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Validation of an Inhaled Therapy Beliefs Questionnaire in Patients with Chronic Obstructive Pulmonary Disease release_3l7ehy7s6baqxjumf6rdxba3u4

by Francisca Muñoz-Cobos, Virginia P Aguiar-Leiva, Carmen Argüello-Suárez, Paula Colacicchi, Luis A. Calleja Cartón, Leiva-Fernández F

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abstracts[] {'sha1': '61451eec3a767a3f8701604409e575022ccabfeb', 'content': "Background: To carry out a validation questionnaire that assesses beliefs about inhaled treatments in patients with chronic obstructive pulmonary disease (COPD), as knowing patients' beliefs could help to improve medication adherence and health outcomes. Methods: We evaluated data from 260 COPD patients from electronic medical record databases from five primary healthcare centers, in a descriptive, cross-sectional study with a sample size calculated for a 10-item questionnaire, with an estimated Cronbach's alpha of 0.70 and a 95% confidence level. Study participants were selected via systematic random sampling. Variables: Ten-item Inhaled Therapy Beliefs Questionnaire, CCTI-Questionnaire v.2.0, time for completion, age, sex, educational level, spirometry severity (GOLD criteria), exacerbations (previous year), characteristics of inhaled treatment, and smoking habit. A two-year follow-up in a subsample of 77 patients from one health center was utilized. The Morisky-Green test, pharmacy dispensing data, test-retest (kappa coefficient), and an exploratory analysis of the adherence-belief relationship (ji-squared) were measured. Results: The 10-item questionnaire showed good viability (3 min completion time) when performed face-to-face or telephonically; its psychometric properties were acceptable, with an internal consistency (Cronbach's alpha) score of 0.613. Three factors explained 47.58% of the total variance (p < 0.0001): use (factor 1), effects (factor 2), and objectives (factor 3) of inhalers. The two-year follow-up ultimately considered 58 out of the 77 patients (10 deceased, 4 unlocated, 2 mistakes, 2 no inhaled treatment, and 1 withdrawal). Non-adherence was 48.3% in terms of the Morisky-Green test; 31% in terms of pharmacy dispensing data; and 40.4% considering both methods. There was low test-retest reliability, indicated by items 4, 8, and 9 of the CCTI-Questionnaire (Kappa = 0.4, 0.26, and 0.34; p-value < 0.0001, 0.008, and 0.001, respectively). There was mild correlation between beliefs and adherence. Conclusions: The ten-item CCTI-Questionnaire v.2.0 demonstrated acceptable psychometric properties regarding feasibility, reliability, and content validity.", 'mimetype': 'text/plain', 'lang': 'en'}
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{'index': 1, 'creator_id': None, 'creator': None, 'raw_name': 'Virginia P Aguiar-Leiva', 'given_name': 'Virginia P', 'surname': 'Aguiar-Leiva', 'role': 'author', 'raw_affiliation': 'Research Unit Instituto CUDECA de Estudios e Investigación en Cuidados Paliativos Fundación CUDECA, Biomedical Research Institute (IBIMA-Plataforma BIONAND), University of Málaga, 29590 Málaga, Spain.', 'extra': {}}
{'index': 2, 'creator_id': None, 'creator': None, 'raw_name': 'Carmen Argüello-Suárez', 'given_name': 'Carmen', 'surname': 'Argüello-Suárez', 'role': 'author', 'raw_affiliation': 'Multiprofessional Teaching Unit for Family and Community Care of the Málaga-Guadalhorce Primary Care District, 29009 Málaga, Spain.', 'extra': {'orcid': '0009-0000-2613-6289'}}
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ext_ids {'doi': '10.3390/jcm13082281', 'wikidata_qid': None, 'isbn13': None, 'pmid': '38673555', 'pmcid': 'PMC11051114', 'core': None, 'arxiv': None, 'jstor': None, 'ark': None, 'mag': None, 'doaj': None, 'dblp': None, 'oai': None, 'hdl': None}
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issue 8
language en
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release_date 2024-04-15
release_stage published
release_type article-journal
release_year 2024
subtitle
title Validation of an Inhaled Therapy Beliefs Questionnaire in Patients with Chronic Obstructive Pulmonary Disease
version
volume 13
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