Efficacy and safety of a multifactor intervention to improve therapeutic adherence in patients with chronic obstructive pulmonary disease (COPD): protocol for the ICEPOC study
2011

Improving Medication Adherence in COPD Patients

Sample size: 140 publication Evidence: moderate

Author Information

Author(s): Barnestein-Fonseca Pilar, Leiva-Fernández José, Vidal-España Francisca, García-Ruiz Antonio, Prados-Torres Daniel, Leiva-Fernández Francisca

Primary Institution: Family and Community Medicine Teaching Unit of Malaga, Distrito Sanitario Málaga, Málaga, Spain

Hypothesis

The application of a multifactor intervention to COPD patients taking inhaled treatment will give a 25% increase in the number of patients showing therapeutic adherence compared to the control group.

Conclusion

The multifactor intervention is expected to significantly improve therapeutic adherence in COPD patients.

Supporting Evidence

  • Low therapeutic adherence to medication is very common among COPD patients.
  • Adherence rates in clinical practice can be as low as 10 to 40 percent.
  • Patients often have difficulty with inhalation techniques, affecting adherence.

Takeaway

This study is trying to help people with lung problems remember to take their medicine better by teaching them about their illness and how to use their inhalers.

Methodology

A randomized controlled clinical trial with 140 COPD patients, using block randomization and measuring adherence through various tests.

Potential Biases

Possible Hawthorne effect and contamination between control and intervention groups.

Limitations

Selection bias due to missing data and potential contamination between groups.

Participant Demographics

Patients diagnosed with COPD, receiving clinical assistance in primary care centers in Malaga area.

Statistical Information

Confidence Interval

95%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1745-6215-12-40

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication