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However, self-management of asthma is considerably more difficult for the patient than the mere taking of medications. The patient is expected to avoid precipitants, monitor the course of the disease, detect changes, assess them accurately and alter treatment accordingly, at times having to shift rapidly from regular treatment into emergency mode. As already stated, serious errors of self-management are frequent and influenced by a variety of social, economic and psychological factors . Thus, the comprehensive assessment of adherence in asthma should focus not only on the use of medications but also on the behavioural aspects of selfmanagement. Each patient has a unique set of beliefs and attitudes towards their illness, its treatment and accompanying adverse effects, and to their family and their doctor as well as to many social, economic and psychological issues. Insight into these should allow the development of more effective adherence interventions .