Asthma care and factors affecting medication compliance: the patient's point of view

Lindberg, Mats; Ekström, Thommy; Möller, Margareta; Ahlner, Johan

doi:10.1093/intqhc/13.5.375

Cited by 48 publications

(44 citation statements)

References 7 publications

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“…3,16 If the patients are ignorant or have a partial knowledge of their disease and treatment then this can lead to poor compliance. 17,18 The present study reveals that the patients' specific knowledge on asthma is low; however, the patients had positive attitude towards their disease. Our results were similar in pipeline as reported by others.…”

Section: Discussionmentioning

confidence: 57%

Evaluation of Knowledge, Attitude and Medication Adherence among Asthmatics Outpatients in Tertiary Care Teaching Hospital-A Questionnaire Based Study

Shamkuwar¹,

Kumari²,

Meshram³

et al. 2015

J YOUNG PHARM

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The term adherence means, "sticking to a plan" for perceived benefit. This concept is applied for the patients, who have adopted and integrated a plan given by the physician. 9 Non-adherence to asthma treatment leads to increased emergency care and mortality. 10,11 The effect of medications depends on the efficacy and the patient adherence to the intended regimen. Adherence with medication regimens is essential for attaining maximal therapeutic benefits. 12Assessment of the knowledge, and medication adherence practice is crucial for the patients improvements and wellbeing as well as preventing them from complications. In India, there is scarcity of data regarding knowledge, attitude and medication adherence within the asthmatic patients. Hence, the present study is so designed to evaluate the knowledge, attitude and medication adherence among asthmatic patients of central India. MATERIALS AND METHODSThis is a prospective, observational, questionnaire based study conducted at the Pulmonary Medicine, (OPD) of specialized Asthma Clinic of a tertiary care teaching hospital after the approval of institutional ethics committee. The study was conducted over a period of six -months and total 154 patients were included. The inclusion criteria of the study comprised of diagnosed asthmatic patients both male and females above 18 years of age who were on prior medication for at least two-weeks. All participants were enrolled after obtaining their informed consent. Face-to-face interviews of participants were conducted by using the assessment questionnaire for knowledge, attitude and medication ABSTRACT Background:The burden of asthma in India is estimated at more than 15 million patients. Approximately two to four percent of adult population of India is affected by asthma. In recent decade, there are striking advancement in the clinical treatment of asthma. However, in spite of this, the frequency and morbidity of asthma is increasing in several countries. The Objectives of this study was to assess the knowledge, attitude and to evaluate the medication adherence among the asthmatic patients. Methods: This is a prospective, observational, questionnaire based study conducted in a tertiary care teaching hospital of central India after the approval of institutional ethics committee for a period of six months. Face-to-face interview with the patients of specialized Asthma clinic from Pulmonary Medicine, Outpatients Department (OPD) was conducted. This was administered with questionnaires assessing the knowledge, attitude and medication adherence (Morisky 8-items medication adherence scale) towards their disease and treatment. Results: Data of 154 patients were analysed for this study.Here 80 (51.9%) patients were male and 74(48.1%) were female. The maximum knowledge score is 16 and 66.86% of patients scored a mean score of 10.7. In attitude, the maximum score is 24 and 71.25% of patients scored a mean score of 17.1, while in adherence the maximum score is 8 and 42.50 % of patients scored a mean score of 3.4. Conclusion: The pre...

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Section: Discussionmentioning

confidence: 57%

Evaluation of Knowledge, Attitude and Medication Adherence among Asthmatics Outpatients in Tertiary Care Teaching Hospital-A Questionnaire Based Study

Shamkuwar¹,

Kumari²,

Meshram³

et al. 2015

J YOUNG PHARM

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“…More time increases the possibilities for each patient to receive time for individual needs, which may enable patients to become more aware of the signs and symptoms of the disease. [19][20][21][22][23] It also enables the nurse and the patient to create a self-management plan, including adjustment of medication in different situations, which may result in more adequate treatment and enhanced asthma control. [24][25][26] In Sweden, time allocation for the asthma nurse is a problem in most cases, 10 which undoubtedly influences the quality of the work performed at the clinic.…”

Section: Discussionmentioning

confidence: 99%

Primary health care centres with asthma clinics: effects on patients' knowledge and asthma control

Lisspers

Ställberg

Hasselgren

et al. 2009

Primary Care Respiratory Journal

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Aim: To evaluate outcomes for patients attending primary care centres with and without asthma clinics. Methods:A cross-sectional survey at 42 primary health care centres randomly selected according to organisation of asthma care, 14 with complete, 14 with incomplete and 14 with no asthma clinic according to national criteria. 1,477 randomly selected patients 15-45 years received two questionnaires. Outcomes were: patients' knowledge of asthma; asthma control; and quality of life.Results: Patients attending primary health care centres with asthma clinics reported more knowledge of asthma but similar levels of asthma control and quality of life. Patients who reported they had visited the asthma nurse during the last year had more knowledge but similar asthma control and quality of life compared to patients who reported they had not. However, with more time allocated for the nurse, 44% achieved asthma control compared with 27% at asthma clinics with less time (p<0.003). Conclusions:Having an asthma clinic at a primary health care centre improves asthma patients' knowledge of the disease, and better asthma control is achieved if the nurse is allocated more time.

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“…However, many studies have shown that guidelines are slowly implemented in healthcare systems [4] and that there is substantial room for improvement with respect to the prescribing doctors' adherence to guidelines [56][57][58][59] as well as patient compliance [60][61][62].…”

Section: Regional Variations and Adherence To National Guidelinesmentioning

confidence: 99%

Regional variation and adherence to guidelines for drug treatment of asthma

Arnlind¹,

Wettermark²,

Nokela³

et al. 2009

Eur J Clin Pharmacol

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Aims To describe the utilization of antiasthmatic drugs in Sweden and to explore regional variations in drug utilization and adherence to guidelines for rational drug prescribing of antiasthmatics and their rationale. Methods Data on antiasthmatic drugs dispensed between July 2005 and December 2008 to all Swedish citizens aged between 18 and 44 years were obtained from the Swedish National Prescribed Drug Register. The period prevalence was determined by analyzing the number of users/1000 inhabitants, and the incidence by analyzing the number of new users after an 18-month drug-free wash-out period. Three drug-related indicators were used to assess the adherence to guidelines. All measures were analyzed by gender and region. Results A total of 161,000 patients were dispensed antiasthmatics in 2007, corresponding to a prevalence of 4 and 6% among men and women, respectively; the incidence rates were 2 and 3%, respectively. The total drug utilization and adherence to guidelines varied between regions. The total drug expenditures of antiastmatics were 258 million SEK (28 million euro), with fixed dose combinations accounting for 46% of the expenditure. No relation was found between models for allocating prescribing budgets or clear Drug and Therapeutics Committee recommendations and adherence to guidelines. Conclusion There are large regional variations in the utilization of antiasthmatics between Swedish regions, with substantial room for improvement in the adherence to guidelines. New methods of influencing physician behavior may be needed in the future to enhance adherence.

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Asthma care and factors affecting medication compliance: the patient's point of view

Cited by 48 publications

References 7 publications

Evaluation of Knowledge, Attitude and Medication Adherence among Asthmatics Outpatients in Tertiary Care Teaching Hospital-A Questionnaire Based Study

Evaluation of Knowledge, Attitude and Medication Adherence among Asthmatics Outpatients in Tertiary Care Teaching Hospital-A Questionnaire Based Study

Primary health care centres with asthma clinics: effects on patients' knowledge and asthma control

Regional variation and adherence to guidelines for drug treatment of asthma

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