Evidence map›Paper›PMID 35139927›Full record

ArticleAsthma research and practice2022

Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh.

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 and 7 more

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Article in Asthma research and practice, 2022. 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.

0numbers the graph read from it
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10citing papers in PubMed, 1 pooled it
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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

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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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

17 authors.

Md Abdur RafiRajshahi Medical College, Rajshahi, Bangladesh.
Chowdhury Ibtida TahminChittagong Medical College, Chittagong, Bangladesh.
Symom TashrikNorth South University, Dhaka, Bangladesh.
Atia Sharmin BonnaSave the Children Bangladesh, Dhaka, Bangladesh.
Ferdousy JannatSave the Children Bangladesh, Dhaka, Bangladesh.
Sabrina Jahan MilyBanshkhali Upazila health complex, Chittagong, Bangladesh.
Abhigan Babu ShresthaM Abdur Rahim Medical College, Dianjpur, Bangladesh.
Senjuti SeemantaM Abdur Rahim Medical College, Dianjpur, Bangladesh.
Afsana RashidShaheed Suhrawardy Medical College, Dhaka, Bangladesh.
Mosarrat MahjabeenShaheed Suhrawardy Medical College, Dhaka, Bangladesh.
Nurunnahar NuraSir salimullah medical college, Dhaka, Bangladesh.
Tasnim ShahriarKhulna Medical College, Khulna, Bangladesh.
Ashrafur Rahaman MahadiCentral Medical College, Cumilla, Bangladesh.
Kawser AhmedDhaka Medical College, Dhaka, Bangladesh.
Mohammad Jahid HasanPi Research Consultancy Center, Dhaka, Bangladesh. dr.jahid61@gmail.com.
Md Azizul HaqueRajshahi Medical College, Rajshahi, Bangladesh.
Md Golam HossainUniversity of Rajshahi, Rajshahi, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence 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.

methodsThis 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.

resultsA 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.

conclusionDespite 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.

Indexed as

AdherenceAnti-asthmatic agentsAsthmaDrug complianceInhalerMedication nonadherenceObstructive lung disease

Identifiers

PMID35139927
PMCPMC8827279

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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.