38 KiB
+---------------------------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------------+ | Physicians’ Perspectives on Patient Adherence to Inhaled Maintenance Therapy: | | | | | | A Cross-Sectional Comparison of Extended-Dose and Standard Packaging | | | | | | Study Questionnaire – Draft 03 (24/09/2026) | | +=================================================================================+======================================================================================================================================================+ | Basic Demographics / | Name ____________________________________________________ | | | | | Doctor details | Qualification: MBBS / MD (Chest) / DM (Pulmo / DNB / D3CH) / MD (Med) / DNB (Med) | | | | | | Any other, please specify: _________________________________________ | | | | | | Years of Practice: __________________________ | | | | | | Practice setting: Private Clinic / Private Hospital / Govt. Hospital | | | | | | Specialization: Chest Physician / Consulting Physician / General Physician / | | | | | | Other (please specify) _______________ | | | | | | City _________________________________ State _____________________ | +---------------------------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------------+ | Physician practice profile | - On an average how many patients do you see per month? | | | | | | _______________ | | | | | | - Approximately how many asthma patients do you manage per month? | | | | | | - New patients: ___ | | | | | | - Follow-up/old patients: ___ | | | | | | - Approximately how many COPD patients do you manage per month? | | | | | | - New patients: ___ | | | | | | - Follow-up/old patients: ___ | +---------------------------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------------+ | Foracort prescribing pattern | Approximately what proportion of your asthma patients receive Formoterol/Budesonide | | | | | | - _____ % | | | | | | Approximately what proportion of your COPD patients receive Formoterol/Budesonide | | | | | | - ? _____ % | | | | | | - Among your patients receiving Foracort, approximately what proportion do you prescribe: | | | | | | ------------------------------------------------------------------------ | | | Pack type Asthma COPD | | | ------------------------ --------------- --------------- --------------- | | | Regular Pack¹ pMDI ___% ___% | | | | | | Rotacap ___% ___% | | | | | | Extended- Dose Pack² pMDI ___% ___% | | | | | | Rotacap ___% ___% | | | | | | Total Rotacap 100% 100% | | | ------------------------------------------------------------------------ | | | | | | +--------------------------------------------------------------------------------------------------------+ | | | | ^(1:) Regular Pack - Formoterol/Budesonide 200 & 400mcg - Rotacaps (pack of 30) & MDI (120 doses) | | | | | | | | | | ² : Extended-Dose Pack - Formoterol/Budesonide 200 & 400 mcg - Rotacaps (pack of 60) & MDI (180 doses) | | | | | | | | | | Ref: 1 : Note: The unit dose cost for DPI & MDI remains same irrespective of the pack size | | | | +========================================================================================================+ | | | +--------------------------------------------------------------------------------------------------------+ | +---------------------------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------------+ | Physician assessment of adherence | - Based on your clinical experience, approximately what proportion of patients are adherent to their prescribed treatment? | | | | | | (Please provide your estimate out of 100 patients) | | | | | | ------------------------------------------------------------------------ | | | Pack type Asthma COPD | | | ------------------------ --------------- --------------- --------------- | | | Regular Pack pMDI ___ / 100 ___ / 100 | | | | | | Rotacap ___ / 100 ___ / 100 | | | | | | Extended- Dose-Pack pMDI ___ / 100 ___ / 100 | | | | | | Rotacap ___ / 100 ___ / 100 | | | ------------------------------------------------------------------------ | +---------------------------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------------+ | Physician assessment of adherence | Compared with patients receiving the regular pack, adherence among patients receiving the extended-dose pack is: | | | | | | - Much better | | | | | | - Somewhat better | | | | | | - No difference | | | | | | - Somewhat worse | | | | | | - Much worse | | | | | | - Unable to assess | +---------------------------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------------+ | Reasons for non-adherence | - In your opinion What are the key barriers to adherence to inhaled maintenance therapy of formoterol/budesonide in your asthma and COPD patients? | | | | | | - Side effects | | | | | | - Lack of understanding of the need for regular treatment | | | | | | - Delay in refill due to poor accessibility | | | | | | - Perception that medication is not required when symptoms improve | | | | | | - Fear/concerns about long-term medication | | | | | | - Cost | | | | | | - Difficulty remembering to take doses | | | | | | - Inhaler technique difficulties | | | | | | - Patient lifestyle/work-related factors | | | | | | - Other (Specify): _____________________________________________ | +---------------------------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------------+ | Patient characteristics associated with adherence | - Which patients, in your opinion, are most likely to benefit from an Extended dose Pack? | | | | | | - Elderly patients | | | | | | - Difficulty in accessing the pharmacy for a refill (e.g. Remote location) | | | | | | - Patients with frequent exacerbations | | | | | | - Patients frequently forgetting doses | | | | | | - Patients taking multiple medications | | | | | | - Patients with poor disease awareness | | | | | | - All patients requiring long-term maintenance therapy | | | | | | - Busy Lifestyle / working professional | | | | | | - Frequent travellers | | | | | | - Caregiver-dependent patients | | | | | | - Other: ______ | +---------------------------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------------+ | Physician perspective on the Extended-Dose Pack | - What do you consider the main advantages / disadvantages of the Extended-Dose Pack compared to Regular Pack | | | | | | Advantages: ________________________________________________________ | | | | | | Disadvantages: ____________________________________________________ | +---------------------------------------------------------------------------------+------------------------------------------------------------------------------------------------------------------------------------------------------+
- Overall, how would you rate the Extended-Dose Pack compared with the Regular Pack with respect to:
Attribute Strongly disagree Disagree Neither agree nor disagree Agree Strongly Agree
Using an adherence pack is more convenient for patients ○ ○ ○ ○ ○
Using an adherence pack reduces the frequency of medication refills ○ ○ ○ ○ ○
Using an adherence pack improves medication adherence ○ ○ ○ ○ ○
Using an adherence pack helps in maintaining treatment continuity ○ ○ ○ ○ ○
Using an adherence pack improves patient satisfaction ○ ○ ○ ○ ○
Using an adherence pack helps achieve better disease control ○ ○ ○ ○ ○
Using an adherence pack is more cost-beneficial for patients because it reduces the frequency of doctor visits ○ ○ ○ ○ ○
Using an adherence pack may be detrimental because it can delay follow-up visits with the doctor ○ ○ ○ ○ ○
Patients are reluctant to bear the higher initial purchase amount