“Patients don’t lie”; a view on adherence in asthma
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Objective The primary objective of this article is to examine the extent of self-reported non-adherence among patients participating in a controlled trial of an asthma compliance optimization intervention. The secondary objective is to introduce a two-question questionnaire that is, in wording and design, a neutral tool for disclosure of non-adherence behaviour. Method Data in this study was obtained as part of a controlled trial on an SMS monitoring and compliance intervention developed for Danish asthma patients. The trial was conducted from November 2007 to May 2008. A total of 244 patients participated in the study. Two new designed nonadherence questions were asked in immediate succession. This practice, along with the wording of the questions and use of the Web as medium, constitute a new approach to self-reported adherence assessment. Results A total of 43.9% of the participants in the trial reported non-adherence to the medical dosage regime for which they had, only one question earlier, documented their awareness. Conclusion This illustrates that at least 43.9% of the participants in the trial dared to report nonadherence to asthma medication.
KeywordsAsthma Compliance Denmark Non-adherence Questionnaire
The study was funded by the Ministry of Health and Prevention in Denmark.
Conflicts of interest
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