Shepherd LM, et al. – The physicians conducted this work to determine patients PAI knowledge and understanding of the condition, steroid replacement adjustment during acute illness or stress and provided education. They exhibited evidence that patients with PAI did not apply existing knowledge to adjust steroid dose during acute illness or stress. While a sample of limited size, this study distinguished there is a need to further explore why patients with Addison’s disease do not apply existing knowledge during times of increased need. In addition, future study should consider appropriate behaviour change interventions to promote medication adherence to reduce risk of an adrenal crisis.