Differences in Adherence Barriers to Inhaled Medicines between Japanese Patients with Chronic Obstructive Pulmonary Disease and Asthma Evaluated using the "Adherence Starts with Knowledge 20" (ASK-20) Questionnaire

Toyama, Takanori; Kawayama, Tomotaka; Kinoshita, Takashi; Imamura, Yohei; Yoshida, Makoto; Takahashi, Koichiro; Fujii, Kenichi; Higashimoto, Ikkou; Hoshino, Tomoaki

doi:10.2169/internalmedicine.0488-17

Cited by 13 publications

(19 citation statements)

References 36 publications

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“…This association between medication knowledge and adherence was supported by a recent study in Japan that investigated the adherence barriers to inhaled medicines based on knowledge questions among asthma and COPD patients. [ 14 ] Similar association was also demonstrated in previous studies conducted in other chronic diseases. [ 8,10,24 ] In regard to gender and age, males and older participants demonstrated a higher adherence percentage in our study.…”

Section: Discussionsupporting

confidence: 86%

“…[ 13 ] In addition, a recent study in Japan indicated that recognition of adherence barriers to inhaled medicine among adult asthma patients will help in personalizing patient education. [ 14 ] However, few studies in the Eastern Mediterranean Region were conducted among asthma patients to investigate the level of patients' medication knowledge and adherence. In Saudi Arabia, AlOtaibi et al found that parents had poor knowledge about asthma medication in their children.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of medication knowledge among patients with asthma

Almomani

Altawalbeh

Alnajjar

et al. 2020

Journal of Pharmaceutical Health Services Research

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Objectives Asthmatic patient's knowledge about their treatment can affect asthma control and adherence level. This study investigated the level of medication knowledge, the level of adherence and factors affecting both knowledge and adherence in adult patients with asthma. Methods A cross‐sectional study was carried out in Jordan between 2017 and 2018. A face‐to‐face interview was conducted by a clinical pharmacist with asthma patients attending hospital pharmacies for refilling their prescriptions. Key findings A total of 218 adults with asthma were included into the study and 60.6% were knowledgeable about their medications. University degree education (OR = 3.67; P value < 0.001), positive family history of asthma (OR = 1.89; P value = 0.04) and longer asthma duration (OR = 1.03; P value = 0.049) were significantly associated with a high medication knowledge. On the other hand, married participants were less knowledgeable than single ones (OR = 0.30; P value = 0.041). High medication knowledge score (OR = 4.76, P value = 0.008), older age (OR = 1.06, P value = 0.004) and male gender (OR = 3.82, P value = 0.01) were significant predictors of high medication adherence. Conclusions These findings highlight the importance of educational programmes that should be conducted in primary healthcare settings, such as community pharmacies, where pharmacists should educate patients about their medication and the importance of adherence.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Assessment of medication knowledge among patients with asthma

Almomani

Altawalbeh

Alnajjar

et al. 2020

Journal of Pharmaceutical Health Services Research

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“…Poor adherence to medications often results in increased frequency of exacerbations and mortality among COPD patients. (4) In this study with 403 patients, 32% were reported adherence to COPD medications while 68% reported non adherence which was inconsistent with the study by T Agh et al who reported 58.2% of adherence. (5) A significant association was found between adherence and variables such as gender, literacy, polypharmacy, socioeconomic status, delivery devices of inhaled medications and climate.…”

Section: Discussioncontrasting

confidence: 80%

Assessment of Medication Adherence Barriers in COPD Patients in A Secondary Care Teaching Hospital

Philip¹,

Mohanan²,

Shine³

et al. 2020

J. Drug Delivery Ther.

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Background: COPD is characterised by persistent airway obstruction in which better clinical outcome can be attained by appropriate management of disease. Adherence to COPD medication is poorly understood due to chronic nature of the disease. It is crucial to identify the barriers of non-adherence to build up and execute policies and interventions to upgrade medication adherence. Objective: To identify the predisposing barriers of medication adherence and to find the association between medication adherence and variables. Methods: A descriptive analytical study was conducted and data was collected from COPD outpatients. The Morisky Medication Adherence Scale was used to measure adherence and self-assessed questionnaire was employed to identify the predictors of poor adherence. Chi square test was carried out to find the relationship between medication adherence and variables such as age, gender, literacy, socioeconomic class, polypharmacy, delivery device and climate. Results: A total of 403 patients were involved in the study where 68% reported lower adherence. The most common adherence barriers found were forgetfulness (88%), intentional stoppage of medicines when symptoms improve (83%) and negligence towards medication (82%).A significant association was found between gender, literacy, socioeconomic class, polypharmacy, delivery device and climate. Conclusion: Adherence to medication regimen in COPD patients is poor, even though it is a preventable and a treatable disease. Well-structured education, training, counseling is required to overcome medication adherence particularly among illiterate and low socioeconomic class patients. The combined interventions should be used such as video clips demonstrations of inhaler technique should be given. Keywords: COPD, Morisky medication adherence scale, Chi square test.

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“…A shorter version with 12 items (ASK-12) has been validated 25. The ASK-20 has been used in patients with COPD and asthma26…”

Section: Assessing Treatment Adherence In Patients With Copdmentioning

confidence: 99%

<p>Status of and strategies for improving adherence to COPD treatment</p>

Lόpez-Campos¹,

Gallego²,

Hernández³

2019

COPD

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Despite the wide application of adherence as a concept, the definition, evaluation and improvement of the adherence to treatment by patients with chronic obstructive pulmonary disease (COPD) still present some challenges. First, it is necessary to clearly define the concepts of treatment adherence, compliance and persistence. Second, it is critical to consider the various methods of evaluating and quantifying adherence when interpreting adherence studies. In addition, the advantages and disadvantages of the different ways of measuring treatment adherence should be taken into account. Another subject of some debate is the number of variables associated with COPD treatment adherence. Adherence is a complex concept that goes beyond the dosage or the use of inhalation devices, and a number of variables are involved in determining adherence, from the clinical aspects of the disease to the patient's confidence in the doctor's expertise and the level of social support experienced by the patient. Notably, despite these challenges, the importance of adherence has been well established by clinical trials and routine clinical practice. The available evidence consistently shows the substantial impact that a lack of adherence has on the control of the disease and its longterm prognosis. For these reasons, the correct evaluation of therapeutic adherence should be a key objective in clinical interviews of patients. In recent years, various initiatives for improving adherence have been explored. All these initiatives have been based on patient education. Therefore, health care professionals should be aware of the issues pertaining to adherence and take the opportunity to educate patients each time they contact the health care system.

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Differences in Adherence Barriers to Inhaled Medicines between Japanese Patients with Chronic Obstructive Pulmonary Disease and Asthma Evaluated using the "Adherence Starts with Knowledge 20" (ASK-20) Questionnaire

Cited by 13 publications

References 36 publications

Assessment of medication knowledge among patients with asthma

Assessment of medication knowledge among patients with asthma

Assessment of Medication Adherence Barriers in COPD Patients in A Secondary Care Teaching Hospital

<p>Status of and strategies for improving adherence to COPD treatment</p>

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