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Describing drivers of and barriers to persistence with tiotropium in patients with chronic obstructive pulmonary disease: A mixed-methods approach

Citation

Bereznicki, BJ and Peterson, GM and Jackson, SL and Walters, E and Hardley, FL and Gavagna, GA and Marshall, DC, Describing drivers of and barriers to persistence with tiotropium in patients with chronic obstructive pulmonary disease: A mixed-methods approach, International Journal of Pharmacy Practice, 32, (2) pp. 154-157. ISSN 0961-7671 (2015) [Refereed Article]

Copyright Statement

Copyright 2014 Royal Pharmaceutical Society

DOI: doi:10.1111/ijpp.12129

Abstract

Objective: To understand the factors influencing persistence with tiotropium in patients with chronic obstructive pulmonary disease (COPD).

Methods: Patients classified as 'persistent' or 'non-persistent' with tiotropium were identified from pharmacy dispensing records. Patients were compared for health status, beliefs and behaviours using data from questionnaires and interviews.

Key findings: Perceptions of the risks and benefits of medication, fear of worsening illness, and the GP's emphasis on the importance of the medication were key determinants of tiotropium persistence

.

Conclusions: Perceptions, attitudes and beliefs of patients and doctors influence persistence with tiotropium. These complex interactions need to be targeted to improve persistence with medicines in COPD.

Item Details

Item Type:Refereed Article
Keywords:chronic obstructive pulmonary disease, community pharmacy, data-mining, medication persistence
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Public Health and Health Services not elsewhere classified
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Preventive Medicine
Author:Bereznicki, BJ (Dr Bonnie Bereznicki)
Author:Peterson, GM (Professor Gregory Peterson)
Author:Jackson, SL (Dr Shane Jackson)
Author:Walters, E (Professor Haydn Walters)
ID Code:95617
Year Published:2015 (online first 2014)
Web of Science® Times Cited:1
Deposited By:Pharmacy
Deposited On:2014-10-06
Last Modified:2015-08-12
Downloads:0

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