The lived experience of adherence to asthma medication in young adults (18-34 years)

J Asthma. 2022 Dec;59(12):2475-2490. doi: 10.1080/02770903.2021.2018706. Epub 2021 Dec 29.

Abstract

Background: Adherence to asthma medications is commonly poor and is the primary cause for anticipated worsening health outcomes for patients with asthma. Worldwide, qualitative investigations that examine the adherence of young adults (18-34 years) to their asthma medication are limited.

Method: This study used a phenomenological research approach to explicate the experience of asthma medication adherence as described by young adults. Data were collected using semi-structured in-depth video interviews conducted with participants aged between 18 and 34 years to elicit their lived experience with adherence to asthma medication. Data from the interviews were transcribed and analyzed using the Edward and Welch (1) extension of Colaizzi's approach to phenomenology.

Results: Results yielded four main themes related to the phenomenon of adherence that emerged from the analysis. The themes were: Having a plan; Having knowledge about your medication and asthma triggers; Being responsible with asthma medication; and Health belief.

Conclusion: According to the findings, for young people adhering to asthma medication is a process that depends on four vital aspects: (A) plan, (B) knowledge, (C) responsibility, and (D) belief. If young adults with asthma received individualized written asthma plans and have adequate knowledge about this plan, developing the correct health belief is likely to result. Hence, this can lead to a greater responsibility to manage their asthma to the recommended adherence level.

Keywords: Asthma; COVID 19; adherence; inhaler; medication; young adult.

MeSH terms

  • Adolescent
  • Adult
  • Asthma* / drug therapy
  • Humans
  • Medication Adherence
  • Young Adult