Asthma patients' self-reported behaviours toward inhaled corticosteroids

Laforest, Laurent; Hasnaoui, Abdelkader El; Pribil, C.; Ritleng, C.; Osman, Liesl; Schwalm, M.-S.; Jeunne, Philippe Le; Ganse, Éric Van

doi:10.1016/j.rmed.2009.03.010

Cited by 50 publications

(51 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Adherence was mostly unrelated to the number of drugs in the treatment regimen (three out of four results; [63,70,78]), the number of daily doses (five out of seven results; [39,47,64,67,78]), and having reliever inhalers prescribed (four out of five results [34,47,48,64]). Using dry-powder inhalers (DPIs) versus metered-dose inhalers (MDIs) was linked to adherence in two out of four results [66,67].…”

Section: Methodsmentioning

confidence: 99%

“…Using dry-powder inhalers (DPIs) versus metered-dose inhalers (MDIs) was linked to adherence in two out of four results [66,67]. Some variables examined in a single result were unrelated to adherence: prescribed use of peak flow meter or action plan [45]; treatment duration [67]; using various other drugs [44,48,52,57,64]; using autohalers versus other MDIs [39]. Other single result variables were related to higher adherence: using diskus DPIs versus diskhaler DPIs [49]; using ultrafine versus large-particle formulation [76]; not using a spacer [52]; and receiving more refills in a prescription [47].…”

Section: Methodsmentioning

confidence: 99%

“…Stronger beliefs in the necessity of using inhalers were associated with better adherence in 14 out of 16 results [38,40,53,60,61,65,69,74,77,82], beliefs in their effectiveness in four out of seven results [35,40,52,53,77], and more broadly-framed positive beliefs in inhaler usefulness or benefits in one out of three results [34]. Having fewer concerns about medication was related to better adherence in nine out of 17 results [38,40,60,64,65,68,72,74], lower perceived side-effects in two out of four results [72,77], lower beliefs that medication in general is overused in one out of three results [60,77], and stronger beliefs in inhaler necessity relative to concerns in two out of three results [68,69,72]. Readiness to use inhalers showed positive associations to adherence in three results [37,61], indicators of self-efficacy in four out of nine results [32,35,40,57,65,68], and stronger adherence routines in three results [53,68,72].…”

Section: Nrmentioning

confidence: 97%

“…Smoking status was consistently unrelated to adherence [40,48,52,57,58,63,64,71], as was depression [40,45,57,58].…”

Section: Nrmentioning

confidence: 99%

See 3 more Smart Citations

Asthma inhaler adherence determinants in adults: systematic review of observational data

et al. 2014

View full text Add to dashboard Cite

Nonadherence to inhaled medication leads to poor asthma control and increased healthcare utilisation. Many studies exploring adherence determinants have been conducted, but summaries of the evidence are scarce. We performed a systematic review of observational research on determinants of asthma inhaler adherence among adults.We searched for articles in English reporting quantitative observational studies on inhaler adherence correlates among adults in developed countries, published in EMBASE, Medline, PsychInfo and PsychArticles in 1990-2014. Two coders independently assessed eligibility and extracted data, and assessed study quality. Results were summarised qualitatively into social and economic, and healthcare-, therapy-, condition-and patient-related factors.The 51 studies included mainly examined patient-related factors and found consistent links between adherence and stronger inhaler-necessity beliefs, and possibly older age. There was limited evidence on the relevance of other determinants, partly due to study heterogeneity regarding the types of determinants examined. Methodological quality varied considerably and studies performed generally poorly on their definitions of variables and measures, risk of bias, sample size and data analysis.A broader adoption of common methodological standards and health behaviour theories is needed before cumulative science on the determinants of adherence to asthma inhalers among adults can develop further. @ERSpublications Major opportunities for strengthening evidence on determinants of nonadherence to asthma inhalers: methods and theory

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Nrmentioning

confidence: 97%

“…Smoking status was consistently unrelated to adherence [40,48,52,57,58,63,64,71], as was depression [40,45,57,58].…”

Section: Nrmentioning

confidence: 99%

See 2 more Smart Citations

Asthma inhaler adherence determinants in adults: systematic review of observational data

et al. 2014

View full text Add to dashboard Cite

show abstract

“…5 There are also problems persuading patients to use inhaled steroid therapy appropriately. [6][7][8] Variation in response should be expected: asthma is diagnosed clinically and the patient population is heterogeneous. 3 Treatment options are limited if combining an inhaled steroid with a LABA is unsuccessful and there is little scope for dose adjustment.…”

Section: How Effective Is Treatment For Chronic Asthma?mentioning

confidence: 99%

TALC study: tiotropium vs double beclometasone in asthma

Chaplin¹

2011

Prescriber

View full text Add to dashboard Cite

A personality and gender perspective on adherence and health-related quality of life in people with asthma and/or allergic rhinitis

Axelsson

Brink

Lötvall

2014

Journal of the American Association of Nurse Practitioners

View full text Add to dashboard Cite

Purpose Poor adherence to medication treatment for asthma and allergic rhinitis could challenge a positive health outcome. Health‐related quality of life (HRQL) is an important measure of health outcome. Both personality and gender could influence adherence and perceptions of HRQL. The purpose was to clarify the role of personality and gender in relation to adherence and HRQL in people with asthma and/or rhinitis. Data sources Participants (n = 180) with asthma and allergic rhinitis, selected from a population‐based study, filled out questionnaires on the five‐factor model personality traits—neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness—HRQL, and adherence to medication treatment. Data were statistically analyzed using t‐tests, Mann–Whitney tests, bivariate correlations, and multiple regressions. Conclusions Personality traits were associated with adherence to medication treatment in men. The influence of personality traits on HRQL also differed between men and women. These differences suggest that both a personality and gender perspective should be considered when planning care support aimed at improving adherence and HRQL in people living with asthma and/or allergic rhinitis. Implications for practice It is suggested that both a personality and gender perspective be taken into account in care support aimed at improving adherence and HRQL in people with asthma and allergic rhinitis.

show abstract

Asthma patients' self-reported behaviours toward inhaled corticosteroids

Abstract: Our study suggests that discontinuation of use of controllers is associated with other inadequate behaviours or beliefs about inhaled controllers. Efforts should be targeted at patients' perceptions and behaviours toward controller therapy.

Cited by 50 publications

References 26 publications

Asthma inhaler adherence determinants in adults: systematic review of observational data

Asthma inhaler adherence determinants in adults: systematic review of observational data

TALC study: tiotropium vs double beclometasone in asthma

A personality and gender perspective on adherence and health-related quality of life in people with asthma and/or allergic rhinitis

Contact Info

Product

Resources

About