Factors affecting adherence to intranasal treatment for allergic rhinitis: A qualitative study
Abstract Objective To determine the facilitators of and barriers to adherence to use of intranasal pharmacotherapy (daily intranasal corticosteroids and/or antihistamine, and nasal saline irrigation [NSI]), for allergic rhinitis (AR). Methods Patients were recruited from an academic tertiary care rh...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-02-01
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| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.986 |
| _version_ | 1797895932837101568 |
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| author | Meha G. Fox Lauren M. Cass Kevin J. Sykes Emily L. Cummings Scott N. Fassas Rohit Nallani Josh B. Smith Alexander G. Chiu Jennifer A. Villwock |
| author_facet | Meha G. Fox Lauren M. Cass Kevin J. Sykes Emily L. Cummings Scott N. Fassas Rohit Nallani Josh B. Smith Alexander G. Chiu Jennifer A. Villwock |
| author_sort | Meha G. Fox |
| collection | DOAJ |
| description | Abstract Objective To determine the facilitators of and barriers to adherence to use of intranasal pharmacotherapy (daily intranasal corticosteroids and/or antihistamine, and nasal saline irrigation [NSI]), for allergic rhinitis (AR). Methods Patients were recruited from an academic tertiary care rhinology and allergy clinic. Semi‐structured interviews were conducted after the initial visit and/or 4–6 weeks following treatment. Transcribed interviews were analyzed using a grounded theory, inductive approach to elucidate themes regarding patient adherence to AR treatment. Results A total of 32 patients (12 male, 20 female; age 22–78) participated (seven at initial visit, seven at follow‐up visit, and 18 at both). Memory triggers, such as linking nasal routine to existing daily activities or medications, were identified by patients as the most helpful strategy for adherence at initial and follow‐up visits. Logistical obstacles related to NSI (messy, takes time, etc.) was the most common concept discussed at follow‐up. Patients modified the regimen based on side effects experienced or perceived efficacy. Conclusions Memory triggers help patients adhere to nasal routines. Logistical obstacles related to NSI can deter from use. Health care providers should address both concepts during patient counseling. Nudge‐based interventions that incorporate these concepts may help improve adherence to AR treatment. Level of Evidence 2 |
| first_indexed | 2024-04-10T07:34:42Z |
| format | Article |
| id | doaj.art-c778e5e5827948d1a0dc6ae6f5c863d5 |
| institution | Directory Open Access Journal |
| issn | 2378-8038 |
| language | English |
| last_indexed | 2024-04-10T07:34:42Z |
| publishDate | 2023-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj.art-c778e5e5827948d1a0dc6ae6f5c863d52023-02-23T13:23:02ZengWileyLaryngoscope Investigative Otolaryngology2378-80382023-02-0181404510.1002/lio2.986Factors affecting adherence to intranasal treatment for allergic rhinitis: A qualitative studyMeha G. Fox0Lauren M. Cass1Kevin J. Sykes2Emily L. Cummings3Scott N. Fassas4Rohit Nallani5Josh B. Smith6Alexander G. Chiu7Jennifer A. Villwock8Department of Otolaryngology – Head & Neck Surgery Baylor College of Medicine Houston Texas USADepartment of Head and Neck Surgery Kaiser Permanente Portland Oregon USADepartment of Otolaryngology – Head & Neck Surgery University of Kansas Medical Center Kansas City Kansas USADepartment of Internal Medicine Indiana University School of Medicine Indianapolis Indiana USADepartment of Internal Medicine George Washington School of Medicine & Health Sciences Washington District of Columbia USADepartment of Otolaryngology – Head & Neck Surgery University of Kansas Medical Center Kansas City Kansas USADepartment of Otolaryngology – Head & Neck Surgery St. Louis University School of Medicine St. Louis Missouri USADepartment of Otolaryngology – Head & Neck Surgery University of Kansas Medical Center Kansas City Kansas USADepartment of Otolaryngology – Head & Neck Surgery University of Kansas Medical Center Kansas City Kansas USAAbstract Objective To determine the facilitators of and barriers to adherence to use of intranasal pharmacotherapy (daily intranasal corticosteroids and/or antihistamine, and nasal saline irrigation [NSI]), for allergic rhinitis (AR). Methods Patients were recruited from an academic tertiary care rhinology and allergy clinic. Semi‐structured interviews were conducted after the initial visit and/or 4–6 weeks following treatment. Transcribed interviews were analyzed using a grounded theory, inductive approach to elucidate themes regarding patient adherence to AR treatment. Results A total of 32 patients (12 male, 20 female; age 22–78) participated (seven at initial visit, seven at follow‐up visit, and 18 at both). Memory triggers, such as linking nasal routine to existing daily activities or medications, were identified by patients as the most helpful strategy for adherence at initial and follow‐up visits. Logistical obstacles related to NSI (messy, takes time, etc.) was the most common concept discussed at follow‐up. Patients modified the regimen based on side effects experienced or perceived efficacy. Conclusions Memory triggers help patients adhere to nasal routines. Logistical obstacles related to NSI can deter from use. Health care providers should address both concepts during patient counseling. Nudge‐based interventions that incorporate these concepts may help improve adherence to AR treatment. Level of Evidence 2https://doi.org/10.1002/lio2.986allergy/rhinologyendoscopyirrigationspatient reported outcome measurerhinitis |
| spellingShingle | Meha G. Fox Lauren M. Cass Kevin J. Sykes Emily L. Cummings Scott N. Fassas Rohit Nallani Josh B. Smith Alexander G. Chiu Jennifer A. Villwock Factors affecting adherence to intranasal treatment for allergic rhinitis: A qualitative study Laryngoscope Investigative Otolaryngology allergy/rhinology endoscopy irrigations patient reported outcome measure rhinitis |
| title | Factors affecting adherence to intranasal treatment for allergic rhinitis: A qualitative study |
| title_full | Factors affecting adherence to intranasal treatment for allergic rhinitis: A qualitative study |
| title_fullStr | Factors affecting adherence to intranasal treatment for allergic rhinitis: A qualitative study |
| title_full_unstemmed | Factors affecting adherence to intranasal treatment for allergic rhinitis: A qualitative study |
| title_short | Factors affecting adherence to intranasal treatment for allergic rhinitis: A qualitative study |
| title_sort | factors affecting adherence to intranasal treatment for allergic rhinitis a qualitative study |
| topic | allergy/rhinology endoscopy irrigations patient reported outcome measure rhinitis |
| url | https://doi.org/10.1002/lio2.986 |
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