Patients’ beliefs and behaviors related to treatment adherence in patients with asthma requiring maintenance treatment in Asia

Chiu, Kuo Chin; Boonsawat, Watchara; Cho, Sang Heon; Cho, Y. J.; Hsu, Jeng Yuan; Liam, Chong Kin; Muttalif, Abdul Razak; Nguyen, H. D.; Nguyen, Vinh Nhu; Wang, C.; Kwon, Namhee

doi:10.3109/02770903.2014.898772

Cited by 44 publications

(67 citation statements)

References 18 publications

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“…Chiu et al [45] did not specify in which six Asian countries they conducted their study and two studies [65,69] did not state the country.…”

Section: Locationmentioning

confidence: 99%

“…Participants in 7 (19%) of the studies [45,48,58,61,67,68,71] expressed concern about the effectiveness of their asthma medicines. These concerns related to factors such as symptoms still being experienced regardless of preventers being taken [71] and medicines not being effective when they were most needed [68].…”

Section: Perceived Need For Treatmentmentioning

confidence: 99%

“…16 (44%) of the studies reported on patients using preventer asthma medications [33,39,41,44,[50][51][52][54][55][56]62,66,68,[70][71][72], seven (19%) on a combination of preventer and reliever therapies [13,42,45,47,48,67,69]; eight (22%) on different treatments for different groups within the studies (monotherapy and combination therapies) [49,53,[57][58][59]61,63,64]. In five (14%) of the studies, no type of medication was stated [40,43,46,60,65].…”

Section: Prescribed Medicationmentioning

confidence: 99%

“…Studies used either validated questionnaires or designed study-specific questions, with some studies using more than one questionnaire. Twenty-four of the studies (67%) [13,39,41,42,[44][45][46][48][49][50][52][53][54]56,57,60,61,65,[67][68][69][70][71][72] used specifically designed study-specific questions to explore patients' perceptions of treatment including beliefs, behaviours and attitudes toward medications. The validated Beliefs about Medicines Questionnaire (BMQ), which measures patient treatment beliefs, was used in 12 (33%) studies [33,40,43,47,51,55,58,59,[62][63][64]66], whilst five (14%) used the validated Illness Perceptions Questionnaire [33,43,58,59,66] which elicits patient beliefs about their illness.…”

Section: Psychological Componentmentioning

confidence: 99%

“…26 (72%) of the included studies had adult participants (≥20 years old) [33,[39][40][41][42][44][45][46][47]49,50,52,[54][55][56][57][58][59][61][62][63][64]66,[68][69][70] and 6 (17%) adolescents (between 12 and 20 years) [13,51,65,67,71,72]. The age threshold for adult and adolescent participants within this review was guided by the age categories used in a study by Wamboldt et al [72] who categorised patients between 12 and 20 years old as adolescents.…”

Section: Participantsmentioning

confidence: 99%

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Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence

Lycett¹,

Wildman²,

Raebel³

et al. 2018

Respiratory Medicine

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Background: Non-adherence to asthma treatment is a contributing factor for poorly controlled asthma. Aim: The aim of this systematic review is to explore patients' perceptions of their inhaled asthma treatment, and how these relate to adherence, using both qualitative and quantitative data. Methods: Pre-determined search terms and inclusion criteria were used to search electronic databases (The Cochrane Library, MEDLINE, EMBASE and PsycINFO). Two researchers screened titles and abstracts using the Rayyan web app and data were extracted in relation to psychological components (beliefs about, and attitudes towards, medicines) and adherence. Results: Of 1638 papers, 36 met the inclusion criteria. Key themes were: Perceived need for treatment -all 12 studies using the BMQ to measure patients' perceived need for treatment found that patients' beliefs about their necessity for treatment were associated with adherence-; Concerns about treatment -immediate and longterm side effects (58%), worries about safety (19%), and potential addiction to asthma medication (31%)-; and Perceived social stigma -22% of studies reported that embarrassment contributed to poor adherence. Conclusions: Acknowledging and addressing patient treatment beliefs and perceptual barriers to adherence is integral to designing adherence interventions for asthma patients. Further research is needed to better our understanding of the relationship between treatment perceptions and adherence.

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“…Chiu et al [45] did not specify in which six Asian countries they conducted their study and two studies [65,69] did not state the country.…”

Section: Locationmentioning

confidence: 99%

Section: Perceived Need For Treatmentmentioning

confidence: 99%

Section: Prescribed Medicationmentioning

confidence: 99%

Section: Psychological Componentmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

See 3 more Smart Citations

Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence

Lycett¹,

Wildman²,

Raebel³

et al. 2018

Respiratory Medicine

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Effect of motivational interviewing on treatment adherence and self‐efficacy of adolescents with asthma: A randomized controlled trial

Taheri

Nasiri

Namdari³

et al. 2023

Nursing Open

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Asthma is a chronic allergic disorder affecting more than 300 million people in the world, almost 60% of which are children (Gomes et al., 2017). In Iran, 1.6%-11.26% of children and adolescents suffer from asthma (Faraji et al., 2020). Despite the scientific and technological advances in the treatment of asthma, 260,000 people die each year due to the disease. More than 5 million children and adolescents are victims of asthma worldwide (Zarei et al., 2014).Although asthma is most often diagnosed during childhood, when

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Disease Burden of Mild Asthma: Findings from a Cross-Sectional Real-World Survey

Ding

Small

2017

Adv Ther

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IntroductionMost asthma patients have mild disease, although the burden of mild asthma is not well understood nor studied. Some evidence suggests that many patients with mild asthma experience suboptimal symptom control and exacerbations. This study characterizes the burden of illness and treatment patterns among patients with a confirmed diagnosis of mild asthma, defined as GINA Step 1 or Step 2, and residing in China, France, Germany, Italy, Japan, Spain, the United Kingdom, or the United States.MethodsThe Respiratory Disease-Specific Programme prospective cross-sectional survey was conducted with primary care and specialty physicians in each of the eight countries. Physician and patient surveys assessed demographic and clinical characteristics, frequency and timing of asthma symptoms, exacerbations, and rescue inhaler usage, the most recent FEV1% predicted, and healthcare utilization. GINA Step was determined by prescribed treatment regimen. GINA Step 1 patients were prescribed as-needed reliever medication and Step 2 required treatment with a low-dose inhaled corticosteroid, leukotriene receptor antagonist, or theophylline. Treatment adherence was assessed with the Morisky Medication Adherence scale, disease control with the Asthma Control Test, and work and activity impairments with the Work Productivity and Activity Impairment scale.ResultsThe sample included 1115 GINA Step 1 and 2 patients, with 53% classified as Step 2. Overall asthma control was suboptimal, with reports of nocturnal symptoms (40.6%), symptom worsening (10.5%), and rescue inhaler usage in the last 4 weeks (33.6%). 25% of patients were uncontrolled. The overall mean number of exacerbations in the last 12 months was 0.4, with a higher frequency of exacerbations in Step 2 patients who also experienced more exacerbations requiring treatment intensification, an emergency department visit, or hospitalization.ConclusionMild asthma imposes a substantial burden on patients, establishing the need for comprehensive management plans and ongoing support for treatment adherence.FundingAstraZeneca.

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Patients’ beliefs and behaviors related to treatment adherence in patients with asthma requiring maintenance treatment in Asia

Cited by 44 publications

References 18 publications

Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence

Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence

Effect of motivational interviewing on treatment adherence and self‐efficacy of adolescents with asthma: A randomized controlled trial

Disease Burden of Mild Asthma: Findings from a Cross-Sectional Real-World Survey

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