Table 3 Barriers to the use of MDI among asthma patients attending UoGCSH in 2017/18 (n=307)
Barriers to MDI use | Yes N(%) | No N(%) | |
|---|---|---|---|
Cognitive barriers (CBs) | |||
B1 | The belief of the patient that their asthma is not serious to take the medication | 117 (38.1%) | 190 (61.9%) |
B2 | Fears of addiction or dependence to their medication | 266 (86.6%) | 41 (13.4%) |
B3 | The perception that medication should be used in response to symptoms, and not on a regular basis | 277 (90.2%) | 30 (9.8%) |
B4 | The belief of decreasing effectiveness of the medication over time | 270 (87.9%) | 37 (12.1%) |
B5 | Patients had inadequate or limited knowledge about their medication | 264 (86%) | 43 (14%) |
B6 | The fear of adverse effects of medication associated with use of an inhaler | 262 (85.3%) | 45 (14.7%) |
B7 | Inadequate or limited knowledge whether they were taking the right medication | 189 (61.6%) | 118 (38.4%) |
B8 | Inadequate or limited knowledge whether they were using the appropriate technique | 195 (63.5%) | 112 (36.5%) |
B9 | Inadequate or limited knowledge whether the medication they were taking was compatible with medications taken for other conditions | 248 (80.8%) | 59 (19.2%) |
Motivation and preferences related barriers (MPRBs) | |||
B10 | Forgetfulness | 125 (40.7%) | 182 (59.3%) |
B11 | Lack of motivation | 132 (43%) | 175 (57%) |
B12 | Preference for other non-pharmacological approach | 212 (69.1%) | 95 (30.9%) |
B13 | Preference for restriction of daily physical activity instead of taking medication | 196 (63.8%) | 111 (36.2%) |
Practical implementation (PIBs) | |||
B14 | Having to brush their teeth after its use | 71 (23.1%) | 236 (76.9%) |
B15 | Uncomfortable for the use of the inhaler | 138 (45%) | 169 (55%) |
B16 | Having trouble to take the medication more than once a Day | 143 (46.6%) | 164 (53.4%) |
B17 | The cost of medication | 282 (91.9%) | 25 (8.1%) |
Family and physician related barriers (FPRBs) | |||
B18 | Disagreements between parents | 67 (21.8%) | 240 (78.2%) |
B19 | Unclear language and instruction | 229 (74.6%) | 78 (25.4%) |
B20 | Uninformed about the disease or diagnosis | 253 (82.4%) | 54 (17.6%) |
B21 | The severity of the disease remained unclear to them | 245 (79.8%) | 62 (20.2%) |
B22 | Physicians centered the asthma management strategy solely on prescribed medications | 274 (89.3%) | 33,910.7%) |
Health care related barriers (HCRBs) | |||
B23 | The lack of a structured follow-up plan | 261 (85%) | 46 (15%) |
B24 | Lack of specialists treating asthma | 262 (85.3%) | 45 (14.7%) |
B25 | Contradictory messages provided by different health care professionals | 274 (89.3%) | 33 (10.7%) |