Table 4.

Strategies to assist adherence across the developmental spectrum.

Theme	Sample Quotes, Adolescent/Caregiver	Sample Quotes, Adult
Individual and society factor: access to inhalers at home, work, and school	“I might carry [my inhaler] in a bag or the school nurse would have it. I also have an inhaler somewhere at home.” – 17yo F “When he spends time in my mom’s house…he has the medications available at both houses and he is not carrying it around from one place to another, just to have prescribed one at each location…” – 36 yo F “One of the things… is asking her doctor for a prescription for two of her rescue inhalers that way she has one for at home and she always has one for her book bag or her purse that way she has a travel one.” – 49 yo F	“I can probably just buy a second one and leave it there, but insurance companies do not really like that.” – 27 yo F
Individual factor: incorporate medicine into daily routine	“At first it was more challenging to fit in taking it [medications] regularly just because I had to get new set of new things, but after I got used to it…” – 17 yo M “After I take my shower I used to just take my medicines and then go to sleep or when I wake up in the morning the first thing I do is take my medicine…” – 14 yo M	“I know if I had a specific time to take it [my medication] I can make this a daily thing in my life. Wake up, shower, take my medication like make that a daily thing.” –18 yo M “School is more routine for me throughout the semester…I also have some friends who have asthma and they do not live too apart from me and I will go down and see them in the morning sometimes and we will go to class together and if I have forgotten to take my medicine and I am watching them take theirs, then I will go back to my dorm and take my medicine.” – 19 yo M “… When I schedule my classes for that semester, so that I have 15 min in between every class so that gives me time to either go outside and take it out of my backpack and take my medications as needed or on a schedule ….”– 18 yoF
Interpersonal factor: others reminding individual to take medications	“[My family asks] me every morning and every night, did I take it [my medication], so they make sure that I am doing what I’m supposed to do.” – 14 yo M “Beside me nagging and putting it out which is now normal routine, she still will forget but daily reminder, “Did you take the medicine?” and everybody in the household so help her to remember it….” –44 yo F	“One of my friends, she is in the Air Force, she really texts me and tells me to take my medications or I am going to die, that is for sure…” – 28 yo F “[My mom] asks me, “Okay how you’ve been taking the Dulera?” and I saw yes. Sometimes she also checks how much dosage it has left in it and if she thinks I am not taking it enough, she reminds me.” – 18 yo M “If I am obviously not doing okay sometimes my coworkers…like you should probably take your inhaler or something right now…” – 19 yo M
Individual factor: reminders, primarily phone alarms	“I used an alarm on my phone…so that I could take it [my medication] every day the same time.” – 17 yo F “I have an alarm set just in case, I have a long day out there doing something and I got home really, just to make sure I do it.” – 14 yo M “He has an alert on his phone that used to help him to take you know remember to do it…” – 36 yo F	“I use my phone for my alarms…I put a little note inside of the alarm that says take medications.” – 28 yo F ”I guess making alarm specifically for taking medicine not just for waking up…on my phone because I am with my phone 90% of the day.” – 19 yo M