The Relationship Between Patients’ Knowledge and Medication Adherence and Asthma Control at the Pulmonary Clinic of Pasar Minggu Regional General Hospital
DOI:
https://doi.org/10.56127/jukeke.v5i1.2428Keywords:
Asthma Control, Asthma Knowledge, medication adherence, AGKQ, MMAS-8, ACQ-5, Pulmonary ClinicAbstract
Asthma control is often suboptimal in routine care, and gaps in patient knowledge and medication adherence may contribute to poor control. Objective: This study aimed to examine the relationship between patients’ asthma knowledge level and medication adherence with asthma control among adult patients attending the Pulmonary Clinic of Pasar Minggu Regional General Hospital. Methodology: A quantitative cross-sectional design was used with consecutive sampling of 191 adult asthma patients. Data were collected using validated questionnaires: ACQ-5, AGKQ, and MMAS-8. Descriptive statistics summarized distributions, and Chi-square tests examined associations between knowledge and asthma control, and between adherence and asthma control. Findings: Most participants had uncontrolled asthma (56.0%), low asthma knowledge (55.0%), and low medication adherence (56.5%). Knowledge level was significantly associated with asthma control (p = 0.001), with uncontrolled asthma more prevalent in the low-knowledge group (70.5%) than the high-knowledge group (38.4%). Medication adherence was also significantly associated with asthma control (p = 0.001), with uncontrolled asthma more common among low adherence (67.6%) than moderate (41.4%) or high adherence (38.5%). Implications: Integrating structured education and adherence-support strategies into routine outpatient care may improve asthma control and reduce exacerbation risk. Originality: This study integrates asthma knowledge and medication adherence within the same analytic framework of asthma control in an Indonesian pulmonary-clinic population, providing context-specific evidence for targeted clinic-based interventions.
References
Alnawayseh, T., Naddaf, A., & Taybeh, E. (2020). The impact of the clinical pharmacist on the use of inhalers among asthmatic patients in Alkarak region in the South of Jordan. Journal of Pharmaceutical Health Services Research, 11(2), 167–172. https://doi.org/10.1111/jphs.12339
Beaurivage, D., Boulet, L.-P., Foster, J. M., Gibson, P. G., & McDonald, V. M. (2018). Validation of the patient-completed asthma knowledge questionnaire (PAKQ). Journal of Asthma, 55(2), 169–179. https://doi.org/10.1080/02770903.2017.1318914
Birny. (2024). PDPI: Pemerintah perlu tingkatkan edukasi terkait asma. Gatra.Com. https://www.gatra.com/news-599350-kesehatan-pdpi-pemerintah-perlu-tingkatkan-edukasi-terkait-asma.html
Bookwalter, C. M. (2021). Dispensing proper asthma inhaler education to pediatric patients. U.S. Pharmacist, 46(4), 40–45. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109300607&partnerID=40&md5=44664309e5353ffc754f52fb00868364
Cholisoh, Z., Kristiana, Y., & Permatasari, L. (2020). Asthma knowledge and level of education predict medication adherence in patients with Asthma. International Journal of Pharmaceutical Research, 12(1), 478–484. https://doi.org/10.31838/ijpr/2020.12.01.108
Gebresilassie, T. G., Worku, A., Ahmed, A. A., & Kabeta, N. D. (2025). Effect of asthma education intervention on self-management knowledge and control level in Tigray, Northern Ethiopia: a quasi experimental study. BMC Pulmonary Medicine, 25(1). https://doi.org/10.1186/s12890-025-03574-4
GINA. (2025). Global strategy for asthma management and prevention (GINA Report 2025). https://ginasthma.org/wp-content/uploads/2025/12/GINA-Report-2025-V2-2025-12-17-WMS.pdf
Gon, Y., Ohyanagi, N., & Kobayashi, A. (2021). The association between control level and self-reported treatment adherence across different treatment types in Japanese asthma patients. Respiratory Investigation, 59(4), 454–463. https://doi.org/10.1016/j.resinv.2021.02.003
Jabeen, U., Zeeshan, F., Bano, I., Bari, A., & Rathore, A. W. (2018). Factors affecting medication adherence in childhood asthma and their association with asthma control. Pakistan Paediatric Journal, 42(1), 28–32. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044298259&partnerID=40&md5=e3755250b2f3f2c90b19517920f16798
Kangallı Boyacıoğlu, Ö., Atay, Ö., Atakul, G., Al, S., Asilsoy, S., & Uzuner, N. (2025). Evaluation of Asthma Knowledge Level of Patients Over 11 Years of Age with Asthma Diagnosis. Guncel Pediatri, 23(1), 17–22. https://doi.org/10.4274/jcp.2024.46034
Kharshid, A. M. (2025). Enhancing inhaler technique and asthma knowledge through a pharmacist-guided AI tool. Pharmacia, 72. https://doi.org/10.3897/pharmacia.72.e164298
Kovačević, M., Ćulafić, M., Jovanović, M., Vučićević, K., Kovačević, S. V, & Miljković, B. (2018). Impact of community pharmacists’ interventions on asthma self-management care. Research in Social and Administrative Pharmacy, 14(6), 603–611. https://doi.org/10.1016/j.sapharm.2017.07.007
Nazareth, A. M., Agarwal, R. O., Sah, S. K., Reji, N., Biju, M., & Palaksha, S. (2023). Assessment of Adherence and Common Non-adherence Factors for Inhaled Medications in Asthma and Chronic Obstructive Pulmonary Disease (COPD) Patients. Indian Journal of Pharmaceutical Education and Research, 57(1), s183–s188. https://doi.org/10.5530/ijper.57.1s.22
Román-Rodríguez, M., Metting, E., Gaciá-Pardo, M., Kocks, J., & Van Der Molen, T. (2019). Wrong inhalation technique is associated to poor asthma clinical outcomes. Is there room for improvement? Current Opinion in Pulmonary Medicine, 25(1), 18–26. https://doi.org/10.1097/MCP.0000000000000540
Upton, J., Fletcher, M., Madoc-Sutton, H., Sheikh, A., Caress, A.-L., & Walker, S. (2011). Shared decision making or paternalism in nursing consultations? A qualitative study of primary care asthma nurses’ views on sharing decisions with patients regarding inhaler device selection. Health Expectations, 14(4), 374–382. https://doi.org/10.1111/j.1369-7625.2010.00653.x
Yasin, A. N., Agustina, R., & Fadraersada, J. (2025). Kajian terapi asma dan tingkat kontrol asma berdasarkan Asthma Control Test (ACT). Proceeding of Mulawarman Pharmaceuticals Conferences, 6. https://doi.org/10.30872/mpc.v6i.28
Zaeh, S. E., Ramsey, R., Bender, B., Hommel, K., Mosnaim, G., & Rand, C. (2022). The Impact of Adherence and Health Literacy on Difficult-to-Control Asthma. Journal of Allergy and Clinical Immunology: In Practice, 10(2), 386–394. https://doi.org/10.1016/j.jaip.2021.11.003
Zhang, X., Ding, R., Zhang, Z., Chen, M., Yin, Y., & Quint, J. K. (2023). Medication adherence in people with asthma: A qualitative systematic review of patient and health professional perspectives. Journal of Asthma and Allergy, 16, 515–527. https://doi.org/10.2147/JAA.S407552
