Determining Persistence with an Inhaled Corticosteroid in Asthma: Assessment Using an Objective Measurement vs the Self-Reported Foster Score
Britt Overgaard Hedegaard,1 Kjell Erik Julius Håkansson,2 Frodi Fridason Jensen,2,3 Charlotte Suppli Ulrik,2,4 Ulla Møller Weinreich1,5 1Department of Respiratory Diseases, Aalborg University Hospital, Aalborg, Denmark; 2Department of Respiratory Medicine, Copenhagen University Hospital - Hvidovre,...
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ftdoajarticles:oai:doaj.org/article:3d31713dac1b47259716fa121d08551a 2023-05-15T16:10:44+02:00 Determining Persistence with an Inhaled Corticosteroid in Asthma: Assessment Using an Objective Measurement vs the Self-Reported Foster Score Hedegaard BO Håkansson KEJ Jensen FF Ulrik CS Weinreich UM 2022-01-01T00:00:00Z https://doaj.org/article/3d31713dac1b47259716fa121d08551a EN eng Dove Medical Press https://www.dovepress.com/determining-persistence-with-an-inhaled-corticosteroid-in-asthma-asses-peer-reviewed-fulltext-article-JAA https://doaj.org/toc/1178-6965 1178-6965 https://doaj.org/article/3d31713dac1b47259716fa121d08551a Journal of Asthma and Allergy, Vol Volume 15, Pp 25-33 (2022) foster score medication possession ratio controller medication asthma self-assessed adherence self-reported outcome adherence persistence Immunologic diseases. Allergy RC581-607 article 2022 ftdoajarticles 2022-12-31T11:00:55Z Britt Overgaard Hedegaard,1 Kjell Erik Julius Håkansson,2 Frodi Fridason Jensen,2,3 Charlotte Suppli Ulrik,2,4 Ulla Møller Weinreich1,5 1Department of Respiratory Diseases, Aalborg University Hospital, Aalborg, Denmark; 2Department of Respiratory Medicine, Copenhagen University Hospital - Hvidovre, Hvidovre, Denmark; 3Medical Department, National Hospital of the Faroe Islands, Tórshavn, Faroe Islands; 4Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark; 5The Clinical Institute, Aalborg University, Aalborg, DenmarkCorrespondence: Ulla Møller WeinreichDepartment of Respiratory Diseases, Aalborg University Hospital, Mølleparkvej 4, Aalborg, DK-9000, DenmarkEmail ulw@rn.dkIntroduction: Adherence with controller medication is a major challenge in asthma management. Thus, a reliable method of measurement is mandatory to assess adherence.Aim: To examine the test-retest reliability on adherence with inhaled corticosteroids in adults with asthma using, a self-reported adherence score (Foster score).Methods: Patients with asthma and > 1 routine follow-up appointment at a university hospital outpatient clinic reported Foster scores. The objective Medication Possession Ratio (MPR) was calculated based on pharmacy redemption data and physician-prescribed doses of inhaled corticosteroids. The difference between Foster score and MPR at the first and second visit was assessed using a Bland–Altman plot, outcomes reported as limits of agreements and bias. Foster scores from both visits were used to calculate an intraclass correlation coefficient (ICC).Results: Self-reported adherence with asthma controller medication measured by Foster score was significantly higher than the objective MPR (p < 0.0001). The Bland–Altman plot for MPR and Foster score at the first and second visit showed upper and lower limits of agreement of 83.5 – (− 1.6) and 80.9 – (− 6.9) and bias was 41.0 and 37.0, respectively. Of the included patients, 93.1% reported identical Foster scores between visits, resulting in an ... Article in Journal/Newspaper Faroe Islands Directory of Open Access Journals: DOAJ Articles Faroe Islands Tórshavn ENVELOPE(-6.772,-6.772,62.010,62.010) National hospital of the Faroe Islands ENVELOPE(-6.776,-6.776,62.003,62.003) |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
foster score medication possession ratio controller medication asthma self-assessed adherence self-reported outcome adherence persistence Immunologic diseases. Allergy RC581-607 |
spellingShingle |
foster score medication possession ratio controller medication asthma self-assessed adherence self-reported outcome adherence persistence Immunologic diseases. Allergy RC581-607 Hedegaard BO Håkansson KEJ Jensen FF Ulrik CS Weinreich UM Determining Persistence with an Inhaled Corticosteroid in Asthma: Assessment Using an Objective Measurement vs the Self-Reported Foster Score |
topic_facet |
foster score medication possession ratio controller medication asthma self-assessed adherence self-reported outcome adherence persistence Immunologic diseases. Allergy RC581-607 |
description |
Britt Overgaard Hedegaard,1 Kjell Erik Julius Håkansson,2 Frodi Fridason Jensen,2,3 Charlotte Suppli Ulrik,2,4 Ulla Møller Weinreich1,5 1Department of Respiratory Diseases, Aalborg University Hospital, Aalborg, Denmark; 2Department of Respiratory Medicine, Copenhagen University Hospital - Hvidovre, Hvidovre, Denmark; 3Medical Department, National Hospital of the Faroe Islands, Tórshavn, Faroe Islands; 4Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark; 5The Clinical Institute, Aalborg University, Aalborg, DenmarkCorrespondence: Ulla Møller WeinreichDepartment of Respiratory Diseases, Aalborg University Hospital, Mølleparkvej 4, Aalborg, DK-9000, DenmarkEmail ulw@rn.dkIntroduction: Adherence with controller medication is a major challenge in asthma management. Thus, a reliable method of measurement is mandatory to assess adherence.Aim: To examine the test-retest reliability on adherence with inhaled corticosteroids in adults with asthma using, a self-reported adherence score (Foster score).Methods: Patients with asthma and > 1 routine follow-up appointment at a university hospital outpatient clinic reported Foster scores. The objective Medication Possession Ratio (MPR) was calculated based on pharmacy redemption data and physician-prescribed doses of inhaled corticosteroids. The difference between Foster score and MPR at the first and second visit was assessed using a Bland–Altman plot, outcomes reported as limits of agreements and bias. Foster scores from both visits were used to calculate an intraclass correlation coefficient (ICC).Results: Self-reported adherence with asthma controller medication measured by Foster score was significantly higher than the objective MPR (p < 0.0001). The Bland–Altman plot for MPR and Foster score at the first and second visit showed upper and lower limits of agreement of 83.5 – (− 1.6) and 80.9 – (− 6.9) and bias was 41.0 and 37.0, respectively. Of the included patients, 93.1% reported identical Foster scores between visits, resulting in an ... |
format |
Article in Journal/Newspaper |
author |
Hedegaard BO Håkansson KEJ Jensen FF Ulrik CS Weinreich UM |
author_facet |
Hedegaard BO Håkansson KEJ Jensen FF Ulrik CS Weinreich UM |
author_sort |
Hedegaard BO |
title |
Determining Persistence with an Inhaled Corticosteroid in Asthma: Assessment Using an Objective Measurement vs the Self-Reported Foster Score |
title_short |
Determining Persistence with an Inhaled Corticosteroid in Asthma: Assessment Using an Objective Measurement vs the Self-Reported Foster Score |
title_full |
Determining Persistence with an Inhaled Corticosteroid in Asthma: Assessment Using an Objective Measurement vs the Self-Reported Foster Score |
title_fullStr |
Determining Persistence with an Inhaled Corticosteroid in Asthma: Assessment Using an Objective Measurement vs the Self-Reported Foster Score |
title_full_unstemmed |
Determining Persistence with an Inhaled Corticosteroid in Asthma: Assessment Using an Objective Measurement vs the Self-Reported Foster Score |
title_sort |
determining persistence with an inhaled corticosteroid in asthma: assessment using an objective measurement vs the self-reported foster score |
publisher |
Dove Medical Press |
publishDate |
2022 |
url |
https://doaj.org/article/3d31713dac1b47259716fa121d08551a |
long_lat |
ENVELOPE(-6.772,-6.772,62.010,62.010) ENVELOPE(-6.776,-6.776,62.003,62.003) |
geographic |
Faroe Islands Tórshavn National hospital of the Faroe Islands |
geographic_facet |
Faroe Islands Tórshavn National hospital of the Faroe Islands |
genre |
Faroe Islands |
genre_facet |
Faroe Islands |
op_source |
Journal of Asthma and Allergy, Vol Volume 15, Pp 25-33 (2022) |
op_relation |
https://www.dovepress.com/determining-persistence-with-an-inhaled-corticosteroid-in-asthma-asses-peer-reviewed-fulltext-article-JAA https://doaj.org/toc/1178-6965 1178-6965 https://doaj.org/article/3d31713dac1b47259716fa121d08551a |
_version_ |
1765995882868637696 |