Asthma Adherence PDF Download

Author:
Publisher:
ISBN: 9781876122041
Category : Asthma
Languages : en
Pages : 24

View

Book Description

Author: Avani C. Modi
Publisher: Academic Press
ISBN: 0128160012
Category : Education
Languages : en
Pages : 456

View

Book Description
Adherence and Self-Management in Pediatric Populations addresses the contemporary theories, evidence-based assessments, and intervention approaches for common pediatric chronic illnesses. An introductory chapter summarizes the state of the field and provides a general foundation in adherence and self-management. Subsequent chapters focus on specific diseases, ensuring that the scope of knowledge contained therein is current and thorough, especially as the assessments and interventions can be specific to each disease. Case examples are included within each chapter to illustrate the application of these approaches. The book ends with an emerging areas chapter to illuminate the future of adherence science and clinical work. This book will be extremely helpful to professionals beginning to treat youth with suboptimal adherence or for those who conduct adherence research. Experts in the field will benefit from the synthesized literature to aid in clinical decision-making and advancing adherence science. Organized by disease for quick reference Provides case examples to illustrate concepts Incorporates technology-focused measurement and intervention approaches (mobile and electronic health) throughout

Author: Maria Emilsson
Publisher: Linköping University Electronic Press
ISBN: 9176854167
Category :
Languages : en
Pages : 94

View

Book Description
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 BMQ-necessity-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 and beliefs about asthma and ADHD medication. This thesis increases our understanding of these person-related underlying factors of non-adherence, which may enable targeted actions intended to turn non-adherence into adherence as well as to identify individuals at risk for non-adherence. The Swedish translation of BMQ-Specific and B-IPQ proved to be valid and reliable, suggesting that the scales are useful in clinical work to identify risks of low adherence and to increase knowledge about how adolescents perceive ADHD. Följsamhet till läkemedelsbehandling vid astma och ADHD (attention deficit hyperactivity disorder) är viktigt eftersom optimal behandling kan förebygga allvarliga och livslånga konsekvenser. Flera faktorer som påverkar följsamhetsbeteendet har tidigare identifierats exempelvis ekonomiska faktorer, men vikten av personlighetsdrag, uppfattning om läkemedel och sjukdomsuppfattning har tidigare inte undersökts tillräckligt. Det övergripande syftet för avhandlingen var att studera följsamhet till läkemedel hos personer med astma och ADHD och i synnerhet påverkande faktorer. Avhandlingen utgörs av fem delstudier. Personlighet kan beskrivas som grundläggande egenskaper som kännetecknar likheter och skillnader mellan individer, den så kallade egenskapsteorin. Personlighet kan beskrivas utifrån fem grundläggande personlighetsdrag: känslomässig instabilitet, utåtriktning, öppenhet, vänlighet och målmedvetenhet, den så kallade fem-faktor modellen. När det gäller uppfattning om läkemedel så vägs uppfattningen om nödvändigheten av läkemedelsbehandlingen för att kontrollera sjukdomen mot oron för läkemedlens negativa effekter-biverkningar. Följsamhetsbeteendet beror på vilken uppfattning som dominerar. Uppfattning om sjukdom påverkas bland annat av personens uppfattning om hur mycket sjukdomen påverkar personens liv och sjukdomens varaktighet. Resultaten av denna avhandling visar att följsamheten var högre hos tonåringar med ADHD än hos vuxna med astma. Följsamheten till astma- och ADHD-medicinering var signifikant associerad med uppfattning att läkemedel var nödvändigt såväl som personlighetsdragen, särskilt antagonism. Följsamheten var inte associerad med ålder eller kön. Med anledning av att kön är relaterad till andra faktorer bör det beaktas i utredning av följsamhet till läkemedel. Personlighetsdraget känslomässig instabilitet, var relaterat till många uppfattningar om läkemedlen och sjukdomsuppfattningar. Avhandlingen visar på sambandet mellan vissa personrelaterade faktorer och följsamhet till läkemedel, hos personer med astma och ADHD. Den svenska översättningen av frågeformulären: Uppfattning om läkemedel (BMQ-Specific) och Uppfattning om ADHD (B-IPQ) visade sig ha god kvalitet för användning i kliniska utvärderingar och forskning som involverar ungdomar med ADHD.

Author: Ye Sun
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages :

View

Book Description
Objective - Non-adherence to asthma medication is a common problem in patients with asthma, especially in children, leading to more frequent asthma exacerbations, ED visits and hospital admissions. Current methods of assessing adherence are unreliable. Electronic monitoring devices (EMDs) are more accurate means of assessing for adherence, but little is known about whether EMDs have a sustained effect on adherence in children. The objective of this study is to determine whether a mobile-based reminder system paired with EMD scan result in sustained improvement in adherence to asthma therapy over six months. Methods - Children (8-17 years) with physician-confirmed persistent asthma, managed through the pulmonary division of Connecticut Children's Medical Center, treated with a compatible daily inhaled corticosteroid, and with access to a smartphone were enrolled and randomized 2:1 to the intervention (EMD) or control (standard care) groups. Participants were followed at 3 and 6-months after enrollment. The intervention consists of the BreatheSmartTM EMD (one for controller and one for rescue inhaler) synced with a mobile application that sends reminders and captures adherence data in real time. The primary outcome was adherence assessed as proportion of days covered (PDC) based on pharmacy refill among children in the intervention group compared to control after 6 months. Secondary outcome was adherence based on EMD data. Results - 41 patients (29 in intervention, 12 in control) were enrolled. Adherence rates based on pharmacy refill at 6 months did not show any statistical significance between the intervention group compared to the control group (41% vs 31%, respectively; p=0.21). Average adherence rate at 6 months based on EMDs for the intervention group (n=26) was 27.4%. While there was an initial high rate of adherence immediately after enrollment, adherence rates dropped significantly over the span of the 6 months. Conclusion- Preliminary data suggest that adherence to controller therapy is no different among children utilizing an EMD with daily reminders when compared to a similar group of children receiving standard care. Despite an initial high rate of adherence with implementation of the intervention, such rates of adherence were not sustainable after 6 months.

Author: Kian Fan Chung
Publisher: European Respiratory Society
ISBN: 1849841047
Category : Medical
Languages : en
Pages : 360

View

Book Description
Severe asthma is a form of asthma that responds poorly to currently available medication, and its patients represent those with greatest unmet needs. In the last 10 years, substantial progress has been made in terms of understanding some of the mechanisms that drive severe asthma; there have also been concomitant advances in the recognition of specific molecular phenotypes. This ERS Monograph covers all aspects of severe asthma – epidemiology, diagnosis, mechanisms, treatment and management – but has a particular focus on recent understanding of mechanistic heterogeneity based on an analytic approach using various ‘omics platforms applied to clinically well-defined asthma cohorts. How these advances have led to improved management targets is also emphasised. This book brings together the clinical and scientific expertise of those from around the world who are collaborating to solve the problem of severe asthma.

Author: Heidi L. Hillman
Publisher:
ISBN:
Category : Asthma
Languages : en
Pages : 142

View

Book Description
"The effects of an asthma education and self-management skills training program were investigated across adults with asthma. The first objective was to evaluate the effects of an asthma education and self-management skills training program on asthma medication adherence. The second objective was to see if peak flow would increase as medication adherence increased. Five participants who were non-adherent to their medication regimen were exposed to the education and self-management skills training components using a multiple baseline design across participants. During asthma education participants were taught about asthma, how to manage it using medication as well as the effects of medication adherence. During the self-management skills training participants were taught how to take an active role in managing their asthma as well as how to utilize a peak flow meter to determine lung capacity. The results indicated that the asthma education and self-management skills training have the potential to increase medication adherence. Although, the results do not indicate a strong correlation between increased medication adherence and increased peak flow measures"--Document.

Author: Sarah E. Voorhees
Publisher:
ISBN:
Category : Psychology
Languages : en
Pages : 172

View

Book Description
Asthma is a chronic respiratory illness that has become major public health concern due to its rapid increase in prevalence and increasing economic burden. Asthma management, which includes asthma control, perceived control of asthma and medication adherence, has been documented to be extremely poor. One of the main reasons for poor management includes low rates of medication adherence. The primary goal of this research study was to identify factors related to medication adherence that can eventually be integrated into clinical practice. Identifying these factors would help increase adherence rates and decrease the burden of asthma on individuals as well as the entire population. The current study examined how individual variables are related to medication adherence in patients with asthma. Research has indicated that patients with high perceived stress are less likely to adhere to a prescribed medication regimen. Social problem-solving, which is the affective, cognitive and behavioral way individuals approach real world problems, is related to the management of various chronic conditions and may moderate the relationship between perceived stress and adherence outcomes. Adult asthma patients for this study were recruited from two different medical sites: an allergy and asthma private practice located in New Jersey and Drexel Pulmonary Medicine located in Philadelphia, PA. Self-report data was collected from participants (N = 104) including demographic information, asthma control, perceived control of asthma, perceived stress, social problem-solving behaviors and medication adherence. Additional patient information was gathered using patient medical and pharmacy records. Bivariate correlational analyses demonstrated positive associations between perceived stress and dysfunctional social problem-solving tendencies and negative associations between perceived stress and self-report adherence. Lower perceived stress was also associated with more adaptive social problem-solving tendencies and higher asthma control. Lower perceived control of asthma was associated with the dysfunctional social problem-solving dimensions and higher pharmacy reports of adherence. Analyses also revealed relationships between higher self-report adherence and more adaptive problem-solving abilities. A hierarchical regression analysis revealed that lower perceived control of asthma was predictive of higher pharmacy refill adherence rates. Social problem-solving did not significantly moderate the relationship between perceived stress and medication adherence. Exploratory analyses indicated that lower self-reports of adherence, lower perceived control of asthma, and more maladaptive problem-solving tendencies were all predictive of higher perceived stress. Additionally, a one-way analysis of variance (ANOVA) was conducted to examine differences among racial and ethnic groups. Individuals who identified as White reported greater self-report adherence, less perceived stress, better social problem-solving abilities, higher perceived control of asthma, and better objective control of asthma, as compared to other racial and ethnic groups. Results suggest integrative medical and psychosocial treatments should be adapted for individuals of various racial and ethnic backgrounds. Interventions that target social problem-solving abilities and perceived stress may be particularly beneficial for improving patient's ability and perceived ability to successfully manage their asthma.

Author: Kenny Midence
Publisher: CRC Press
ISBN: 9789057022647
Category : Medical
Languages : en
Pages : 566

View

Book Description
Poor adherence (or compliance) to treatment is well recognized, and has major medical, psychological, and economic consequences. This book fulfils a pressing need by providing up-to-date and comprehensive coverage of recent issues and research in the area of adherence to treatment in medical conditions. Adherence to Treatment in Medical Conditions covers all aspects within its fields and includes chapters on the role of doctor-patient communication; memory; adherence in specific groups, such as children and the elderly; adherence to different treatments, such as diet and exercise; and reviews of adherence in specific conditions such as diabetes and asthma.

Author: Andrew Hadler
Publisher: John Wiley & Sons
ISBN: 1119129524
Category : Medical
Languages : en
Pages : 550

View

Book Description
Against a global backdrop of problematic adherence to medical treatment, this volume addresses and provides practical solutions to the simple question: “Why don’t patients take treatments that could save their lives?” The Wiley handbook of Healthcare Treatment Engagement offers a guide to the theory, research and clinical practice of promoting patient engagement in healthcare treatment at individual, organizational and systems levels. The concept of treatment engagement, as explained within the text, promotes a broader view than the related concept of treatment adherence. Treatment engagement encompasses more readily the lifestyle factors which may impact healthcare outcomes as much as medication-taking, as well as practical, economic and cultural factors which may determine access to treatment. Over a span of 32 chapters, an international panel of expert authors address this far-reaching and fascinating field, describing a broad range of evidence-based approaches which stand to improve clinical services and treatment outcomes, as well as the experience of users of healthcare service and practitioners alike. This comprehensive volume adopts an interdisciplinary approach to offer an understanding of the factors governing our healthcare systems and the motivations and behaviors of patients, clinicians and organizations. Presented in a user-friendly format for quick reference, the text first supports the reader’s understanding by exploring background topics such as the considerable impact of sub-optimal treatment adherence on healthcare outcomes, before describing practical clinical approaches to promote engagement in treatment, including chapters referring to specific patient populations. The text recognizes the support which may be required throughout the depth of each healthcare organization to promote patient engagement, and in the final section of the book, describes approaches to inform the development of healthcare services with which patients will be more likely to seek to engage. This important book: Provides a comprehensive summary of practical approaches developed across a wide range of clinical settings, integrating research findings and clinical literature from a variety of disciplines Introduces and compliments existing approaches to improve communication in healthcare settings and promote patient choice in planning treatment Presents a range of proven clinical solutions that will appeal to those seeking to improve outcomes on a budget Written for health professionals from all disciplines of clinical practice, as well as service planners and policy makers, The Wiley Handbook of Healthcare Treatment Engagement is a comprehensive guide for individual practitioners and organizations alike.

Author: Chin H. Oh-Ciernick
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

View

Book Description
"The effect of non-adherence to inhalers has a significant impact on morbidity and mortality in patients with COPD and/or asthma, as well as an increase in healthcare cost. Non-adherence to inhaler treatment is a complex multifactorial problem. The patients with asthma and chronic obstructive pulmonary disease (COPD) have a non-adherence rate up to 50 to 70% with their medication regimen. The purpose of this EBP change project was to improve inhaler adherence in patients with COPD and/or asthma by conducting follow-up calls after a face-to-face visit. A total of seven individuals voluntarily participated in the project. During the initial face-to-face visit, the participants completed a pre-test (Morisky, Green, Levine Questionnaire). The first follow-up calls were placed one week after the face-to-face visit. The second follow-up calls were placed two weeks after the first follow-up calls. During the follow-up calls, the project manager addressed any barriers that were preventing the participants from adhering to inhaler regimen such as changing the inhaler to one with a lower copay. The post-test was completed by the participants during the face-to-face follow-up visit. The post-test demonstrated an improvement in inhaler adherence of 58% among all participants, which exceeded the benchmark of 30%. Consequently, follow-up calls after the face-to-face visit improved medication adherence by providing an opportunity for healthcare providers to address barriers that may hinder patients from adhering to the medication regimen. Key words: COPD, asthma, medication, inhaler, non-adherence, follow-up calls " -- Abstract