Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh
Abstract Background Adherence to inhaler medication is an important contributor to optimum asthma control along with adequate pharmacotherapy. The objective of the present study was to assess self-reported adherence levels and to identify the potential factors associated with non-adherence to the in...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-02-01
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| Series: | Asthma Research and Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40733-022-00083-7 |
| _version_ | 1818973787195965440 |
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| author | Md. Abdur Rafi Chowdhury Ibtida Tahmin Symom Tashrik Atia Sharmin Bonna Ferdousy Jannat Sabrina Jahan Mily Abhigan Babu Shrestha Senjuti Seemanta Afsana Rashid Mosarrat Mahjabeen Nurunnahar Nura Tasnim Shahriar Ashrafur Rahaman Mahadi Kawser Ahmed Mohammad Jahid Hasan Md. Azizul Haque Md. Golam Hossain |
| author_facet | Md. Abdur Rafi Chowdhury Ibtida Tahmin Symom Tashrik Atia Sharmin Bonna Ferdousy Jannat Sabrina Jahan Mily Abhigan Babu Shrestha Senjuti Seemanta Afsana Rashid Mosarrat Mahjabeen Nurunnahar Nura Tasnim Shahriar Ashrafur Rahaman Mahadi Kawser Ahmed Mohammad Jahid Hasan Md. Azizul Haque Md. Golam Hossain |
| author_sort | Md. Abdur Rafi |
| collection | DOAJ |
| description | Abstract Background Adherence to inhaler medication is an important contributor to optimum asthma control along with adequate pharmacotherapy. The objective of the present study was to assess self-reported adherence levels and to identify the potential factors associated with non-adherence to the inhalers among asthma patients. Methods This facility-based cross-sectional study was conducted in the medicine outpatient department of Rajshahi Medical College Hospital from November 2020 to January 2021. A total of 357 clinically confirmed adult asthma patients were interviewed. Inhaler adherence was measured using the 10-item Test of Adherence scale (TAI).. Both descriptive and inferential statistics were used to express the socio-demographic of the patients and predictors of poor adherence to inhaler. Results A substantial number of participants were non-adherent (86%) to inhaler medication. Patients non-adherent to inhaler medication are often younger (23.15, 95% CI 3.67–146.08), lived in the rural area (23.28, 95% CI 2.43–222.66), less year of schooling (5.69, 95% CI 1.27–25.44), and belonged to the middle income (aOR 9.74, 95% CI 2.11–44.9) than those adherent with the inhaler. The presence of comorbidities (12.91, 95% CI 1.41–117.61), prolonged duration of inhaler intake (5.69, 95% CI 1.22–26.49), consulting non-qualified practitioners (13.09, 95% CI 3.10–55.26) were the significant contributor of non-adherence. Conclusion Despite ongoing motivation and treatment, non-adherence to inhalation anti-asthmatic is high and several factors have been found to contribute. Regular monitoring and a guided patient-centered self-management approach might be helpful to address them in long run. |
| first_indexed | 2024-12-20T15:29:43Z |
| format | Article |
| id | doaj.art-7518647f6371435bbd951b089ea764a3 |
| institution | Directory Open Access Journal |
| issn | 2054-7064 |
| language | English |
| last_indexed | 2024-12-20T15:29:43Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Asthma Research and Practice |
| spelling | doaj.art-7518647f6371435bbd951b089ea764a32022-12-21T19:35:38ZengBMCAsthma Research and Practice2054-70642022-02-01811810.1186/s40733-022-00083-7Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, BangladeshMd. Abdur Rafi0Chowdhury Ibtida Tahmin1Symom Tashrik2Atia Sharmin Bonna3Ferdousy Jannat4Sabrina Jahan Mily5Abhigan Babu Shrestha6Senjuti Seemanta7Afsana Rashid8Mosarrat Mahjabeen9Nurunnahar Nura10Tasnim Shahriar11Ashrafur Rahaman Mahadi12Kawser Ahmed13Mohammad Jahid Hasan14Md. Azizul Haque15Md. Golam Hossain16Rajshahi Medical CollegeChittagong Medical CollegeNorth South UniversitySave the Children BangladeshSave the Children BangladeshBanshkhali Upazila health complexM Abdur Rahim Medical CollegeM Abdur Rahim Medical CollegeShaheed Suhrawardy Medical CollegeShaheed Suhrawardy Medical CollegeSir salimullah medical collegeKhulna Medical CollegeCentral Medical CollegeDhaka Medical CollegePi Research Consultancy CenterRajshahi Medical CollegeUniversity of RajshahiAbstract Background Adherence to inhaler medication is an important contributor to optimum asthma control along with adequate pharmacotherapy. The objective of the present study was to assess self-reported adherence levels and to identify the potential factors associated with non-adherence to the inhalers among asthma patients. Methods This facility-based cross-sectional study was conducted in the medicine outpatient department of Rajshahi Medical College Hospital from November 2020 to January 2021. A total of 357 clinically confirmed adult asthma patients were interviewed. Inhaler adherence was measured using the 10-item Test of Adherence scale (TAI).. Both descriptive and inferential statistics were used to express the socio-demographic of the patients and predictors of poor adherence to inhaler. Results A substantial number of participants were non-adherent (86%) to inhaler medication. Patients non-adherent to inhaler medication are often younger (23.15, 95% CI 3.67–146.08), lived in the rural area (23.28, 95% CI 2.43–222.66), less year of schooling (5.69, 95% CI 1.27–25.44), and belonged to the middle income (aOR 9.74, 95% CI 2.11–44.9) than those adherent with the inhaler. The presence of comorbidities (12.91, 95% CI 1.41–117.61), prolonged duration of inhaler intake (5.69, 95% CI 1.22–26.49), consulting non-qualified practitioners (13.09, 95% CI 3.10–55.26) were the significant contributor of non-adherence. Conclusion Despite ongoing motivation and treatment, non-adherence to inhalation anti-asthmatic is high and several factors have been found to contribute. Regular monitoring and a guided patient-centered self-management approach might be helpful to address them in long run.https://doi.org/10.1186/s40733-022-00083-7AsthmaInhalerAdherenceObstructive lung diseaseAnti-asthmatic agentsMedication nonadherence |
| spellingShingle | Md. Abdur Rafi Chowdhury Ibtida Tahmin Symom Tashrik Atia Sharmin Bonna Ferdousy Jannat Sabrina Jahan Mily Abhigan Babu Shrestha Senjuti Seemanta Afsana Rashid Mosarrat Mahjabeen Nurunnahar Nura Tasnim Shahriar Ashrafur Rahaman Mahadi Kawser Ahmed Mohammad Jahid Hasan Md. Azizul Haque Md. Golam Hossain Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh Asthma Research and Practice Asthma Inhaler Adherence Obstructive lung disease Anti-asthmatic agents Medication nonadherence |
| title | Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh |
| title_full | Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh |
| title_fullStr | Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh |
| title_full_unstemmed | Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh |
| title_short | Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh |
| title_sort | adherence to inhalers and associated factors among adult asthma patients an outpatient based study in a tertiary hospital of rajshahi bangladesh |
| topic | Asthma Inhaler Adherence Obstructive lung disease Anti-asthmatic agents Medication nonadherence |
| url | https://doi.org/10.1186/s40733-022-00083-7 |
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