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Inhalation adherence for asthma and COPD improved during the COVID-19 pandemic: a questionnaire survey at a university hospital in Japan.

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Title: Inhalation adherence for asthma and COPD improved during the COVID-19 pandemic: a questionnaire survey at a university hospital in Japan.
Authors: Fukutani, Eriko (AUTHOR), Wakahara, Keiko (AUTHOR), Nakamura, Saya (AUTHOR), Yokoi, Eito (AUTHOR), Yoshimi, Akira (AUTHOR), Miyazaki, Masayuki (AUTHOR), Nakamura, Mariko (AUTHOR), Shindo, Yuichiro (AUTHOR), Sakamoto, Koji (AUTHOR), Okachi, Shotaro (AUTHOR), Tanaka, Ichidai (AUTHOR), Hamajima, Nobuyuki (AUTHOR), Noda, Yukihiro (AUTHOR), Hashimoto, Naozumi (AUTHOR), Ishii, Makoto (AUTHOR)
Source: Journal of Asthma. Nov2023, Vol. 60 Issue 11, p2002-2013. 12p.
Subjects: COVID-19 pandemic, Change (Psychology), Hospital surveys, Chronic obstructive pulmonary disease, University hospitals, Premature menopause
Geographic Terms: Japan
Abstract: Background: Good adherence to an inhaled medication protocol is necessary for the management of asthma and chronic obstructive pulmonary disease (COPD), and several interventions to improve adherence have been reported. However, the impact of patient life changes and psychological aspects on treatment motivation is obscure. Here, we investigated changes in inhaler adherence during the COVID-19 pandemic and how lifestyle and psychological changes affected it. Methods: Seven-hundred sixteen adult patients with asthma and COPD who had visited Nagoya University Hospital between 2015 and 2020 were selected. Among them, 311 patients had received instruction at a pharmacist-managed clinic (PMC). We distributed one-time cross-sectional questionnaires from January 12 to March 31, 2021. The questionnaire covered the status of hospital visits, inhalation adherence before and during the COVID-19 pandemic, lifestyles, medical conditions, and psychological stress. The Adherence Starts with Knowledge-12 (ASK-12) was used to assess adherence barriers. Results: Four-hundred thirty-three patients answered the questionnaire. Inhalation adherence was significantly improved in both diseases during the COVID-19 pandemic. The most common reason for improved adherence was fear of infection. Patients with improved adherence were more likely to believe that controller inhalers could prevent COVID-19 from becoming more severe. Improved adherence was more common in patients with asthma, those not receiving counseling at PMC, and those with poor baseline adherence. Conclusions: Inhalation adherence for asthma and COPD improved in the COVID-19 pandemic. The patients seemed to realize the necessity and benefits of the medication more strongly than before the pandemic, which motivated them to improve adherence. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Asthma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Inhalation adherence for asthma and COPD improved during the COVID-19 pandemic: a questionnaire survey at a university hospital in Japan.
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  Data: <searchLink fieldCode="AR" term="%22Fukutani%2C+Eriko%22">Fukutani, Eriko</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wakahara%2C+Keiko%22">Wakahara, Keiko</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nakamura%2C+Saya%22">Nakamura, Saya</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yokoi%2C+Eito%22">Yokoi, Eito</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yoshimi%2C+Akira%22">Yoshimi, Akira</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Miyazaki%2C+Masayuki%22">Miyazaki, Masayuki</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nakamura%2C+Mariko%22">Nakamura, Mariko</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shindo%2C+Yuichiro%22">Shindo, Yuichiro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sakamoto%2C+Koji%22">Sakamoto, Koji</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Okachi%2C+Shotaro%22">Okachi, Shotaro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tanaka%2C+Ichidai%22">Tanaka, Ichidai</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hamajima%2C+Nobuyuki%22">Hamajima, Nobuyuki</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Noda%2C+Yukihiro%22">Noda, Yukihiro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hashimoto%2C+Naozumi%22">Hashimoto, Naozumi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ishii%2C+Makoto%22">Ishii, Makoto</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Asthma%22">Journal of Asthma</searchLink>. Nov2023, Vol. 60 Issue 11, p2002-2013. 12p.
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  Data: <searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Change+%28Psychology%29%22">Change (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+surveys%22">Hospital surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+obstructive+pulmonary+disease%22">Chronic obstructive pulmonary disease</searchLink><br /><searchLink fieldCode="DE" term="%22University+hospitals%22">University hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Premature+menopause%22">Premature menopause</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Japan%22">Japan</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Good adherence to an inhaled medication protocol is necessary for the management of asthma and chronic obstructive pulmonary disease (COPD), and several interventions to improve adherence have been reported. However, the impact of patient life changes and psychological aspects on treatment motivation is obscure. Here, we investigated changes in inhaler adherence during the COVID-19 pandemic and how lifestyle and psychological changes affected it. Methods: Seven-hundred sixteen adult patients with asthma and COPD who had visited Nagoya University Hospital between 2015 and 2020 were selected. Among them, 311 patients had received instruction at a pharmacist-managed clinic (PMC). We distributed one-time cross-sectional questionnaires from January 12 to March 31, 2021. The questionnaire covered the status of hospital visits, inhalation adherence before and during the COVID-19 pandemic, lifestyles, medical conditions, and psychological stress. The Adherence Starts with Knowledge-12 (ASK-12) was used to assess adherence barriers. Results: Four-hundred thirty-three patients answered the questionnaire. Inhalation adherence was significantly improved in both diseases during the COVID-19 pandemic. The most common reason for improved adherence was fear of infection. Patients with improved adherence were more likely to believe that controller inhalers could prevent COVID-19 from becoming more severe. Improved adherence was more common in patients with asthma, those not receiving counseling at PMC, and those with poor baseline adherence. Conclusions: Inhalation adherence for asthma and COPD improved in the COVID-19 pandemic. The patients seemed to realize the necessity and benefits of the medication more strongly than before the pandemic, which motivated them to improve adherence. [ABSTRACT FROM AUTHOR]
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  Label:
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  Data: <i>Copyright of Journal of Asthma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/02770903.2023.2209173
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 2002
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      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: Change (Psychology)
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      – SubjectFull: Hospital surveys
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      – SubjectFull: University hospitals
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      – SubjectFull: Premature menopause
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      – SubjectFull: Japan
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              Text: Nov2023
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