Nonadherence is a multidimensional quandary in patients with chronic obstructive pulmonary disease and encompasses a range of physical, economic, psychological and social factors. When assessing for nonadherence, engaging with patients to understand these factors is essential to formulating tailored, long-term strategies and interventions.
- Nonadherence to chronic obstructive pulmonary disease (COPD) medications is common and is associated with poor clinical outcomes.
- Nonadherence can result from patient, treatment, health professional or health system factors.
- It can be classified into intentional and unintentional nonadherence.
- Each form of nonadherence requires a personalised solution.
- Structured questionnaires, smart inhalers and patient-centred communication are useful in promoting adherence.