Treatment Adherence in Patients with Obstructive Pulmonary Diseases

Homętowska, Henryka; Świątoniowska-Lonc, Natalia; Klekowski, Jakub; Chabowski, Mariusz; Jankowska‐Polańska, Beata

doi:10.3390/ijerph191811573

Cited by 11 publications

(15 citation statements)

References 28 publications

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“…A previous study in Poland reported moderate level of adherence to medications among patients with COPD. 41 This research found that 74% of patients had sporadic noncompliance and concluded that patients with obstructive lung diseases have moderate medication adherence. 41 In addition, they found that the influence of beliefs about medicines on drug adherence is substantial.…”

Section: Discussionmentioning

confidence: 98%

Prevalence and Knowledge of Respiratory Symptoms Among the General Public in the Southern Area of Najran, Saudi Arabia: A Cross-Sectional Health Survey Study

Alyami,

Naser,

Alyami

et al. 2023

IJGM

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Objective To investigate the knowledge, prevalence of chronic respiratory disorders, and utilization of their medications among the adults at Najran region, Saudi Arabia. Methods An online cross-sectional survey was carried out in Najran region, Saudi Arabia. A self-administered questionnaire was distributed among a random sample of the general population, aged 18 or above between March and December 2022. The survey instrument included questions regarding history and exposure, physician diagnosed-disorders, respiratory symptoms, allergy, use of medications and possible risk-related factors. Results This research had a total of 712 individuals. Nearly one-third of the participants in the survey (n = 218; 30.6%) said that they or a member of their family suffer from respiratory ailments. The majority of research participants (n = 167; 76.8%) identified asthma as their primary respiratory condition. A total of 32.0% of participants (n = 70) reported dealing with dust or chemicals such as paints, fertilizers, and cleaning products on a daily basis at work or at home. Around 62.0% of the participants (n = 134) said that exposure to gases, fragrances, and other such substances negatively impacts their health. Almost 78.0% (n = 169) of them indicated that summer weather affects their health, whereas 63.0% (n = 138) reported that winter cold affects their health. Participants aged 41–50 years were 38.0% less likely to have CRDs compared to others (p < 0.05). Conclusion This study is among the first few studies that explored the knowledge, prevalence of chronic respiratory disorders, and utilization of their medications among the adults at Najran region, Saudi Arabia. In the southern area of Najran, respiratory symptoms are frequent among the inhabitants of Saudi Arabia. More research is required to discover avoidable risk factors and create countermeasures for them. It is recommended that healthcare personnel increase their efforts to educate their patients about respiratory illness prevention methods.

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Section: Discussionmentioning

confidence: 98%

Prevalence and Knowledge of Respiratory Symptoms Among the General Public in the Southern Area of Najran, Saudi Arabia: A Cross-Sectional Health Survey Study

Alyami,

Naser,

Alyami

et al. 2023

IJGM

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“…The beliefs about continued inhaler use being harmful (better not to use daily, use as little as possible) are relevant to our questionnaire, in reference to the Horne model's "concerns about treatment" factor. These beliefs are included in factor 1 and are coincident with the BMQ's "Belief that medicines are harmful" factor, which is related to low adherence [24].…”

Section: Discussionmentioning

confidence: 99%

“…This perception of the need for treatment varies according to the intentionality of nonadherence: patients with intentional non-adherence had a lower perception of the need for their medication and a higher level of concerns about it due to adverse effects or habituation, among other aspects, compared to adherent patients [23]. Recent research confirms that the perceived need for inhaled medication is related to increased adherence, while the belief that these medications are harmful is a determinant of poor adherence [24].…”

Section: Introductionmentioning

confidence: 99%

Validation of an Inhaled Therapy Beliefs Questionnaire in Patients with Chronic Obstructive Pulmonary Disease

Muñoz-Cobos,

Aguiar-Leiva,

Argüello-Suárez

et al. 2024

JCM

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Background: To carry out a validation questionnaire that assesses beliefs about inhaled treatments in patients with chronic obstructive pulmonary disease (COPD), as knowing patients’ beliefs could help to improve medication adherence and health outcomes. Methods: We evaluated data from 260 COPD patients from electronic medical record databases from five primary healthcare centers, in a descriptive, cross-sectional study with a sample size calculated for a 10-item questionnaire, with an estimated Cronbach’s alpha of 0.70 and a 95% confidence level. Study participants were selected via systematic random sampling. Variables: Ten-item Inhaled Therapy Beliefs Questionnaire, CCTI-Questionnaire v.2.0, time for completion, age, sex, educational level, spirometry severity (GOLD criteria), exacerbations (previous year), characteristics of inhaled treatment, and smoking habit. A two-year follow-up in a subsample of 77 patients from one health center was utilized. The Morisky–Green test, pharmacy dispensing data, test–retest (kappa coefficient), and an exploratory analysis of the adherence–belief relationship (ji-squared) were measured. Results: The 10-item questionnaire showed good viability (3 min completion time) when performed face-to-face or telephonically; its psychometric properties were acceptable, with an internal consistency (Cronbach’s alpha) score of 0.613. Three factors explained 47.58% of the total variance (p < 0.0001): use (factor 1), effects (factor 2), and objectives (factor 3) of inhalers. The two-year follow-up ultimately considered 58 out of the 77 patients (10 deceased, 4 unlocated, 2 mistakes, 2 no inhaled treatment, and 1 withdrawal). Non-adherence was 48.3% in terms of the Morisky–Green test; 31% in terms of pharmacy dispensing data; and 40.4% considering both methods. There was low test–retest reliability, indicated by items 4, 8, and 9 of the CCTI-Questionnaire (Kappa = 0.4, 0.26, and 0.34; p-value < 0.0001, 0.008, and 0.001, respectively). There was mild correlation between beliefs and adherence. Conclusions: The ten-item CCTI-Questionnaire v.2.0 demonstrated acceptable psychometric properties regarding feasibility, reliability, and content validity.

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“…Low adherence to treatment is an up-to-date challenge all around the world. Nearly half of patients with COPD have moderate and high compliance to long-term therapy and continuous exacerbation remission periods [ 20 ]. The remaining patients experience poor outcomes and reduced quality of life.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of physical therapy in patients with stage III COPD during ambulatory rehabilitation

Kuz,

Maliuvanchuk,

Herych

et al. 2023

JMedLife

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This study aimed to determine the efficacy of a combined physical therapy and pharmacological treatment for patients recovering from stage III COPD exacerbation. The efficacy of the rehabilitation program was assessed using anthropological parameters, physical condition, respiratory system function, and functional endurance capacity. Data were collected from 39 patients with stage III COPD who underwent the rehabilitation program. Physical and anthropometric assessments were conducted using the Quetelet Body Mass Index, the Pignet Index, and the Vital Capacity Index (VCI). The functional capacities of the cardiorespiratory system were measured before and after the rehabilitation program using the Ruffier and Ruffier-Dickson tests and the hypoxic Shtange and Genchi tests. Exercise tolerance was evaluated using the Harvard Step Test and the Six-Minute Walk Distance Test (6MWD). Statistical analysis was conducted using the non-parametric Mann–Whitney U test for independent and dependent groups. Participants were randomly divided into two groups for rehabilitation: Group I received standard therapy and a routine physical therapy program, while Group II was given standard therapy along with a modified physical therapy regimen. There was a slight improvement in patient condition during the rehabilitation period for both groups. However, there was a low compliance rate for smoking cessation among the majority of patients, with some reducing their daily cigarette intake. Further long-time research is required to determine the efficacy of the proposed physical therapy program in combination with basic pharmacological therapy. The study suggests incorporating psychotherapeutic sessions and occupational therapy into future rehabilitation programs.

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Treatment Adherence in Patients with Obstructive Pulmonary Diseases

Cited by 11 publications

References 28 publications

Prevalence and Knowledge of Respiratory Symptoms Among the General Public in the Southern Area of Najran, Saudi Arabia: A Cross-Sectional Health Survey Study

Prevalence and Knowledge of Respiratory Symptoms Among the General Public in the Southern Area of Najran, Saudi Arabia: A Cross-Sectional Health Survey Study

Validation of an Inhaled Therapy Beliefs Questionnaire in Patients with Chronic Obstructive Pulmonary Disease

Efficacy and safety of physical therapy in patients with stage III COPD during ambulatory rehabilitation

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