دورية أكاديمية
Assessing Adherence by Combining the Test of Adherence to Inhalers With Pharmacy Refill Records.
| العنوان: | Assessing Adherence by Combining the Test of Adherence to Inhalers With Pharmacy Refill Records. |
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| المؤلفون: | Plaza V; Department of Respiratory Medicine, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomédica Sant Pau (IIB Sant Pau), Universitat Autònoma de Barcelona, Department of Medicine, Barcelona, Spain., Giner J; Department of Respiratory Medicine, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomédica Sant Pau (IIB Sant Pau), Universitat Autònoma de Barcelona, Department of Medicine, Barcelona, Spain., Curto E; Department of Respiratory Medicine, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomédica Sant Pau (IIB Sant Pau), Universitat Autònoma de Barcelona, Department of Medicine, Barcelona, Spain., Alonso-Ortiz MB; Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain., Orue MI; Centro de Salud Javier Sáenz de Buruaga, Bilbao, Spain., Vega JM; Hospital Regional Universitario de Málaga, Malaga, Spain., Cosío BG; Hospital Universitario Espases-IdISBa and CIBERES, Mallorca, Spain. |
| مؤلفون مشاركون: | Investigators of the RE-TAI study |
| المصدر: | Journal of investigational allergology & clinical immunology [J Investig Allergol Clin Immunol] 2021 Feb 17; Vol. 31 (1), pp. 58-64. Date of Electronic Publication: 2019 Oct 10. |
| نوع المنشور: | Journal Article; Multicenter Study; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Esmon Publicidad Country of Publication: Spain NLM ID: 9107858 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1018-9068 (Print) Linking ISSN: 10189068 NLM ISO Abbreviation: J Investig Allergol Clin Immunol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2004- : Barcelona, Spain : Esmon Publicidad Original Publication: Barcelona, Spain : J.R. Prous, S.A., c1991- |
| مواضيع طبية MeSH: | Asthma/*drug therapy , Medication Adherence/*statistics & numerical data , Pulmonary Disease, Chronic Obstructive/*drug therapy, Asthma/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Nebulizers and Vaporizers ; Prescriptions ; Pulmonary Disease, Chronic Obstructive/epidemiology ; Self Report ; Spain/epidemiology ; Surveys and Questionnaires |
| مستخلص: | Background and Objective: The Global Initiative for Asthma (GINA) recommends the concurrent use of self-report and pharmacy refill data to assess treatment adherence. However, clinical evidence to support this combined approach is limited. Objective: To determine nonadherence to inhaler medication based on a validated questionnaire (Test of Adherence to Inhalers; TAI) and prescription refill data in a community sample of patients with chronic obstructive pulmonary disease (COPD) or asthma. Secondarily, we sought to determine the degree of concordance between these two measures. Methods: Cross-sectional, observational multicenter study in patients with asthma or COPD. Sociodemographic and clinical data were obtained from clinical records. Refill data were retrieved from electronic pharmacy databases. Participants completed the 12-item TAI during a single visit as part of routine care. Nonadherence was defined as TAI <50 or <80% pharmacy refill rate (PRR) in the previous 6 months. Results: A total of 816 patients (mean age, 60) were included. Nonadherence rates were 58.1% (TAI) and 28.6% (PRR) compared with 64.6% for the combined data (P<.0001). Concordance between the 2 measures was weak (к=0.205). Conclusions: These findings confirm the GINA recommendations, indicating that concomitant use of the TAI and pharmacy refill data identifies a higher percentage of nonadherent asthma or COPD patients than either instrument alone. |
| فهرسة مساهمة: | Keywords: Adherence to therapy; Asthma; COPD; Nebulizer; Patient compliance; Self-reported success |
| تواريخ الأحداث: | Date Created: 20191011 Date Completed: 20211027 Latest Revision: 20211027 |
| رمز التحديث: | 20240628 |
| DOI: | 10.18176/jiaci.0461 |
| PMID: | 31599726 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1018-9068 |
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| DOI: | 10.18176/jiaci.0461 |