TY  - JOUR
AB  - Introduction: In many chronic diseases, including COPD, the patients' basic knowledge of the disorder has been shown to be relevant for the course of the disease. We studied which clinical and functional characteristics were related to this knowledge as well as the patients' satisfaction with their knowledge about COPD. Methods: The study population comprised 645 patients of GOLD grades 1-4 who participated in Visit 6 of the COSYCONET cohort (COPD and Systemic Consequences - Comorbidities Network). The assessments covered a broad panel of clinical and functional characteristics, including generic and disease-specific quality of life and the COPD Assessment Test (CAT). The study aim was addressed by two questions, referring to patients' knowledge of the meaning of FEV1 and the overall satisfaction with their knowledge of COPD. Results: Knowledge of FEV1 was higher in patients of higher spirometric GOLD grades or exacerbation risk, in males, with higher educational level, and after participation in a prior educational training on COPD. Patients with more detailed knowledge showed a higher satisfaction with their knowledge. Satisfaction was associated with higher generic quality of life and a lower CAT score. Furthermore, satisfaction was higher in patients with a treatment plan but lower in patients with cardiac comorbidities. It appeared that females with basic education, high burden from COPD and low quality of life had the greatest knowledge deficits. Discussion: The results suggest room for education programs adapted to the educational level of the participants. They also emphasize the major role of a disease management plan for the patients.
AU  - Fischer, C.*
AU  - Jörres, R.A.*
AU  - Alter, P.*
AU  - Trudzinski, F.C.*
AU  - Yildirim, A.Ö.
AU  - Bals, R.*
AU  - Vogelmeier, C.F.*
AU  - Kauffmann-Guerrero, D.*
AU  - Behr, J.*
AU  - Watz, H.*
AU  - Holle, R.*
AU  - Kahnert, K.*
C1  - 66027
C2  - 53059
SP  - 1759-1770
TI  - Basic determinants of disease knowledge in COPD patients: Results from COSYCONET.
JO  - Patient pre. adh.
VL  - 16
PY  - 2022
SN  - 1177-889X
ER  - 

TY  - JOUR
AB  - Background: Adherence to COPD medication is often considered to be lower than in other chronic diseases. In view of the frequent comorbidities of COPD, the economic impact of nonadherence and the potential for adverse effects, a direct comparison between the adherence to respiratory and nonrespiratory medication in the same patients seems of particular interest. Objectives: We aimed to investigate the intake of respiratory and nonrespiratory medication in the same patients with COPD and frequent comorbidities. Method: Within the COPD cohort COSYCONET, we contacted 1042 patients, mailing them a list with all medication regarding all their diseases, asking for regular, irregular and nonintake. Results: Valid responses were obtained in 707 patients covering a wide spectrum of drugs. Intake of LABA, LAMA or ICS was regular in 91.9% of patients, even higher for cardiovascular and antidiabetes medication but lower for hyperlipidemia and depression/anxiety medication. Regular intake of respiratory medication did not depend on GOLD groups A-D or grades 1–4, was highest in patients with concomitant cardiovascular disorders and was lowest for concomitant asthma. It was slightly larger for LAMA and LABA administered via combined compared to single inhalers, and lower when similar compounds were prescribed twice. Most differences did not reach statistical significance owing to the overall high adherence. Conclusion: Our results indicate a high adherence to respiratory medication in participants of a COPD cohort, especially in those with cardiovascular comorbidities. Compared to the lower adherence reported in the literature for COPD patients, our observations still suggest some room for improvement, possibly through disease management programs.
AU  - Königsdorfer, N.*
AU  - Jörres, R.A.*
AU  - Söhler, S.*
AU  - Welte, T.*
AU  - Behr, J.*
AU  - Ficker, J.H.*
AU  - Bals, R.*
AU  - Watz, H.*
AU  - Lutter, J.
AU  - Lucke, T.*
AU  - Biertz, F.*
AU  - Alter, P.*
AU  - Vogelmeier, C.F.*
AU  - Kahnert, K.*
C1  - 57091
C2  - 47470
CY  - Po Box 300-008, Albany, Auckland 0752, New Zealand
SP  - 1711-1721
TI  - Adherence to respiratory and non-respiratory medication in patients with COPD: Results of the German COSYCONET cohort.
JO  - Patient pre. adh.
VL  - 13
PB  - Dove Medical Press Ltd
PY  - 2019
SN  - 1177-889X
ER  - 

TY  - JOUR
AB  - Background: Patient self-management is crucial to prevent complications and mortality in type 2 diabetes. From an economic perspective, time preference predicts short-sighted decision making and thus might help to explain non-adherence to self-anagement recommendations. However, recent studies on this association have shown mixed results. Purpose: In this study, we tested whether the combination of time preference and outcome expectancy can improve the predictions of self-management behavior. Patients and methods: Data from 665 patients with type 2 diabetes were obtained from the cross-sectional KORA (Cooperative Health Research in the Region of Augsburg) GEFU 4 study. Time preference and outcome expectancy were measured by one question each, which were answered on a 4-point Likert scale. Their association with six self-managing behaviors was tested in logistic and linear regression analyses. Likewise, we examined the association between self-management and the interaction of outcome expectancy and time preference. Results: A high time preference was associated with a significantly lower sum of self-management behaviors (β=-0.29, 95% CI [-0.54,-0.04]). Higher outcome expectancy was associated with a higher self-management score (β=0.21, 95% CI [-0.03, 0.45]). The interaction model showed that low time preference was only associated with better self-management when combined with a high outcome expectancy (β=0.05, 95% CI [-0.28, 0.39] vs β=0.27, 95% CI [-0.09, 0.63]). Conclusion: Time preference and outcome expectancy are interrelated predictors of patient self-management and could be used to identify and to intervene on patients with a potentially poor self-management.
AU  - Karl, F.
AU  - Holle, R.
AU  - Schwettmann, L.
AU  - Peters, A.
AU  - Laxy, M.
C1  - 54460
C2  - 45597
CY  - Po Box 300-008, Albany, Auckland 0752, New Zealand
SP  - 1937-1945
TI  - Time preference, outcome expectancy, and self-management in patients with type 2 diabetes.
JO  - Patient pre. adh.
VL  - 12
PB  - Dove Medical Press Ltd
PY  - 2018
SN  - 1177-889X
ER  -