Managing Chronic Obstructive Pulmonary Disease (COPD) isn’t just about taking medications—it’s about building a care team, fostering understanding, and creating routines that work. With millions of people across the U.S. affected by this chronic lung condition, improving treatment adherence has never been more important. But what exactly does adherence mean in this context? And how can patients, physicians, and healthcare providers work together to make treatment stick?
Let’s explore the real-world challenges and solutions behind COPD adherence—and how a team-based approach is making a difference.
In the simplest terms, adherence refers to how well patients are able to follow their treatment plans—whether that’s using an inhaler correctly, taking medications on time, or sticking with oxygen therapy. When treatment plans are followed consistently, people with COPD breathe easier, experience fewer hospital visits, and enjoy a better quality of life (Jarab et al., 2018). Education plays a vital role: studies show that structured educational programs can significantly improve patients’ understanding of their disease and adherence to treatment (Jang et al., 2019).
But here’s the challenge: COPD treatment can be complicated. Patients may be juggling several medications, specialized equipment, and frequent appointments. Add in side effects, financial stress, or emotional health struggles, and it’s easy to see how staying on track can feel overwhelming.
Successfully managing COPD isn’t a solo effort. In fact, it works best when patients are supported by a connected care team—each member playing a key role.
The Patient:
It starts with the person living with COPD. When patients understand their condition and treatment, they’re more likely to stick with it. Education and empowerment are key - patients who know why a therapy matters are more likely to follow through (Lindh et al., 2024).
The Pulmonologist:
Specialists bring expertise and experience, but their biggest impact may be in how they connect with patients. A strong, trusting relationship with a pulmonologist—built on clear communication and shared decision-making—can go a long way toward encouraging adherence. Studies of the patient journey emphasize that when providers acknowledge individual needs and preferences, patients report greater engagement and satisfaction (Scichilone et al., 2023).
The DME Provider:
Durable Medical Equipment (DME) providers like Apria bridge the gap between prescription and practice. They ensure patients receive vital equipment like oxygen concentrators, nebulizers, and CPAPs—and, just as importantly, know how to use them. DME providers often offer remote monitoring, virtual support, and follow-up care that reinforce the treatment plan and identify issues early.
Even the most motivated patients can struggle with staying on track. Here are some of the top reasons why—and what can help:
Managing COPD often means juggling multiple medications and devices. It’s no surprise that confusion and forgetfulness are common. Simplified routines and easy-to-use delivery systems (like combination inhalers or medication reminders) can help (Jarab et al., 2018).
Dry mouth, shakiness, and upset stomachs are among the side effects that may cause patients to skip doses. With the right support and early conversations, many side effects can be managed or minimized.
Depression and anxiety are common in COPD, and they can quietly erode motivation and focus. Integrated care that includes mental health support can make a meaningful difference.
4. Lack of EducationRural location? Limited mobility? These factors make it harder to get to appointments or refill prescriptions. That’s why home delivery, telehealth, and remote monitoring are now essentials—not extras.
Out-of-pocket costs can discourage adherence, especially for patients on fixed incomes. Programs that help offset medication and equipment costs are key to removing this barrier.
We’ve reviewed the challenges—now let’s look at the solutions that work.
Whenever possible, streamline. Fewer medications, fewer steps, and clear instructions make it easier for patients to succeed. Digital tools—like apps that track inhaler use or text reminders for medication refills—can also help.
One-and-done education isn’t enough. Patients benefit from repeated, hands-on instruction in how and when to use their devices. Apria, for example, offers education tools both in-person and online to support patients at home.
Regular follow-ups, check-ins from care coordinators, and remote monitoring help identify and solve problems before they become emergencies. The value of continuous connection is emphasized in guidelines from UpToDate, which advocate ongoing patient-provider interaction to ensure correct inhaler use and adherence (Han, 2024).
Social support from family, caregivers, or support groups helps patients stay motivated. It also provides extra sets of eyes and ears to catch changes in symptoms or behavior early.
At Apria, we know COPD doesn’t stop at the clinic door. That’s why we deliver more than just equipment—we deliver comprehensive support. From expert education and home setup to 24/7 virtual monitoring and refill reminders, we help patients stay connected to their care teams—and their goals.
Through our Pharmacy Network, we offer:
We’re proud to be part of each patient’s journey—and committed to helping them breathe easier, every day.
Adherence to COPD treatment isn’t just about remembering to take medications—it’s about creating a system that supports real people in real life. When pulmonologists, DME providers, and patients work together, the results speak for themselves: fewer hospital visits, better daily function, and a more empowered approach to health.
Let’s make adherence the standard, not the exception.