Madhvi Lahri|Sanjeev Kumar|Arun Mitra|Gyanendra Singh
Is the unrealistic expectation of getting cured related to poor treatment adherence among Indian Asthma patients? A hospital based mixed methods study from central India
All India Institute of Medical Sciences Bhopal|National Institute of Mental Health and Neurosciences|Sree Chitra Thirunal Institute for Medical Sciences and Technology|All India Institute of Medical Sciences Bhopal
prevention premature deaths due asthma requires continued disease control efforts patients healthcare providers expectations patients shown influence treatment adherence disease controlwe conducted hospitalbased sequential exploratory mixed methods study used definitions global initiative prevention asthma gina recruited 80 asthma patients tertiary public health facility central india assessed treatment expectations health literacy awareness behavioural risk factors selfcare treatment adherence disease control conducted thematic analysis qualitative data manual inductive coding used statistical software r version361 quantitative analysissixtyseven 8375 patients expected current doctor would help achieve cure 28 35 expected obtain information asthma 812 775 participants inadequate health literacy inadequate awareness respectively 738 using inhalers 212 using treatment forced expiratory volume 1 fev1 forced vital capacity fvc values available 4625 meagre 625 using peakflow meter selfmonitoring though 212 reported optimal treatment adherence 275 good control found expectation cure poor health literacy significantly related suboptimal treatment adherence didnt find association expectations patients disease controlasthma patients setting mostly expected get cured unrealistic expectation cure related poor treatment adherence possibly poor disease control