Determinants and Differences in Satisfaction with the Inhaler Among Patients with Asthma or COPD
Por:
Plaza, V, Giner, J, Curto, E, Alonso-Ortiz, MB, Orue, MI, Vega, JM, Cosio, BG, Linares, VB, Mora, RB, Cesar, EC, Viera, AC, Castillo, R, de los Monteros-Garde, MJE, Rodriguez-Lacin, JMF, Robaina, JCG, Santana, GH, Perez, NM, Arrondo, AP, Sanchez, JP, Encinar, JRR, Plata, ER, Bernal, BR, Osora, JM, Cunill, AS, Lora, FJS, Nieto, JMS, Batlles, JS, Relucio, JJT, Morales, AV, Alarcon, RLV, Garrido, JLV
Publicada:
1 feb 2020
Resumen:
BACKGROUND: Satisfaction with the inhaler is an important determinant of treatment adherence in patients with asthma and chronic obstructive pulmonary disease (COPD). However, few studies have compared these 2 groups to identify the factors associated with satisfaction with the inhaler.
OBJECTIVE: To assess and compare satisfaction with the inhaler in patients with asthma or COPD and to determine the variables associated with high inhaler satisfaction.
METHODS: A multicenter, cross-sectional study of 816 patients (406 with asthma and 410 with COPD) was conducted. Satisfaction was assessed with the Feeling of Satisfaction with Inhaler (FSI-10) questionnaire. All participants completed the Test of Adherence to Inhalers and either the Asthma Control Test (ACT) or the COPD Assessment Test (CAT).
RESULTS: Overall, the asthma group was significantly more satisfied with the inhaler (mean [standard deviation] FSI-10 scores: 44.1 [6.5] vs 42.0 [7.7]; P < .001) and more satisfied on most (7 of 10; 70%) items. Patients with asthma were significantly more satisfied with the inhaler regardless of the adherence level or the type of nonadherence pattern. Younger age, good disease control (ACT >= 20 or CAT <= 10), previous inhaler training, and absence of unwitting nonadherence were all independently and significantly associated with high inhaler satisfaction.
CONCLUSIONS: Age, disease control, and training in inhalation technique all play a more significant role than the specific diagnosis in explaining satisfaction with the device in patients with asthma and COPD. These findings underscore the need to provide better training and more active monitoring of the inhalation technique to improve patient satisfaction, treatment adherence, and clinical outcomes. (C) 2019 The Authors. Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Filiaciones:
Plaza, V:
Hosp Santa Creu & Sant Pau, Dept Resp Med, Barcelona, Spain
Univ Autonoma Barcelona, Inst Invest Biomed St Pau IIB St Pau, Dept Med, Barcelona, Spain
Hosp Santa Creu & Sant Pau, Serv Pneumol & Allergia, C St Antoni M Claret 167, E-08025 Barcelona, Spain
Giner, J:
Hosp Santa Creu & Sant Pau, Dept Resp Med, Barcelona, Spain
Univ Autonoma Barcelona, Inst Invest Biomed St Pau IIB St Pau, Dept Med, Barcelona, Spain
Curto, E:
Hosp Santa Creu & Sant Pau, Dept Resp Med, Barcelona, Spain
Univ Autonoma Barcelona, Inst Invest Biomed St Pau IIB St Pau, Dept Med, Barcelona, Spain
Alonso-Ortiz, MB:
Hosp Univ Gran Canaria Doctor Negrin Las Palmas d, Dept Resp Med, Las Palmas Gran Canaria, Spain
Orue, MI:
Ctr Salud Javier Saenz de Buruaga, Bilbao, Spain
Vega, JM:
Hosp Reg Univ Malaga, Dept Allergy, Malaga, Spain
Cosio, BG:
Hosp Univ Espases IdISBa, Dept Resp Med, Mallorca, Spain
CIBERES, Mallorca, Spain
Linares, VB:
Hosp Univ Virgen Macarena, Seville, Spain
Mora, RB:
Hosp Gen Univ Morales Meseguer, Murcia, Spain
Cesar, EC:
Hosp Univ Virgen Victoria, Malaga, Spain
Viera, AC:
Hosp Univ Ntra Sra Candelaria, Malaga, Spain
Castillo, R:
Hosp Lliria, Valencia, Spain
de los Monteros-Garde, MJE:
Hosp Univ Virgen Macarena, Seville, Spain
Hosp Virgen Salud, Toledo, Spain
Rodriguez-Lacin, JMF:
Ctr Salud Nata hoyo, Gijon, Spain
Robaina, JCG:
Ctr Salud Nata hoyo, Gijon, Spain
Perez, NM:
Hosp Valle De Hebron, Barcelona, Spain
Arrondo, AP:
Hosp Abente & Lago, La Coruna, Spain
Sanchez, JP:
Hosp Gen Univ Ciudad Real, Ciudad Real, Spain
Encinar, JRR:
Hosp Univ Ntra Sra Candelaria, Gijon, Spain
Bernal, BR:
Hosp Dr Jose, Ciudad Real, Spain
Cunill, AS:
Hosp Valle De Hebron, Barcelona, Spain
Lora, FJS:
Hosp Univ Virgen Victoria, Malaga, Spain
Nieto, JMS:
Hosp Gen Univ Morales Meseguer, Murcia, Spain
Hosp Comarcal Laredo, Seville, Spain
Batlles, JS:
Hosp Univ Vic, Vic, Spain
Relucio, JJT:
Hosp Gen Univ Castellon, Castellon de La Plana, Spain
Morales, AV:
Hosp Gen Univ Castellon, Castellon de La Plana, Spain
Alarcon, RLV:
Ctr Salud VERA, Vera, Spain
Garrido, JLV:
Hosp Univ Virgen Victoria, Malaga, Spain
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