Cultural Differences in Illness Perception and Adherence to Treatment of Cystic Fibrosis Patients
Journal Title: Pulmonary Research and Respiratory Medicine – Open Journal - Year 2015, Vol 2, Issue 3
Abstract
Background: Patients with Cystic Fibrosis (CF) have a complex treatment regimen which poses emotional, social and economic burden. Adherence to treatment may be influenced by the patient’s own beliefs about the disease, which may be influenced by his religious/cultural background. The Israeli population consists of a majority of Jews. The Arabs, which are a minority, have different socioeconomic status, cultural beliefs and values. Objectives: To examine the cultural differences in illness perception and treatment adherence between Jewish and Arab CF patients, and the possible association between them. Methods: A cross-sectional, single Israeli CF center pilot study. Each patient completed the Illness perception-revised questionnaire (IPQ-R) and CF My Way questionnaire to assess adherence to therapy. Illness severity was scored using CF-ABLE score. The correlations between religious/cultural background (Jews/Arabs), illness perception and adherence to treatment were examined. Results: Ten Jews and 23 Arabs (Muslims, Christians or Druze).Their median age was 21(13-49) years. The illness perception questionnaire revealed differences between the two groups. Arabs considered their disease as more cyclical and less predictable (cyclical score 12.6 vs. 8.8, p=0.002). Only severe Arab patients assumed that treatment can affect their disease (p=0.049). In both groups, there was a correlation between consequences score and adherence to inhaled antibiotics and between timeline score and adherence to mucolytics. Adherence to physiotherapy was lower than recommended (p=0.02 Jews, 0.003 Arabs) and there were numerous misconception about the causes of the disease. Conclusions: Arabs related to CF course as less predictable. Those who understood their disease tended to have better adherence. Patients largely misunderstand the cause of CF and tend to perform less physiotherapy than recommended. Further studies are needed to assess cultural differences and adherence interventions should be culture-sensitive.
Authors and Affiliations
Lea Bentur
Keywords
Related Articles
- EP ID EP550063
- DOI 10.17140/PRRMOJ-2-118
- Views 164
- Downloads 0
Vitamin C Infusion for Gastric Acid Aspiration-Induced Acute Respiratory Distress Syndrome (ARDS)
Introduction Gastric acid aspiration into the lung has long been established as a direct cause of acute lung injury that rapidly leads to a clinical diagnosis of acute respiratory distress syndrome (ARDS). Gastric juices...
Pulmonary Rehabilitation in Patients With Pulmonary Hypertension
Traditionally, patients with pulmonary hypertension (PH) were advised to limit their physical activity because of the risk of fatal cardiovascular compromise. However, relatively little is known about the risks and benef...
Primary Pleural Lymphoma with Dense Pleural Thickening
A 72-year-old man was referred to our hospital because of persistent right chest pain and an abnormal shadow on chest X-ray. Thoracic computed tomography showed a right upper pleural nodule and massive right pleural thic...
Elevated Jugular Venous Pressure with Y-Dip on Inspection
An 80-year-old man was transferred to our hospital (day 1) from a local hospital because of persistent dyspnea on exertion for two weeks. He had aortic valve replacement with a mechanical valve for aortic valve stenosis...
Flapping Tremor as a Diagnostic Tool for Evaluation of Hypercapnia
A 76 year-old woman was admitted to our hospital because of aspiration pneumonia. Four days after initiation of the antibiotic treatment, her respiratory status became to be better; however, hypoxemia was recurred with t...