%0 Journal Article
%A Plaza, V
%A Giner, J
%A Curto, E
%A Alonso-Ortiz, M B
%A Orue, M I
%A Vega, J M
%A Cosio, B G
%T Assessing Adherence by Combining the Test of Adherence to Inhalers With Pharmacy Refill Records.
%D 2019
%@ 1018-9068
%U http://hdl.handle.net/10668/15166
%X The Global Initiative for Asthma (GINA) recommends the concurrent use of self-report and pharmacy refill data to assess treatment adherence. However, clinical evidence to support this combined approach is limited. Objective: To determine nonadherence to inhaler medication based on a validated questionnaire (Test of Adherence to Inhalers; TAI) and prescription refill data in a community sample of patients with chronic obstructive pulmonary disease (COPD) or asthma. Secondarily, we sought to determine the degree of concordance between these two measures. Cross-sectional, observational multicenter study in patients with asthma or COPD. Sociodemographic and clinical data were obtained from clinical records. Refill data were retrieved from electronic pharmacy databases. Participants completed the 12-item TAI during a single visit as part of routine care. Nonadherence was defined as TAI  A total of 816 patients (mean age, 60) were included. Nonadherence rates were 58.1% (TAI) and 28.6% (PRR) compared with 64.6% for the combined data (P These findings confirm the GINA recommendations, indicating that concomitant use of the TAI and pharmacy refill data identifies a higher percentage of nonadherent asthma or COPD patients than either instrument alone.
%K Adherence to therapy
%K Asthma
%K COPD
%K Nebulizer
%K Patient compliance
%K Self-reported success
%~