title: How can adherence to asthma medication be enhanced? Triangulation of key asthma stakeholders' perspectives.
abstract: Adherence to daily asthma controller medication has been shown to be the most effective component of asthma self-management; however, patient's adherence to asthma medication remains poor. This study aimed to understand how patients' long-term asthma controller medication adherence may be improved and facilitated by comparing key asthma stakeholders' perspectives.
  
  
  
  Six focus group interviews including 38 asthma stakeholders (n = 13 patients, n = 13 pulmonologist physicians, and n = 12 allied healthcare professionals) were conducted. Interviews were qualitatively analysed.
  
  
  
  Although similar themes were brought up across different asthma stakeholders, the way in which they were framed differed across stakeholders. The most salient discussion revolved around the content and the moment in which asthma education should be approached to facilitate patients' adherence to asthma medication.
  
  
  
  Asthma medication adherence is a complex process and successful interventions aimed at its improvement would benefit from: (a) making an effort to understand patients' experiences and negotiate the treatment regimen, rather than imposing recommendations; (b) considering treatment as a shared responsibility involving the patient, the healthcare professional(s), and the patients' social networks; and,
authors.affiliation: a Montreal Behavioural Medicine Centre (MBMC), Chronic Disease Research Division, Hôpital du Sacré-Coeur de Montreal , Montréal , Québec , Canada.
authors.forename: Sandra
authors.initials: S
authors.lastname: Peláez
authors.affiliation: a Montreal Behavioural Medicine Centre (MBMC), Chronic Disease Research Division, Hôpital du Sacré-Coeur de Montreal , Montréal , Québec , Canada.
authors.forename: Simon L
authors.initials: SL
authors.lastname: Bacon
authors.affiliation: a Montreal Behavioural Medicine Centre (MBMC), Chronic Disease Research Division, Hôpital du Sacré-Coeur de Montreal , Montréal , Québec , Canada.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Lacoste
authors.affiliation: a Montreal Behavioural Medicine Centre (MBMC), Chronic Disease Research Division, Hôpital du Sacré-Coeur de Montreal , Montréal , Québec , Canada.
authors.forename: Kim L
authors.initials: KL
authors.lastname: Lavoie
mesh_terms: D000328:Adult; D000368:Aged; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use*; D001249:Asthma / Q000188:drug therapy*; D001291:Attitude of Health Personnel; D005260:Female; D017144:Focus Groups; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D010361:Patients; D055815:Young Adult; D016903:Drug Monitoring
chemical_list: D018927:Anti-Asthmatic Agents
keywords: Focus groups; education; facilitators; health care professionals; intervention; patients; physicians