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Oxygen Initiation & Adherence in COPD Patients

Respir Med; ePub 2019 Feb 13; Moy, et al

In secondary analysis of patients with chronic obstructive pulmonary disease (COPD), readiness, confidence, and importance to use long-term oxygen therapy (LTOT) at initiation were significantly associated with adherence. Researchers conducted a secondary analysis of data from 359 COPD participants assigned to oxygen in the Long-term Oxygen Treatment Trial. They were prescribed continuous (n=214) or intermittent (n=145) oxygen based on desaturation patterns at study entry. At the time of initial prescription, participants rated their perceived readiness, confidence, and importance to use oxygen on a 0-10 scale. Among the findings:

  • Participant readiness, confidence, and importance at the time of oxygen initiation were associated with high short- and medium-term adherence.
  • Characteristics associated with high adherence differed initially and over time.
  • Adherence characteristics differed in continuous vs intermittent oxygen groups.
  • In both groups, high adherence in the medium-term was associated with high adherence in the long-term.


Moy ML, Harrington KF, Sternberg AL, et al. Characteristics at the time of oxygen initiation associated with its adherence: Findings from the COPD long-term oxygen treatment trial. [Published online ahead of print February 13, 2019]. Respir Med. doi:10.1016/j.rmed.2019.02.004.