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Patient Satisfaction With Inhaled Medication for Asthma
Ashutosh N Aggarwal1, Raman Kumari2, Sandeep Grover3
1Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India. aggarwal.ashutosh@outlook.com.
Metered-dose inhaler (MDI) users reported better asthma control and adherence compared to dry-powder inhaler (DPI) users. However, both inhaler types likely offer similar treatment satisfaction for asthma patients.
Area of Science:
- Pulmonology
- Pharmacology
- Clinical Medicine
Background:
- Asthma management relies on effective inhaled therapies.
- Patient satisfaction with inhaler devices impacts adherence and outcomes.
- Comparing metered-dose inhalers (MDI) and dry-powder inhalers (DPI) is crucial for optimizing asthma care.
Purpose of the Study:
- To compare treatment satisfaction between asthma patients using MDIs versus DPIs.
- To correlate inhaler satisfaction with adherence, pulmonary function, and airway inflammation.
- To identify factors influencing treatment satisfaction in asthma patients.
Main Methods:
- 200 adult asthma patients (MDI/DPI users) underwent spirometry and FENO measurement.
- Treatment satisfaction assessed using the Treatment Satisfaction Questionnaire for Medication (TSQM).
- Medication adherence evaluated with the Medication Adherence Questionnaire (MAQ).
Main Results:
- MDI users (40.9%) showed better asthma control than DPI users (17.6%).
- MDI users reported higher treatment adherence and better TSQM scores for Effectiveness, Convenience, and Global Satisfaction.
- No significant association found between inhaler type and TSQM scores via regression analysis.
Conclusions:
- Metered-dose inhalers (MDIs) are linked to improved asthma control and adherence.
- Both MDI and DPI devices appear to offer comparable overall treatment satisfaction.
- Treatment satisfaction scores correlated with adherence but not with pulmonary function or airway inflammation.
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