Interventions to improve adherence to pharmacological therapy for chronic obstructive pulmonary disease (COPD)

Janjua, Sadia; Pike, Katharine C.; Carr, Robin; Coles, Andy; Fortescue, Rebecca; Batavia, Mitchell

doi:10.1002/14651858.cd013381.pub2

Cited by 23 publications

(22 citation statements)

References 122 publications

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“…Psychological care of patients needed to promote the patient’s understanding of the disease and pay attention to the patient’s psychological feelings. 33 The result of the evaluation of psychological nursing activities showed that the patients could feel the effects of subjective efforts, transform passive behaviors into active behaviors, strengthen self-affirmation, and enhance patients’ self-regulation and self-management capabilities by Pygmalion effect psychological nursing. The follow-up visits were equally important in the psychological care when the patients were at post-discharge.…”

Section: Discussionmentioning

confidence: 99%

The Psychological Nursing Interventions Based on Pygmalion Effect Could Alleviate Negative Emotions of Patients with Suspected COVID-19 Patients: a Retrospective Analysis

Zhang

Liu

Song

et al. 2022

IJGM

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Purpose: This study aims to explore the psychological status of suspected COVID-19 patients during quarantine and put forward a new yet effective psychological nursing strategy for intervention. Patients and Methods:We performed a retrospective study with suspected COVID-19 patients who were hospitalized to the two hospitals of Hunan province, China and accepted the intervention of psychological nursing from 01/2020 to 03/2020. The control group received routine psychological nursing care and the observation group received the new psychological nursing intervention according to Pygmalion effect. Results: A total of 89 objects were included in the analysis. Results of the questionnaire before intervention showed that the majority of isolated suspected COVID-19 patients showed negative emotions, with the incidence of depression (51.69%), anxiety (14.617%), inverted provocation (22.47%), extraverted provocation (25.84%). And the extraverted provocation scores of female patients was significantly higher than that of male counterparts (P < 0.05). At discharge, compared with the control group, the scores of depression, anxiety, introversion and extraversion of patients in the observation group were significantly lower after nursing intervention based on Pygmalion effect. The satisfaction rate of psychological care based on Pygmalion effect was 86.66%. Conclusion: Suspected COVID-19 patients tend to show the symptoms of depression, anxiety and irritation during quarantine. The psychological nursing based on Pygmalion effect is helpful to alleviate their negative emotions.

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Section: Discussionmentioning

confidence: 99%

The Psychological Nursing Interventions Based on Pygmalion Effect Could Alleviate Negative Emotions of Patients with Suspected COVID-19 Patients: a Retrospective Analysis

Zhang

Liu

Song

et al. 2022

IJGM

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“…Most previously evaluated interventions to improve medication adherence and inhaler technique included some form of passive, one-way adherence or inhaler technique education, PT education or the provision of electronic reminders. [25][26][27][28] A recent review, however, showed that interventions that address both perceptions and practicalities were more effective in improving adherence. 29 Therefore, we developed an intervention that focuses on TRaining of pharmacy technicians and patient prepAration and Counselling (On TRACk).…”

Section: Open Accessmentioning

confidence: 99%

“…Up to now, no intervention strengthens the role of both the PT and the patient in the counselling session to improve inhaler medication adherence and inhaler technique. Most previously evaluated interventions to improve medication adherence and inhaler technique included some form of passive, one-way adherence or inhaler technique education, PT education or the provision of electronic reminders 25–28. A recent review, however, showed that interventions that address both perceptions and practicalities were more effective in improving adherence 29.…”

Section: Introductionmentioning

confidence: 99%

Better use of inhaled medication in asthma and COPD through training, preparation and counselling: the On TRACk study protocol for a cluster randomised controlled trial

et al. 2022

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IntroductionAbout 70% of patients with asthma and/or chronic obstructive pulmonary disease (COPD) use their inhaled medication incorrectly, leading to reduced disease control, higher healthcare use and costs. Adequate guidance from the pharmacy team from first dispense onwards can benefit patients in the long run. We propose an intervention (‘On TRACk’) to improve medication adherence and inhaler technique of adult patients with asthma and/or COPD. This intervention focuses on training pharmacy technicians (PTs) in patient-centred communication and inhalation instruction skills. In addition, patients are actively involved in refill consultations at the pharmacy. The aim of this study is to improve inhaler technique and better inhaled medication adherence among patients with asthma and/or COPD. This paper describes the study protocol.Methods and analysisA cluster randomised controlled trial (RCT) with an intervention and control group of 15 pharmacies each will be conducted. Per intervention pharmacy, two PTs will be trained online. Each PT will include five patients who will prepare their second and third dispense counselling sessions by selecting three topics they wish to discuss. Pharmacies in the control cluster provide usual care. In total, 300 patients (150 per group) will be included. Up to 12 months after inclusion, patients complete 3-monthly follow-up questionnaires. Both a process evaluation and a cost-effectiveness analysis will be performed alongside the trial. Trial effectiveness on the patient level will be evaluated after the 12-month follow-up period.Patient data will be collected through questionnaires and pharmacy refill data. Patients’ inhaler technique will be visually assessed by PTs. Semistructured interviews with PTs and patients will be conducted regarding implementation and fidelity. Direct and indirect health costs will be collected to assess cost-effectiveness.The primary outcome is adherence to inhalation maintenance medication measured with pharmacy refill data. Secondary outcomes are inhaler technique, persistence, patients’ attitudes towards medication, self-efficacy in medication use and communication with their PTs.Ethics and disseminationThe study was approved by the Vrije Universiteit Amsterdam Ethics Committee (number: 2020.358). Results will be presented at (inter)national conferences and published in peer-reviewed journals. If proven to be (cost-)effective, the intervention should be considered for reimbursement and implementation in Dutch community pharmacies.Trial registration numberNL9750.

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Section: Introductionmentioning

confidence: 99%

“…7 In the case of pharmacological interventions, poor intervention adherence can result in underestimation of drug efficacy and adverse effects, impaired development of breakthrough drugs and drugs for rare diseases, and ultimately treatment failures. [8][9][10] Reporting of adherence to pharmacological interventions is variable across clinical trials. 10 The Consolidated Standards of Reporting Trials, 2010 (CONSORT) guidelines 11 is a consensus-based set of recommendations that provides suggested minimum reporting requirements for randomised trials and aims to encourage accurate scientific reporting.…”

Section: Introductionmentioning

confidence: 99%

Reporting of medication adherence in randomized controlled trials of pharmacological interventions for SARS-CoV-2: a cross-sectional analysis

Lee

Otunla

Brennan

et al. 2022

Preprint

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Background: Adherence to pharmacological interventions in clinical trials is crucial for correct estimation of beneficial and adverse effects, including trials of SARS-CoV-2. The Template for Intervention Description and Replication (TIDieR), a 12-item extension of the Consolidated Standards of Reporting Trials (CONSORT) reporting guidelines, includes two items (11 and 12) that address intervention adherence reporting in trial publications. Objective: To assess compliance with TIDieR items 11 and 12 of randomised controlled trials (RCTs) of interventions in SARS-CoV-2 infection published in five selected journals during 2021. Methods: We assessed SARS-CoV-2 pharmacological RCTs published in the Annals of Internal Medicine, The BMJ, JAMA, The Lancet, and The New England Journal of Medicine in 2021 for compliance with TIDieR items 11 and 12. Item 11 was assessed in two parts: 11a how intervention adherence was assessed; 11b if any strategies were used to maintain or improve how intervention adherence was maintained or improved. Item 12 assessed the extent to which the intervention was delivered as planned. We calculated raw adherence and proportional (weighted) adherence for pharmacological and comparator interventions where available. Results: We found 75 eligible RCTs, of which 28 (37%) reported results related to SARS-CoV-2 vaccinations. Compliance with items 11a and 12 could be assessed in 71 of these 75. Of those 71 RCTs, 37 (52%, 95% confidence interval 40 to 64%) were compliant with reporting of item 11a. Seven RCTs had a strategy to assess compliance with item 11b, and only three (43%, 9 to 82%) of those complied with item 11b reporting. Of the 71 RCTs, 70 complied with reporting of item 12. Only one of the 71 RCTs (1.4%, 0 to 7.6%) fully complied with TIDieR items 11a, 11b, and 12. Compliance varied across journals. Conclusions: RCTs of SARS-CoV-2 pharmacological interventions published in high-impact medical journals complied variably with reporting of intervention adherence, even though the journals endorse CONSORT. The implications for interpretation, application, and replication of findings based on these publications warrant consideration.

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Interventions to improve adherence to pharmacological therapy for chronic obstructive pulmonary disease (COPD)

Abstract: Interventions to improve adherence to pharmacological therapy for chronic obstructive pulmonary disease (COPD).

Cited by 23 publications

References 122 publications

The Psychological Nursing Interventions Based on Pygmalion Effect Could Alleviate Negative Emotions of Patients with Suspected COVID-19 Patients: a Retrospective Analysis

The Psychological Nursing Interventions Based on Pygmalion Effect Could Alleviate Negative Emotions of Patients with Suspected COVID-19 Patients: a Retrospective Analysis

Better use of inhaled medication in asthma and COPD through training, preparation and counselling: the On TRACk study protocol for a cluster randomised controlled trial

Reporting of medication adherence in randomized controlled trials of pharmacological interventions for SARS-CoV-2: a cross-sectional analysis

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