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Annals of Behavioral Medicine

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01-08-2012 | Original Article

The Influence of Informal Caregivers on Adherence in COPD Patients

Authors: Ranak B. Trivedi, Ph.D., Chris L. Bryson, MD, MS, Edmunds Udris, MPH, David H. Au, MD, MS

Published in: Annals of Behavioral Medicine | Issue 1/2012

Abstract

Background

Contributions of informal caregivers to adherence among chronic obstructive pulmonary disease (COPD) patients remain understudied.

Purpose

This study aims to evaluate the association between caregiver presence and adherence to medical recommendations among COPD patients.

Methods

Three hundred and seventy-four COPD patients were asked whether they had a caregiver. Medication adherence was assessed using pharmacy refill data. Smoking status was based on patient self-report. One-way ANOVAs and chi-square analyses were performed controlling for age and number of illnesses.

Results

Compared with the “no caregiver” group, antihypertensive medications adherence was higher in the “spousal caregiver” (0.68 vs. 0.81; 95 % CI = 0.04 and 0.22) and “non-spousal caregiver” (0.68 vs. 0.80; 95 % CI = 0.03 and 0.22) groups; long-acting beta agonist adherence was higher in the “spousal caregiver” group (0.60 vs.0.80; 95 % CI = 0.05 and 0.43). Patients in the “spousal caregiver” group had fewer current smokers compared with the “no caregiver” (χ ² = 16.08; p < 0.001) and “non-spousal caregiver” (χ ² = 5.07; p < 0.05) groups; those in the “non-spousal caregiver” group reported fewer smokers than the “no caregiver” group (χ ² = 4.54; p < 0.05).

Conclusions

Caregivers, especially spouses, may improve adherence in COPD. Future interventions may target patients without caregivers to optimize COPD management.

Holguin F, Folch E, Redd SC, Mannino DM: Comorbidity and Mortality in COPD-Related Hospitalizations in the United States, 1979 to 2001*. Chest. 2005, 128:2005–2011.PubMed

Terzano C, Conti V, Di Stefano F, et al.: Comorbidity, Hospitalization, and Mortality in COPD: Results from a Longitudinal Study. Lung. 2010, 188:321–329.PubMed

Halpin DMG, Miravitlles M: Chronic obstructive pulmonary disease: The disease and its burden to society. Proceedings of the American Thoracic Society. 2006, 3:619–623.PubMed

Jemal A, Ward E, Hao Y, Thun M: Trends in the leading causes of death in the United States, 1970–2002. JAMA. 2005, 294:1255–1259.PubMed

American Thoracic Society/European Respiratory Society Task Force: Standards for the Diagnosis and Management of Patients with COPD [Internet]. Version 1.2. New York: American Thoracic Society, 2004.

Anthonisen NR, Skeans MA, Wise RA, et al.: The effects of a smoking cessation intervention on 14.5-year mortality: A randomized clinical trial. Annals of Internal Medicine. 2005, 142:233–239.PubMed

Anthonisen NR, Connett JE, Kiley JP, et al.: Effects of smoking intervention and the use of an inhaled anticholinergic bronchodilator on the rate of decline of FEV1. The Lung Health Study. JAMA. 1994, 272:1497–1505.PubMed

Bergs D: “The Hidden Client”--women caring for husbands with COPD: Their experience of quality of life. Journal of Clinical Nursing. 2002, 11:613–621.PubMed

Martire LM, Lustig AP, Schulz R, Miller GE, Helgeson VS: Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychology. 2004, 23:599–611.PubMed

10.

Quantrill SJ, Lowe D, Hosker HS, et al.: Survey of early discharge schemes from the 2003 UK National COPD Audit. Respiratory Medicine. 2007, 101:1026–1031.PubMed

11.

Brodaty H, Mittelman M, Gibson L, Seeher K, Burns A: The effects of counseling spouse caregivers of people with Alzheimer disease taking donepezil and of country of residence on rates of admission to nursing homes and mortality. American Journal of Geriatric Psychiatry. 2009, 17:734–743.PubMed

12.

Martire LM, Schulz R, Wrosch C, Newsom JT: Perceptions and implications of received spousal care: Evidence from the Caregiver Health Effects Study. Psychology and Aging. 2003, 18:593–601.PubMed

13.

Vitaliano PP, Katon W, Unutzer J: Making the case for caregiver research in geriatric psychiatry. American Journal of Geriatric Psychiatry. 2005, 13:834–843.PubMed

14.

DiMatteo MR: Social support and patient adherence to medical treatment: A meta-analysis. Health Psychology. 2004, 23:207–218.PubMed

15.

DiMatteo MR, Giordani PJ, Lepper HS, Croghan TW: Patient adherence and medical treatment outcomes: A meta-analysis. Medical Care. 2002, 40:794–811.PubMed

16.

Rand CS, Nides M, Cowles MK, Wise RA, Connett J: Long-term metered-dose inhaler adherence in a clinical trial. The Lung Health Study Research Group. American Journal of Respiratory and Critical Care Medicine. 1995, 152:580–588.PubMed

17.

Rand CS: Patient adherence with COPD therapy. European Respiratory Review. 2005, 14:97–101.

18.

Au DH, Udris EM, Engelberg RA, et al.: A Randomized Trial to Improve Communication about End-of-Life Care among Patients with COPD. Chest. 2011.

19.

From the Global Strategy for the Diagnosis MaPoC, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2010.: Retrieved November 30, 2011 from http://www.goldcopd.org/

20.

Jones PW, Quirk FH, Baveystock CM: The St. George’s Respiratory Questionnaire. Respiratory Medicine. 1991, 85:25–31.PubMed

21.

Ware JE, Jr., Gandek B: Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. Journal of Clinical Epidemiology. 1998, 51:903–912.PubMed

22.

Bryson CL, Au DH, Young B, McDonell MB, Fihn SD: A refill adherence algorithm for multiple short intervals to estimate refill compliance (ReComp). Medical Care. 2007, 45:497–504.PubMed

23.

Barnes PJ, Celli BR: Systemic manifestations and comorbidities of COPD. European Respiratory Journal. 2009, 33:1165–1185.PubMed

24.

Bourbeau J, Bartlett SJ: Patient adherence in COPD. Thorax. 2008, 63:831–838.PubMed

25.

Caress AL, Luker KA, Chalmers KI, Salmon MP: A review of the information and support needs of family carers of patients with chronic obstructive pulmonary disease. Journal of Clinical Nursing. 2009, 18:479–491.PubMed

26.

Osler M, Prescott E: Psychosocial, behavioural, and health determinants of successful smoking cessation: A longitudinal study of Danish adults. Tobacco Control. 1998, 7:262–267.PubMed

27.

Murray RP, Gerald LB, Lindgren PG, et al.: Characteristics of participants who stop smoking and sustain abstinence for 1 and 5 years in the Lung Health Study. Preventive Medicine. 2000, 30:392–400.PubMed

28.

Carlson LE, Taenzer P, Koopmans J, Bultz BD: Eight-year follow-up of a community-based large group behavioral smoking cessation intervention. Addictive Behaviors. 2000, 25:725–741.PubMed

29.

Christakis NA, Fowler JH: The collective dynamics of smoking in a large social network. New England Journal of Medicine. 2008, 358:2249–2258.PubMed

30.

Pinquart M, Sorensen S: Spouses, adult children, and children-in-law as caregivers of older adults: A meta-analytic comparison. Psychology and Aging. 2011, 26:1–14.PubMed

Title: The Influence of Informal Caregivers on Adherence in COPD Patients
Authors: Ranak B. Trivedi, Ph.D.
Chris L. Bryson, MD, MS
Edmunds Udris, MPH
David H. Au, MD, MS
Publication date: 01-08-2012
Publisher: Springer-Verlag
Published in: Annals of Behavioral Medicine / Issue 1/2012
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI: https://doi.org/10.1007/s12160-012-9355-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Influence of Informal Caregivers on Adherence in COPD Patients

Abstract

Background

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Purpose

Methods

Results

Conclusions

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