Article (Scientific journals)
Health literacy among asthma patients and treatment expectations: results of a Belgian survey.
Dupont, Lieven; Pilette, Charles; Schleich, FLorence et al.
2020In Acta Clinica Belgica, 75 (2), p. 141 - 148
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Keywords :
Asthma; inhaled corticosteroids; long-term controller drugs; maintenance treatment; quick-relief drugs; Adrenal Cortex Hormones; Anti-Asthmatic Agents; Administration, Inhalation; Adrenal Cortex Hormones/administration & dosage; Adrenal Cortex Hormones/therapeutic use; Adult; Aged; Belgium; Cross-Sectional Studies; Female; Health Literacy/statistics & numerical data; Humans; Male; Medication Adherence/statistics & numerical data; Middle Aged; Anti-Asthmatic Agents/administration & dosage; Anti-Asthmatic Agents/therapeutic use; Asthma/drug therapy; Asthma/epidemiology; Health Knowledge, Attitudes, Practice; Health Literacy; Medication Adherence; Medicine (all); General Medicine
Abstract :
[en] Objectives: Non-adherence to asthma medication can lead to lower disease control and asthma exacerbations that may be fatal. This survey assessed the attitude and expectations of Belgian asthma patients towards their treatment.Methods: This cross-sectional survey was conducted between June 2015 and February 2016 in 70 Belgian pharmacies. Participants completing the survey had to be ≥15 years, diagnosed with asthma, and on inhaled corticosteroid-based treatment. The analysis included 80 completed questionnaires.Results: Participants comprehended well that controller drugs are intended to prevent the occurrence of asthma symptoms and complications, and their long-term daily use should be maintained. Twenty seven percent of participants indicated fear of side effects concerning long-term daily use of a controller inhaler. Participants had a good understanding that quick-relief drugs are intended to (quickly) relieve asthma symptoms and do not need to be used on a systematic, daily basis. Out of 73 participants on long-term controller drugs, 33 (45%) were 'non-adherent' (used less frequently than prescribed). Suboptimal adherence to maintenance treatment appeared to increase nightly awakenings and the risk of restrictions in activities due to asthma. Out of 54 participants with available quick-relief drug adherence data, 18 (33%) were non-adherent (used their quick-relief drug more frequently than prescribed).Discussion: This survey confirms suboptimal adherence to maintenance controller therapy and overuse of short-acting reliever medications among Belgian patients, which affects asthma control and quality of life. A substantial proportion of patients expressed fear about their chronic therapy, indicating the need for patient education about their disease and its management.
Disciplines :
General & internal medicine
Author, co-author :
Dupont, Lieven;  Department of Respiratory Medicine, University Hospital Gasthuisberg, Leuven, Belgium
Pilette, Charles;  Department of Pulmonary Medicine, Cliniques universitaires St Luc, and Institute of Experimental and Clinical Research, Université Catholique de Louvain, Brussels, Belgium
Schleich, FLorence  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de pneumologie - allergologie
Joos, Guy;  Department of Respiratory Medicine, Ghent University Hospital, Gent, Belgium
Language :
English
Title :
Health literacy among asthma patients and treatment expectations: results of a Belgian survey.
Publication date :
April 2020
Journal title :
Acta Clinica Belgica
ISSN :
1784-3286
eISSN :
2295-3337
Publisher :
Taylor and Francis Ltd., England
Volume :
75
Issue :
2
Pages :
141 - 148
Peer reviewed :
Peer Reviewed verified by ORBi
Funders :
AstraZeneca [BE]
Funding text :
The setup, conduct, and analysis of the survey, and the development of this manuscript were funded by AstraZeneca Belgium.
Available on ORBi :
since 18 February 2024

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