Evidence mapPaperPMID 41333602Full record

ArticleInternational journal of chronic obstructive pulmonary disease2025

Barriers and Facilitators to Inhaler Adherence in Elderly Individuals with Chronic Obstructive Pulmonary Disease: A Qualitative Study.

You-Ran Liu, Wenzhong Zhang, Yaqi Huang, Xiulan Peng, Kangming Sun, Zhiying Wu, Huadong Wang, Xiaomei Ji, Jie Wang

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

You-Ran LiuThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.
Wenzhong ZhangSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, People's Republic of China.
Yaqi HuangSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.
Xiulan PengDepartment of Respiratory Medicine, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui Province, People's Republic of China.
Kangming SunNursing Department, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong Province, People's Republic of China.
Zhiying WuSchool of Nursing, Anhui Medical University, Hefei, Anhui Province, People's Republic of China.
Huadong WangDepartment of Respiratory Medicine, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui Province, People's Republic of China.
Xiaomei JiSchool of Nursing, Bengbu Medical University, Bengbu, Anhui Province, People's Republic of China.
Jie WangSchool of Nursing, Bengbu Medical University, Bengbu, Anhui Province, People's Republic of China.

Funding

Bengbu Medical University 2024BYZD142SK
6 · The paper itself

Abstract

Background: Inhalation therapy is the mainstay of pharmacological treatment for patients with chronic obstructive pulmonary disease (COPD). Elderly individuals with COPD often face greater challenges in using inhalers, and their experiences with inhaler use significantly influence treatment adherence and outcomes. Therefore, it is imperative to understand barriers and facilitators influencing inhaler adherence among elderly COPD patients, based on their perceptions and experiences with inhaled medications. Methods: A descriptive qualitative study was conducted using semi-structured interviews with elderly COPD patients recruited from a tertiary hospital in China. Data were analyzed through conventional content analysis with NVivo 11. Results: A total of 20 participants (mean age: 75.9 years; 35% female) completed the interviews. Two themes with six subthemes were identified. The two themes were facilitators for inhaler adherence and barriers to inhaler adherence. Facilitators included perceived manageability of inhaler devices and perceived benefits of inhalation therapy. Barriers involved physical limitations, communication challenges between patients and health providers, forgetfulness, and inconvenient refill policies. Conclusion: Adapting and optimizing inhaler devices to patient needs, increasing patient awareness of the benefits of inhalation therapy, and establishing continuous, effective pathways of patient-provider communication may represent promising approaches to improve inhaler adherence in elderly individuals with COPD.

Indexed as

Bronchodilator AgentsHealth Knowledge, Attitudes, PracticeLungMedication AdherenceNebulizers and VaporizersPulmonary Disease, Chronic ObstructiveAdministration, InhalationAgedAged, 80 and overAge FactorsChinaEquipment DesignFemaleHumansInterviews as TopicMaleBronchodilator AgentsadherencebarriersCOPDfacilitatorsinhalation therapyqualitative study

Identifiers

PMID41333602
PMCPMC12667380

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.