.s3.amazonaws.com/media/7/a/8/fde003d63612dd8d288d5303e3608c1b6fa20.JPG 3237078.jpg3237078.jpg 3237078 http://0103.static.prezi.com.s3.amazonaws.com/media/e/d/d/9a21372cd6badc2794a8c55cd7f5f455fff7a.jpg 68.95 28.85 4917.525 -2505.375

    150.6 38.75 6014.55 -2166.925

    150.6 39 6008.55 -2095

    140.55 38.75 5998.575000000001 -2025.825

    184.7 46.85 6006.6 -1907.675

    3237193.JPG3237193.JPG 3237193 http://0103.static.prezi.com.s3.amazonaws.com/media/f/c/0/5fe4bbec47727e141bc137ecc391eab31fd72.JPG 4690237.flv4690237.flv 4690237 http://0103.static.prezi.com.s3.amazonaws.com/media/1/5/3/2f0a522ebe9da854ae9d501287b213e6c0be0.flv 125.15 30.65 2245.425 -1029.925

    9763280.jpg9763280.jpg 9763280 http://0103.static.prezi.com.s3.amazonaws.com/media/3/9/5/01a2eeba8585d5fa350543b362825203249f8.jpg 26878931.JPG26878931.JPG 26878931 http://0103.static.prezi.com.s3.amazonaws.com/media/b/2/c/31b10e243a15bd434d411d576297f9297d2af.JPG 26878936.JPG26878936.JPG 26878936 http://0103.static.prezi.com.s3.amazonaws.com/media/f/f/5/79e8bc210f21a852f5501c3ec0b27ff289768.JPG 26878944.JPG26878944.JPG 26878944 http://0103.static.prezi.com.s3.amazonaws.com/media/a/0/0/7c78da8e4ab71b4f600112f3e06ae2bfe6a95.JPG 26878948.JPG26878948.JPG 26878948 http://0103.static.prezi.com.s3.amazonaws.com/media/d/9/8/aa67049194487c45cfa627e0cfc74dbc1f4ff.JPG 26878952.JPG26878952.JPG 26878952 http://0103.static.prezi.com.s3.amazonaws.com/media/0/d/1/94b8ceb2f6318618a96c8b041ae436624c2f4.JPG -233.1 -30.8 "...either I'm not giving you enough medication...or you're not taking enough"

    "...either I'm not giving you enough medication...or you're not taking enough"

    466.25 61.6     -125.1 -45.2 Target: 1. Poorly controlled 2. Frequent exacerbators

    Target:

    1. Poorly controlled

    2. Frequent exacerbators

    28918192.jpg28918192.jpg 28918192 http://0103.static.prezi.com.s3.amazonaws.com/media/8/2/e/4c17fa03e37e2f2bb6c1dd17ff46bfbbf46ce.jpg 28918193.jpg28918193.jpg 28918193 http://0103.static.prezi.com.s3.amazonaws.com/media/b/4/1/452f4e1bc089960b74735d5dce5f308781639.jpg -222.2 -45.2 "Keep watch also on the faults of the patients which often make them lie about the taking of things prescribed"

    "Keep watch also on the faults of the patients which often make them lie about the taking of things prescribed"

    444.4 90.4     -186.15 -88.4 "Non-adherence is the main cause of therapy failure in asthma" J Clin Pharm & Ther, 2009, 507-13

    "Non-adherence is the main cause of therapy failure in asthma"

    J Clin Pharm & Ther, 2009, 507-13

    372.3 176.8     28918842.jpg28918842.jpg 28918842 http://0103.static.prezi.com.s3.amazonaws.com/media/b/b/0/e146d3d8997ecd0a5d29cee2e43b6338e1fc9.jpg -183.85 -59.6 Identify - ACT, ask Simplify Education - benefits and/or risks Reminders

  • Identify - ACT, ask

  • Simplify

  • Education - benefits and/or risks

  • Reminders

    • 28934663.jpg28934663.jpg 28934663 http://0103.static.prezi.com.s3.amazonaws.com/media/a/e/f/e62aceb42f4fb50636b9f2c205d6cd2d8154f.jpg 28934664.jpg28934664.jpg 28934664 http://0103.static.prezi.com.s3.amazonaws.com/media/6/7/a/a10db9f609607baecf0479c3ce2fa629e8ce8.jpg 28935180.JPG28935180.JPG 28935180 http://0103.static.prezi.com.s3.amazonaws.com/media/9/2/c/8e459e5e32fd19041a75bf51890566fadbf6d.JPG 38043465.JPG38043465.JPG 38043465 http://0103.static.prezi.com.s3.amazonaws.com/media/9/9/5/2eb217393c6f16eb14364cd4ec80e69121acf.JPG 38043495.swf38043495.swf 38043495 http://0103.static.prezi.com.s3.amazonaws.com/converted/f/4/4/6a1b362891b5ce29900880717d78a7e7aa480.swf 38043495.swf38043495.swf 38043495 http://0103.static.prezi.com.s3.amazonaws.com/converted/f/4/4/6a1b362891b5ce29900880717d78a7e7aa480.swf 38043497.swf38043497.swf 38043497 http://0103.static.prezi.com.s3.amazonaws.com/converted/f/0/6/1cc235955564a6ab6b463562bd8a6d651b57e.swf 38043498.swf38043498.swf 38043498 http://0103.static.prezi.com.s3.amazonaws.com/converted/6/1/c/82eab129228f61eb646ebbe75d23add637503.swf 38043500.swf38043500.swf 38043500 http://0103.static.prezi.com.s3.amazonaws.com/converted/b/d/e/65829846be0b3ee4e68fa96f47174c9271b02.swf 38043510.swf38043510.swf 38043510 http://0103.static.prezi.com.s3.amazonaws.com/converted/0/7/4/1373c51bfe53ad48f8afb219821b3493748f7.swf 38043579.swf38043579.swf 38043579 http://0103.static.prezi.com.s3.amazonaws.com/converted/0/6/d/4960562b41c35b098bd8fafbb37f09ad20fb8.swf 38043575.swf38043575.swf 38043575 http://0103.static.prezi.com.s3.amazonaws.com/converted/d/c/1/ff39e0112b618c2b8a6d35c1795f2debd54b7.swf 38043568.swf38043568.swf 38043568 http://0103.static.prezi.com.s3.amazonaws.com/converted/7/6/5/a3d8f94b9bee36dee85bc1b9d62675c565df7.swf 38043569.swf38043569.swf 38043569 http://0103.static.prezi.com.s3.amazonaws.com/converted/5/a/e/e554901e1af6a6119ef13bb37bb34b533fa0b.swf 38043571.swf38043571.swf 38043571 http://0103.static.prezi.com.s3.amazonaws.com/converted/6/1/1/6329a802b5ba961333b865a6b276f1cb41cfd.swf 38043575.swf38043575.swf 38043575 http://0103.static.prezi.com.s3.amazonaws.com/converted/d/c/1/ff39e0112b618c2b8a6d35c1795f2debd54b7.swf 38043603.swf38043603.swf 38043603 http://0103.static.prezi.com.s3.amazonaws.com/converted/0/e/6/77ed73bb1d55cca17bddaa09d4592293b5ff9.swf 38043612.swf38043612.swf 38043612 http://0103.static.prezi.com.s3.amazonaws.com/converted/4/a/3/096b71620a2d9f07745cf28dbcc19c382ab83.swf 38043614.swf38043614.swf 38043614 http://0103.static.prezi.com.s3.amazonaws.com/converted/8/c/e/e309ae421b898ebf9709903738500a799025c.swf 38043574.swf38043574.swf 38043574 http://0103.static.prezi.com.s3.amazonaws.com/converted/1/5/0/70edacf1c5e9a90f18fca590e5791fb9321f3.swf 38043579.swf38043579.swf 38043579 http://0103.static.prezi.com.s3.amazonaws.com/converted/0/6/d/4960562b41c35b098bd8fafbb37f09ad20fb8.swf -220.95 -30.8 "...the goal of asthma management is to get inhaled steroid into your patients..."

    "...the goal of asthma management is to get inhaled steroid into your patients..."

    441.95 61.6     38066697.JPG38066697.JPG 38066697 http://0103.static.prezi.com.s3.amazonaws.com/media/8/1/b/b09faa76e1312763eb1b47cdeab49dd4c8c3e.JPG 38066705.JPG38066705.JPG 38066705 http://0103.static.prezi.com.s3.amazonaws.com/media/f/6/1/3d9b4acb2a9240784c93ef662bf57daaeea4b.JPG circle 268 268 circle 274 274 circle 265.6 265.6 circle 275.8 275.8 29291431.jpg29291431.jpg 29291431 http://0103.static.prezi.com.s3.amazonaws.com/media/7/1/f/5524bb69ccbc7d23cf96fd94c7600ed96df62.jpg 29291439.jpg29291439.jpg 29291439 http://0103.static.prezi.com.s3.amazonaws.com/media/8/9/b/6ccf524d88ef74d30cd1825429bee0de03d4f.jpg 38254739.jpg38254739.jpg 38254739 http://0103.static.prezi.com.s3.amazonaws.com/media/d/a/c/ab6c4787ed1923d712ad2f1e9d082ef6c0ed8.jpg 38254742.jpg38254742.jpg 38254742 http://0103.static.prezi.com.s3.amazonaws.com/media/2/0/8/cb24c73a7b01b101e24e50c785c87f9d5f9bb.jpg 3258681.JPG3258681.JPG 3258681 http://0103.static.prezi.com.s3.amazonaws.com/media/a/f/4/7b13dcbb768c580fe7c884d258e0582a6a51a.JPG 41262032.JPG41262032.JPG 41262032 http://0103.static.prezi.com.s3.amazonaws.com/media/0/c/d/f44fee5a3e85a4d9130f96a827cd3d66b4419.JPG     201_9055789 1 24_9055789 26_9055789 36_9055789 192_9055789 29_9055789 188_9055789 91_9055789 46_9055789 191_9055789 3_9055789 0_9055789 1_9055789 1_13729792 21_9055789 19_9055789 20_9055789 17_9055789 18_9055789 145_9055789 2_3089789 95_7987128 2_9055789 147_9055789 154_9055789 11_9055789 4_9055789 5_9055789 15_9055789 12_9055789 0_3359977 7_3359977 144_9055789 162_9055789 164_9055789 22_9055789 23_9055789 170_9055789 81_9055789 0_3388961 35_9055789 79_9055789 34_9055789 31_9055789 78_9055789 32_9055789 201_9055789 9891365f0c4a2ebfd609237a4997233a fu4m5p2smgs99891365f0c4a2ebfd609237a4997233aad/Uwh6iA4ktBnN5VDtI1yGKsJ+6zZeqKSVvuI5Jm9KOwopO8AaB4J5ZrCehVvoxRshYO0MkFV2Nh7TIwEawqgQknChUA4mTG3DI1NVL19Jf8rlYdBbzYWNH7cuvJZOcWVn8XeFUKjoVzSH2t9jbbV5Tuq7rhBgq9eFFaYjBhyXpUA9WrqHD/DtyYjqKyvPoe9T939LMzlFn1Psm9ZrpEOE+6RsYeTMm8CLE5/JP8T5UzfGkCcInyIsZ8xmtyTi2cIJovmsseMjCdLHFWYaTYMAXppbtQh6pb16d71EPLcbXoMKY0luiY5ZtcZksQRnfR0NLRldoEQj+quKmb5C50g==