Asthma Knowledge and Level of Education Predict Medication Adherence in Patients with Asthma
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Author:
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ZAKKY CHOLISOH, YULITA KRISTIANA , LARAS PERMATASARI
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Abstract:
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Objective: Asthma is a chronic respiratory disease. Apart from other factors, knowledge about asthma could
affect patient’s medication adherence. The objective of the research is to understand the association between
asthma patients’ knowledge and patients’ adherence.
Methods: This was a cross sectional study. The research included 72 patients age = 18 years old who were
diagnosed with persistent asthma and were prescribed corticosteroid with or without other asthma
medications for at least 1 month. Asthma General Knowledge Questionnaire (AGKQ) and Modified
Adherence Report Scale for Asthma (MARS-A-10) were used as instrument to measure knowledge and
adherence.
Results: Result of this study showed that 50% of asthmatics had low level of knowledge even though most of
them had high level adherence (80.5%). There is a significant association between knowledge about asthma and
medication adherence. Patients with high level of knowledge were 4.8 more likely to have high adherence
compared to those with low level of knowledge on asthma [odds ratio 4.8 (95% CI: 1.22-19.20)]. Level of
education also has significant association with medication adherence. Patient with high level of education were
4.8 times more likely to be adherent to asthma medication compared to those with low level of education
[odds ratio 4.7 (95% CI: 1.37-16.26)].
Conclusion: Patients’ knowledge and level of education are independent determinants of high level of
adherence. Therefore, identification of patients with knowledge deficit will be an important approach to design
an intervention to achieve good adherence.
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Keyword:
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Knowledge, adherence, asthma.
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2020.12.01.108
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