TY - JOUR T1 - Innovative tools for improving medication adherence in asthma clinic at Srinagarind Hospital JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2015.PA1816 VL - 46 IS - suppl 59 SP - PA1816 AU - Chanee Samosorn AU - Pinyo Rattanaphan AU - Watchara Boonsawat Y1 - 2015/09/01 UR - http://erj.ersjournals.com/content/46/suppl_59/PA1816.abstract N2 - Introduction: Medication non-adherence leads to poor asthma control and remains a major problem even in setting with multidisciplinary care team approach towards adherence. Forgetfulness is the most frequently mentioned reason for non-adherence in asthma clinic at Srinagarind Hospital (58.3%). Therefore, we decided to solve this problem. This study aim to explore positive experiences of good-adherence patients and apply it to create pharmaceutical care plan for improving patient's adherence.Methods: Appreciative Inquiry (AI) was used. Good-adherence asthmatic outpatients were interviewed with positive questions to generate positive experiences in medication adherence behavior. Then, 4D cycle (Discovery, Dream, Design, and Destiny) was followed.Results: A total of 68 asthmatic outpatients with good adherence were interviewed: 58.3 ±12.8 years of age, 71.2% female. Best-practice behaviors include taking medication before tooth brushing or taking a bath 42.4%, putting medication beside toothbrush or keeping it in bathroom cabinet 13.0%, taking medication on a fixed time schedule 10.9%, keeping medication next to bedside 9.8%, putting medication on the dressing table or dining table 9.8%, packing medication in carry-on or travel bag 7.6%, taking medication at mealtimes 4.3% and writing on the board to remind yourself 2.2%. Then we applied these results as a tools for pharmacist intervention in 20 patients with poor-adherence. Improvement in medication adherence was found in 80% of this patient group with a mean adherence rate of 95.4 %.Conclusion: AI approach by focusing on strengths rather than on problems can be applied to use as a pharmacist's tool to improve patient adherence behavior. ER -