Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting

Shiv Kumar Verma; Abhishek Chandra; Manisha Das Gupta; Manoj Kumar Pandey

doi:10.5455/jmas.203694

2025, Vol: 15, Issue: 2

15 / 2Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles

Original Article
Online Published: 28 Sep 2024

J Med Allied Sci. 2025; 15(1): 1-9

doi: 10.5455/jmas.203694

Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting

Shiv Kumar Verma, Abhishek Chandra, Manisha Das Gupta, Manoj Kumar Pandey.

Abstract
Medication adherence is crucial for managing respiratory conditions effectively. This study aimed to explore the multifaceted factors influencing medication adherence among patients with respiratory illnesses. A comprehensive analysis was conducted, focusing on patient demographics, characteristics, clinical factors, beliefs about medications, and reasons for irregular medication use. A cross-sectional design assessed medication adherence and beliefs in COPD patients through questionnaires. The study identified a middle-aged population (average age: 48.5 years) with high smoking prevalence, aligning with established COPD risk factors. Medication adherence scores indicated moderate levels (average ARMS score: 62.7), but with significant individual variation. Financial burden emerged as the primary barrier, with nearly 28% of participants reporting cost-related non-adherence, particularly impacting lower socioeconomic status (SES) patients. Social stigma regarding respiratory illness, a novel factor, influenced adherence, especially in urban areas (19.8% reported experiencing stigma). The study found a positive correlation between positive medication beliefs and adherence, highlighting the importance of fostering trust in treatment effectiveness. Additionally, a confirmed COPD diagnosis and specific inhaler devices (DPI, PMDI with spacer) were linked to improved adherence. This study identified significant factors impacting medication adherence in COPD, including financial constraints, social stigma, medication beliefs, and inhaler device type.

Key words: Barriers, COPD, Inhaler devices, Medication adherence, Social stigma, Socioeconomic status

	ARTICLE TOOLS
	Abstract
	PDF Fulltext
	How to cite this article
	Citation Tools
	Related Records
	Articles by Shiv Kumar Verma Articles by Abhishek Chandra Articles by Manisha Das Gupta Articles by Manoj Kumar Pandey
	on Google
	on Google Scholar

How to Cite this Article

Pubmed Style

Verma SK, Chandra A, Gupta MD, Pandey MK. Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting. J Med Allied Sci. 2025; 15(1): 1-9. doi:10.5455/jmas.203694

Web Style

Verma SK, Chandra A, Gupta MD, Pandey MK. Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting. https://jmas.in/?mno=203694 [Access: June 27, 2026]. doi:10.5455/jmas.203694

AMA (American Medical Association) Style

Verma SK, Chandra A, Gupta MD, Pandey MK. Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting. J Med Allied Sci. 2025; 15(1): 1-9. doi:10.5455/jmas.203694

Vancouver/ICMJE Style

Verma SK, Chandra A, Gupta MD, Pandey MK. Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting. J Med Allied Sci. (2025), [cited June 27, 2026]; 15(1): 1-9. doi:10.5455/jmas.203694

Harvard Style

Verma, S. K., Chandra, . A., Gupta, . M. D. & Pandey, . M. K. (2025) Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting. J Med Allied Sci, 15 (1), 1-9. doi:10.5455/jmas.203694

Turabian Style

Verma, Shiv Kumar, Abhishek Chandra, Manisha Das Gupta, and Manoj Kumar Pandey. 2025. Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting. Journal of Medical and Allied Sciences, 15 (1), 1-9. doi:10.5455/jmas.203694

Chicago Style

Verma, Shiv Kumar, Abhishek Chandra, Manisha Das Gupta, and Manoj Kumar Pandey. "Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting." Journal of Medical and Allied Sciences 15 (2025), 1-9. doi:10.5455/jmas.203694

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Verma, S. K., Chandra, . A., Gupta, . M. D. & Pandey, . M. K. (2025) Factors contributing in non-adherence to inhaler therapy among patients with obstructive airway diseases in a tertiary care setting. Journal of Medical and Allied Sciences, 15 (1), 1-9. doi:10.5455/jmas.203694

About Journal of Medical and Allied Sciences

Contact Information

How to cite this article


About Journal of Medical and Allied Sciences Welcome to the Journal of Medical and Allied Sciences (JMAS), an official international publication of Deccan College of Medical Sciences, for rapid publi ... Read more. For best results, please use Internet Explorer or Google Chrome.	Contact Information By regular mail/speed post/courier Dr. Kazi Mudabbir Ahmed Editor, JMAS, Deccan College of Medical Sciences, DMRL ‘X’ Road, Kanchanbagh (PO), Hyderabad-500 058, Telangana, India. By email: editorialoffice@jmas.in By phone: +91 40 24340225, 24340129 By Mobile: +91-8522828349 By fax: +91 40 24340235