Allergy and Airway: Allergy - Asthma |

The Relationship Between Non-Adherence to Inhaled Corticosteroids and Asthma Knowledge Among Patients Attending Chest Clinics in Nigeria FREE TO VIEW

Olufemi Desalu; Cajetan Onyedum; Adekunle Adeoti; Joseph Fadare, MD
Author and Funding Information

University of Ilorin, Ilorin, Nigeria

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):2A. doi:10.1016/j.chest.2016.08.005
Text Size: A A A
Published online

SESSION TITLE: Allergy - Asthma

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Background: Poor adherence to asthma medication severely compromises the effectiveness of treatment resulting in poor asthma control, increased health care utilization and decreased quality of life for the patients.1,2 The aim of this study was to determine the relationship between non -adherences to inhaled corticosteroids(ICS) and asthma knowledge in a sample of asthma patients attending four chest clinics in Nigeria.

METHODS: This was a cross sectional study in a sample of asthma patients attending chest clinics in four tertiary hospitals conducted between January 2015 and December 2015. Adherence to ICS was assessed on previously diagnosed patients using self-report method 2. Adherence was measured by asking patients non-judgmentally how often they missed their doses of ICS in the last 7 days. Asthma knowledge was measured by using the Chicago Community Asthma Survey 32(CCAS 32) 3questionnaire. Sociodemographic and relevant clinical information were also obtained. Good adherence was defined as adherence rates ≥ 80 percent of prescribed ICS. The knowledge score was obtained by adding the correct answers and classified as good if score ≥ 22, satisfactory if score was 15-21 and poor if < 15.

RESULTS: A total of 132 were patients were recruited only 121 were on prescription of inhaled corticosteroids. Of the 121 patients 69(57.0%) were females and their duration of the illness ranged from 1-80 years. Mean self-reported adherence rate was 45.3% ± 40.1 %. (Median of 50%).The prevalence of good adherence to ICS by self-report was 39.7% (95% CI, 30.6-47.9%). The mean asthma knowledge score was 16 6 ± 3.1 and 32(26.4 %) had poor knowledge of asthma. There was no statistically significant relationship between adherence rate to inhaled corticosteroids and asthma knowledge score among the asthma patients (p=0.484)

CONCLUSIONS: The results show that the adherence to ICS is very low and there is no relationship between the level of ICS adherence and the general asthma knowledge.

CLINICAL IMPLICATIONS: This study has highlighted the less important role of general asthma knowledge in promoting ICS adherence in clinical practice.

DISCLOSURE: The following authors have nothing to disclose: Olufemi Desalu, Cajetan Onyedum, Adekunle Adeoti, Joseph Fadare

No Product/Research Disclosure Information




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543