TITLE:
Facilitators and Barriers to Asthma Treatment Adherence in Adolescents: An Integrative Literature Review
AUTHORS:
João Borges, Luís Canas
KEYWORDS:
Asthma, Adolescents, Treatment Adherence, Self-Management, Health Literacy, Caregivers, Healthcare Professionals
JOURNAL NAME:
Voice of the Publisher,
Vol.11 No.3,
September
28,
2025
ABSTRACT: Objective: This integrative literature review aims to identify the main factors that facilitate or hinder asthma treatment adherence among adolescents, with emphasis on the role of caregivers and healthcare professionals. Method: A comprehensive search of multiple electronic databases was performed, and 16 studies were included for in-depth analysis. Results: Nine key factors influencing asthma treatment adherence in adolescents were identified: behavior, beliefs, self-management, health literacy, healthcare professional role, adherence assessment, caregiver role, peer influence, and national guidelines. Adherence is related to a complex interaction of personal, social, and systemic factors. Discussion: The transition from childhood to adolescence presents unique challenges for asthma management. Health literacy, self-management strategies, and a balanced doctor-patient relationship are critical for improving adherence. Conclusion: Promoting educational strategies, strengthening bonds between adolescents and healthcare professionals, and developing adequate tools for adherence assessment are essential to improve health outcomes.