Evidence map›Paper›PMID 31533679›Full record

ArticleBMC pulmonary medicine2019

"I did not know it was so important to take it the whole time" - self-reported barriers to medical treatment among individuals with asthma.

Tove Hedenrud, Annika Jakobsson, Hanan El Malla, Helle Håkonsen

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
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  4. Review
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Tove HedenrudDepartment of Public Health and Community Medicine, University of Gothenburg, P.O. Box 453, 405 30, Gothenburg, Sweden. tove.hedenrud@gu.se.ORCID http://orcid.org/0000-0003-2526-7097
Annika JakobssonDepartment of Public Health and Community Medicine, University of Gothenburg, P.O. Box 453, 405 30, Gothenburg, Sweden.
Hanan El MallaDepartment of Social Work, University of Gothenburg, P.O. Box 720, 405 30, Gothenburg, Sweden.
Helle HåkonsenDepartment of Public Health and Community Medicine, University of Gothenburg, P.O. Box 453, 405 30, Gothenburg, Sweden.

Funding

Astma- och Allergiförbundet F2015-0018
6 · The paper itself

Abstract

backgroundAsthma is an extensive public health problem and inadequate disease control is not uncommon. Individuals' self-perceived barriers to medical treatment for the entire treatment chain (from seeking care for symptoms to using a medicine) have seldom been studied for chronic diseases such as asthma. The aim of this study was to explore self-perceived barriers to medical treatment among individuals with asthma within the framework of AAAQ (availability, accessibility, acceptability and quality).

methodsIndividuals with asthma visiting the asthma nurse at a primary health care centre, and who currently had a prescription for anti-asthmatic medicines, were informed about the study. The nurse asked the persons for their consent to be contacted by an interviewer. The interview guide was constructed from the elements of AAAQ exploring self-perceived barriers to asthma treatment. Interviews were conducted in Swedish, English, Arabic and Persian. They were transcribed verbatim and a manifest content analysis was conducted.

resultsFourteen interviews were conducted. There was a large variation in both age and reported number of years with asthma. Self-perceived barriers to asthma treatment were experienced throughout the whole treatment chain. Barriers that emerged were health care accessibility, perceived quality of care, beliefs about medicines, life circumstances, knowledge gap about asthma and medicines, practical obstacles to using medicines, and experiences with treatment. The self-perceived barriers cover all four elements of AAAQ, but there are also some barriers that go beyond those elements (life circumstances and practical obstacles to using medicines).

conclusionsSelf-perceived barriers among individuals with asthma cover the whole treatment chain. We want to highlight the inadequate information/education of patients leading to knowledge gaps about both disease and the effect of medicines, and also the perceived unsatisfactory treatment at the PHCC, which could partly be counteracted if patients know what to expect from health care visits.

Indexed as

Health Knowledge, Attitudes, PracticeSelf ReportAdolescentAdultAgedAnti-Asthmatic AgentsAsthmaConsumer BehaviorFemaleHealth Services AccessibilityHumansInterviews as TopicMaleMedication AdherenceMiddle AgedQualitative ResearchAnti-Asthmatic AgentsAAAQAsthmaBarriersMedical treatmentMedicinesQualitative

Identifiers

PMID31533679
PMCPMC6751752

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Registered trials

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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.