Adherence to prophylactic asthma medication: Habit strength and cognitions

Bolman, Catherine; Arwert, Titia G.; Völlink, Trijntje

doi:10.1016/j.hrtlng.2010.02.003

Cited by 65 publications

(75 citation statements)

References 52 publications

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“…Adherence was related to higher income in three out of eight reported results [34,40,[53][54][55][57][58][59]; more prescription coverage in one out of four results [34,40,45,59]; lower treatment costs in two out of seven results [47,54,55,61,77]; and lower perceptions of social norms in one out of three results [68,72,77]. Several other variables were identified in fewer than three results and were found to be unrelated to adherence: geographical area [47]; urban location [59]; immigration status [52]; crime rate in area of residence [54]; social modelling [68]; and social support [40,68]. Minority status was related to adherence in one result [34], and employment status in one out of two results [52,59].…”

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%

“…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]. A better ability to perceive changes in asthma symptoms was related to adherence in three of five results [51,58], while lower confidence in the ability to monitor symptoms was related to adherence in one of three results [41,53].…”

Section: Nrmentioning

confidence: 98%

“…Numerous other patient-level variables were examined in fewer than three analyses, most with nonsignificant results: general health status and body mass index [57]; marital status [48]; number of causal attributions for asthma [38]; extent of attributing asthma to internal causes [41]; general health self-efficacy [65]; self-control [45]; and various personality and medical history characteristics [34,39,45,52,58,62,68,69,71,73,74]. Several exceptions referred to better adherence in people who consider medication as less harmful (two results [60]), display lower neuroticism, higher agreeableness and conscientiousness (one out of two results [69,74]), and believe more strongly that their asthma can be controlled [38,41].…”

Section: Nrmentioning

confidence: 99%

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

et al. 2014

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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

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Section: Methodsmentioning

confidence: 99%

Section: Nrmentioning

confidence: 97%

Section: Nrmentioning

confidence: 98%

Section: Nrmentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2014

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“…Severity may impact on adherence differently depending on which disease is involved. In asthma, more severity has been shown to promote adherent behaviour (Bolman, Arwert, & Völlink, 2011). In ADHD, children with more serious ADHD symptoms had poor adherence (Gau et al, 2008).…”

Section: Factors With Possible Influence On Adherence Behaviour In Asmentioning

confidence: 99%

Treatment adherence in Asthma and Attention Deficit Hyperactivity Disorder (ADHD), Personality traits, Beliefs about medication and Illness perception

Emilsson¹

2017

Linköping University Medical Dissertations

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Adherence to medication in asthma and attention deficit hyperactivity disorder (ADHD) is important because medication may prevent serious consequences, possibly with lifelong effects. Several factors have been identified that influence adherence to medication in these disorders, but the importance of personality traits, beliefs about medication and illness perception has been insufficiently explored. The overall aim of this thesis was to study adherence to medication in asthma and ADHD, and in particular factors associated with adherence.The participants (n=268) in Study I were recruited epidemiologically and consisted of young adults with asthma, aged 22 years (±1 year). Impulsivity and, in men Antagonism and Alexithymia were associated with low adherence among respondents with regular asthma medication (n=109). The participants (n=35) in Study II were recruited from primary care clinics and consisted of adults (mean age 53 years). In men, Neuroticism was associated with low adherence, but Conscientiousness with high adherence. Beliefs about the necessity of medication were positively associated with adherence behaviour in women. In the total sample, a positive necessity-concern differential of beliefs predicted higher adherence. The participants in Study III, IV (n=101) and V (n=99) were recruited from Child and Adolescent Psychiatric clinics and consisted of adolescents with ADHD on long-term ADHD medication. Study IV assessed the reliability and validity of Swedish translations of the Beliefs about Medicines Questionnaire-specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with ADHD. Exploratory Principal Component Analysis (PCA) loadings of the BMQ-Specific items confirmed the original components, the specific-necessity and specific-concerns. The exploratory PCA for B-IPQ revealed two components; the first one, B-IPQ Consequences, captured questions regarding perceptions of the implication of having ADHD (items 1, 2, 5, 6 and 8) and the second one, B-IPQ-Control, the perceptions of the ability to manage the ADHD disorder (items 3, 4 and 7). Adherence correlated positively with BMQnecessity-concern differential but negatively with beliefs about medication regarding concerns and side effects as well as Antagonism. Adolescents with more beliefs in the necessity, but with less concerns and side effects were less intentionally non-adherent. Adolescents with more perceptions that ADHD affected life showed less unintentional non-adherence. Negative Affectivity was associated with beliefs in the necessity of medication, but also with concern about medication and side effects. Negative Affectivity was positively associated with perceived consequences in life caused by ADHD and less control over ADHD. Hedonic Capacity was associated with less concerns about medication. In conclusion: In asthma and ADHD, adherence was associated with personality and beliefs about medications treatment. The personality traits showed numerous associations with perception about ADHD a...

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