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dc.contributor.authorLeiva-Fernández, José
dc.contributor.authorLeiva-Fernández, Francisca
dc.contributor.authorGarcía-Ruiz, Antonio J. 
dc.contributor.authorPrados Torres, Daniel
dc.contributor.authorBarnestein-Fonseca, Pilar
dc.date.accessioned2024-02-09T10:42:30Z
dc.date.available2024-02-09T10:42:30Z
dc.date.issued2014
dc.identifier.citationLeiva-Fernández et al.: Efficacy of a multifactorial intervention on therapeutic adherence in patients with chronic obstructive pulmonary disease (COPD): a randomized controlled trial. BMC Pulmonary Medicine 2014 14:70.es_ES
dc.identifier.urihttps://hdl.handle.net/10630/30266
dc.description.abstractThis study evaluated the effectiveness of a multifactorial intervention on improving the therapeutic adherence in chronic obstructive pulmonary disease (COPD) patients with scheduled inhalation therapy. Methods: The study design consisted of a randomised controlled trial in a primary care setting. 146 patients diagnosed with COPD were randomly allocated into two groups using the block randomisation technique. One-year follow-ups with three visits were performed. The intervention consisted of motivational aspects related to adherence (beliefs and behaviour) in the form of group and individual interviews, cognitive aspects in the form of information about the illness and skills in the form of training in inhalation techniques. Cognitive-emotional aspects and training in inhalation techniques were reinforced during all visits of the intervention group. The main outcome measure was adherence to the medication regimen. Therapeutic adherence was determined by the percentage of patients classified as good adherent as evaluated by dose or pill count. Results: Of the 146 participants (mean age 69.8 years, 91.8% males), 41.1% reported adherence (41.9% of the control group and 40.3% of the intervention group). When multifactorial intervention was applied, the reported adherence was 32.4% for the control group and 48.6% for the intervention group, which showed a statistically significant difference (p = 0.046). Number needed to treat is 6.37. In the intervention group, cognitive aspects increased by 23.7% and skilled performance of inhalation techniques increased by 66.4%. Conclusion: Application of the multifactorial intervention designed for this study (COPD information, dose reminders, audio-visual material, motivational aspects and training in inhalation techniques) resulted in an improvement in therapeutic adherence in COPD patients with scheduled inhalation therapy.es_ES
dc.language.isoenges_ES
dc.publisherBMCes_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectPulmones - Enfermedades obstructivases_ES
dc.subject.otherTherapeutic adherencees_ES
dc.subject.otherEducational interventiones_ES
dc.subject.otherChronic obstructive pulmonary diseasees_ES
dc.titleEfficacy of a multifactorial intervention on therapeutic adherence in patients with chronic obstructive pulmonary disease (COPD): a randomized controlled trial.es_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.identifier.doi10.1186/1471-2466-14-70
dc.rights.ccAttribution 4.0 Internacional
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersiones_ES


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