ArticleRespiratory care2019
Objective Versus Self-Reported Adherence to Airway Clearance Therapy in Cystic Fibrosis.
Article in Respiratory care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions for improving adherence to airway clearance treatment and exercise in people with cystic fibrosis.The Cochrane database of systematic reviews · 2023Pooled it
- A pilot study of ultra-low-dose chest CT combined with co-production in cystic fibrosis care.Pediatric research · 2026Article
- A Longitudinal Study of Adherence among Cystic Fibrosis Patients: Associations with Gratitude Over the Course of One Year.International journal of behavioral medicine · 2025Article
- Integration and impact of pharmacists in general practice internationally: A rapid review.Journal of health services research & policy · 2024Review
- The Validity and Reliability of Self-Reported Adherence to Using Offloading Treatment in People with Diabetes-Related Foot Ulcers.Sensors (Basel, Switzerland) · 2023Article
- Airway clearance technique in the modern era of bronchiectasis management.ERJ open research · 2023Article
- Patient and Caregiver Perceptions of Airway Clearance Methods Used for Cystic Fibrosis.Canadian respiratory journal · 2023Article
- The role of lung volume recruitment therapy in neuromuscular disease: a narrative review.Frontiers in rehabilitation sciences · 2023Review
- Objective measurement of lung volume recruitment therapy: laboratory and clinical validation.BMJ open respiratory research · 2021Article
- The future of cystic fibrosis care: a global perspective.The Lancet. Respiratory medicine · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundHistorically, studies of adherence to airway clearance therapy in cystic fibrosis (CF) have relied on self-reporting. We compared self-reported airway clearance therapy adherence to actual usage data from home high-frequency chest wall compressions (HFCWC) vests and identified factors associated with overestimation of adherence in self-reports.
methodsPediatric patients who perform airway clearance therapy with a HFCWC vest were eligible to participate. Objective adherence data were obtained from the HFCWC device, which records cumulative utilization time. Two readings at least 5 weeks apart were collected. Objective adherence was recorded as a ratio of mean-to-prescribed daily use (%). Self-reported adherence data were collected with a caregiver survey at enrollment. Adherence rates were categorized as low (< 35% of prescribed), moderate (36-79% of prescribed), and high (≥ 80% of prescribed). An overestimation was present when self-reported adherence was at least one category higher than objective adherence.
resultsIn the final sample (
conclusionsSelf-reports overestimated actual adherence to airway clearance therapy, and the overestimation increased with treatment occurring in multiple households and prescribed therapy duration. Among participants with prescribed airway clearance therapy ≥ 60 min, overestimation increased with lower income. Objective measures of adherence are needed, particularly for lower-income children and those receiving treatments in multiple locations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.