Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population

Gajanan Gaude; Jyothi Hattiholi; Alisha Chaudhury

doi:doi:10.11648/j.sjcm.20140301.12

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Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population

Gajanan Gaude, Jyothi Hattiholi, Alisha Chaudhury

Published in Science Journal of Clinical Medicine (Volume 3, Issue 1)

Received: 24 November 2013 Published: 30 December 2013

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Abstract

Background: Considering the prevalence and associated burden of disease due to bronchial asthma, it is mandatory to obtain an optimal control of the disease and to improve outcomes for these patients. Asthma control and treatment compliance are widely investigated issues around the world. But it has been observed that there is very poor adherence to the inhalational therapy which leads to the sub-optimal control of the disease. Objectives of the study: To investigate the adherence for anti-asthma inhalational medications in adults with bronchial asthma. Methodology: A prospective study was done in a total of 400 bronchial asthma patients over a period of 2 years. Once included in the study, the patients were followed up for a total of 12 weeks for calculation of non-adherence to the aerosol therapy. Results: A total of 400 patients of bronchial asthma who were started on inhalational therapy were included in the study. At the end of 12 weeks, it was observed that, only 154 patients (38.5%) had regular compliance and 246 patients (61.5%) were non-compliant to aerosol therapy as prescribed for bronchial asthma. Factors that were associated with poor compliance were: lower educational level status, poor socio-economic status, cumbersome regimens, dislike of medication and distant pharmacies. Non-Drug factors that reduced the compliance were: fears about side effects, anger about condition or its treatment, forgetfulness or complacency and patient’s ill attitudes toward health. Conclusion: Noncompliance in asthma management is a fact of life and no single compliance-improving strategy probably will be as effective as a good physician–patient relationship. Optimal self-management allowing for optimization of asthma control by adjustment of medications may be conducted by either self-adjustment with the aid of a written action plan or by regular medical review.

Published in	Science Journal of Clinical Medicine (Volume 3, Issue 1)
DOI	10.11648/j.sjcm.20140301.12
Page(s)	4-9
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Bronchial Asthma, Compliance, Non-Adherence, Health Education

References

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[21]	Dimatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: Meta analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med 2000; 160: 2101-2107.
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APA Style

Gajanan Gaude, Jyothi Hattiholi, Alisha Chaudhury. (2013). Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population. Science Journal of Clinical Medicine, 3(1), 4-9. https://doi.org/10.11648/j.sjcm.20140301.12

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ACS Style

Gajanan Gaude; Jyothi Hattiholi; Alisha Chaudhury. Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population. Sci. J. Clin. Med. 2013, 3(1), 4-9. doi: 10.11648/j.sjcm.20140301.12

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AMA Style

Gajanan Gaude, Jyothi Hattiholi, Alisha Chaudhury. Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population. Sci J Clin Med. 2013;3(1):4-9. doi: 10.11648/j.sjcm.20140301.12

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@article{10.11648/j.sjcm.20140301.12,
  author = {Gajanan Gaude and Jyothi Hattiholi and Alisha Chaudhury},
  title = {Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population},
  journal = {Science Journal of Clinical Medicine},
  volume = {3},
  number = {1},
  pages = {4-9},
  doi = {10.11648/j.sjcm.20140301.12},
  url = {https://doi.org/10.11648/j.sjcm.20140301.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20140301.12},
  abstract = {Background: Considering the prevalence and associated burden of disease due to bronchial asthma, it is mandatory to obtain an optimal control of the disease and to improve outcomes for these patients. Asthma control and treatment compliance are widely investigated issues around the world. But it has been observed that there is very poor adherence to the inhalational therapy which leads to the sub-optimal control of the disease. Objectives of the study: To investigate the adherence for anti-asthma inhalational medications in adults with bronchial asthma. Methodology: A prospective study was done in a total of 400 bronchial asthma patients over a period of 2 years.  Once included in the study, the patients were followed up for a total of 12 weeks for calculation of non-adherence to the aerosol therapy. Results: A total of 400 patients of bronchial asthma who were started on inhalational therapy were included in the study. At the end of 12 weeks, it was observed that, only 154 patients (38.5%) had regular compliance and 246 patients (61.5%) were non-compliant to aerosol therapy as prescribed for bronchial asthma. Factors that were associated with poor compliance were: lower educational level status, poor socio-economic status, cumbersome regimens, dislike of medication and distant pharmacies. Non-Drug factors that reduced the compliance were: fears about side effects, anger about condition or its treatment, forgetfulness or complacency and patient’s ill attitudes toward health. Conclusion: Noncompliance in asthma management is a fact of life and no single compliance-improving strategy probably will be as effective as a good physician–patient relationship. Optimal self-management allowing for optimization of asthma control by adjustment of medications may be conducted by either self-adjustment with the aid of a written action plan or by regular medical review.},
 year = {2013}
}

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TY  - JOUR
T1  - Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population
AU  - Gajanan Gaude
AU  - Jyothi Hattiholi
AU  - Alisha Chaudhury
Y1  - 2013/12/30
PY  - 2013
N1  - https://doi.org/10.11648/j.sjcm.20140301.12
DO  - 10.11648/j.sjcm.20140301.12
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 4
EP  - 9
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20140301.12
AB  - Background: Considering the prevalence and associated burden of disease due to bronchial asthma, it is mandatory to obtain an optimal control of the disease and to improve outcomes for these patients. Asthma control and treatment compliance are widely investigated issues around the world. But it has been observed that there is very poor adherence to the inhalational therapy which leads to the sub-optimal control of the disease. Objectives of the study: To investigate the adherence for anti-asthma inhalational medications in adults with bronchial asthma. Methodology: A prospective study was done in a total of 400 bronchial asthma patients over a period of 2 years.  Once included in the study, the patients were followed up for a total of 12 weeks for calculation of non-adherence to the aerosol therapy. Results: A total of 400 patients of bronchial asthma who were started on inhalational therapy were included in the study. At the end of 12 weeks, it was observed that, only 154 patients (38.5%) had regular compliance and 246 patients (61.5%) were non-compliant to aerosol therapy as prescribed for bronchial asthma. Factors that were associated with poor compliance were: lower educational level status, poor socio-economic status, cumbersome regimens, dislike of medication and distant pharmacies. Non-Drug factors that reduced the compliance were: fears about side effects, anger about condition or its treatment, forgetfulness or complacency and patient’s ill attitudes toward health. Conclusion: Noncompliance in asthma management is a fact of life and no single compliance-improving strategy probably will be as effective as a good physician–patient relationship. Optimal self-management allowing for optimization of asthma control by adjustment of medications may be conducted by either self-adjustment with the aid of a written action plan or by regular medical review.
VL  - 3
IS  - 1
ER  -

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Author Information

Gajanan Gaude

Department of Pulmonary Medicine, KLE University’s Jawaharlal Nehru Medical College, Belgaum, Karnataka, INDIA
Jyothi Hattiholi

Department of Pulmonary Medicine, KLE University’s Jawaharlal Nehru Medical College, Belgaum, Karnataka, INDIA
Alisha Chaudhury

Department of Pulmonary Medicine, KLE University’s Jawaharlal Nehru Medical College, Belgaum, Karnataka, INDIA

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APA Style

Gajanan Gaude, Jyothi Hattiholi, Alisha Chaudhury. (2013). Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population. Science Journal of Clinical Medicine, 3(1), 4-9. https://doi.org/10.11648/j.sjcm.20140301.12

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ACS Style

Gajanan Gaude; Jyothi Hattiholi; Alisha Chaudhury. Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population. Sci. J. Clin. Med. 2013, 3(1), 4-9. doi: 10.11648/j.sjcm.20140301.12

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AMA Style

Gajanan Gaude, Jyothi Hattiholi, Alisha Chaudhury. Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population. Sci J Clin Med. 2013;3(1):4-9. doi: 10.11648/j.sjcm.20140301.12

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@article{10.11648/j.sjcm.20140301.12,
  author = {Gajanan Gaude and Jyothi Hattiholi and Alisha Chaudhury},
  title = {Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population},
  journal = {Science Journal of Clinical Medicine},
  volume = {3},
  number = {1},
  pages = {4-9},
  doi = {10.11648/j.sjcm.20140301.12},
  url = {https://doi.org/10.11648/j.sjcm.20140301.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20140301.12},
  abstract = {Background: Considering the prevalence and associated burden of disease due to bronchial asthma, it is mandatory to obtain an optimal control of the disease and to improve outcomes for these patients. Asthma control and treatment compliance are widely investigated issues around the world. But it has been observed that there is very poor adherence to the inhalational therapy which leads to the sub-optimal control of the disease. Objectives of the study: To investigate the adherence for anti-asthma inhalational medications in adults with bronchial asthma. Methodology: A prospective study was done in a total of 400 bronchial asthma patients over a period of 2 years.  Once included in the study, the patients were followed up for a total of 12 weeks for calculation of non-adherence to the aerosol therapy. Results: A total of 400 patients of bronchial asthma who were started on inhalational therapy were included in the study. At the end of 12 weeks, it was observed that, only 154 patients (38.5%) had regular compliance and 246 patients (61.5%) were non-compliant to aerosol therapy as prescribed for bronchial asthma. Factors that were associated with poor compliance were: lower educational level status, poor socio-economic status, cumbersome regimens, dislike of medication and distant pharmacies. Non-Drug factors that reduced the compliance were: fears about side effects, anger about condition or its treatment, forgetfulness or complacency and patient’s ill attitudes toward health. Conclusion: Noncompliance in asthma management is a fact of life and no single compliance-improving strategy probably will be as effective as a good physician–patient relationship. Optimal self-management allowing for optimization of asthma control by adjustment of medications may be conducted by either self-adjustment with the aid of a written action plan or by regular medical review.},
 year = {2013}
}

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TY  - JOUR
T1  - Poor Compliance to Inhaler Therapy in Bronchial Asthma Patients –A Prospective Study in General Population
AU  - Gajanan Gaude
AU  - Jyothi Hattiholi
AU  - Alisha Chaudhury
Y1  - 2013/12/30
PY  - 2013
N1  - https://doi.org/10.11648/j.sjcm.20140301.12
DO  - 10.11648/j.sjcm.20140301.12
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 4
EP  - 9
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20140301.12
AB  - Background: Considering the prevalence and associated burden of disease due to bronchial asthma, it is mandatory to obtain an optimal control of the disease and to improve outcomes for these patients. Asthma control and treatment compliance are widely investigated issues around the world. But it has been observed that there is very poor adherence to the inhalational therapy which leads to the sub-optimal control of the disease. Objectives of the study: To investigate the adherence for anti-asthma inhalational medications in adults with bronchial asthma. Methodology: A prospective study was done in a total of 400 bronchial asthma patients over a period of 2 years.  Once included in the study, the patients were followed up for a total of 12 weeks for calculation of non-adherence to the aerosol therapy. Results: A total of 400 patients of bronchial asthma who were started on inhalational therapy were included in the study. At the end of 12 weeks, it was observed that, only 154 patients (38.5%) had regular compliance and 246 patients (61.5%) were non-compliant to aerosol therapy as prescribed for bronchial asthma. Factors that were associated with poor compliance were: lower educational level status, poor socio-economic status, cumbersome regimens, dislike of medication and distant pharmacies. Non-Drug factors that reduced the compliance were: fears about side effects, anger about condition or its treatment, forgetfulness or complacency and patient’s ill attitudes toward health. Conclusion: Noncompliance in asthma management is a fact of life and no single compliance-improving strategy probably will be as effective as a good physician–patient relationship. Optimal self-management allowing for optimization of asthma control by adjustment of medications may be conducted by either self-adjustment with the aid of a written action plan or by regular medical review.
VL  - 3
IS  - 1
ER  -

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