Alamer Sarah, Robinson-Barellla Anna, Cooper Matthew, Nazar Hamde, Husband Andy
School of Pharmacy, Newcastle University, Newcastle upon Tyne, United Kingdom.
College of Clinical Pharmacy, King Faisal University, Al-Ahsa, Saudi Arabia.
PLoS One. 2025 Feb 10;20(2):e0318709. doi: 10.1371/journal.pone.0318709. eCollection 2025.
Numerous studies have documented the low adherence rate to treatment interventions for Chronic Obstructive Pulmonary Disease (COPD) amongst minority ethnic communities. This systematic meta-ethnographic review was performed to identify barriers and facilitators of adherence to treatment interventions (e.g., smoking cessation and pulmonary rehabilitation) of COPD in minority ethnic communities.
This systematic meta-ethnographic review followed the approach by Noblit and Hare. Systematic searches were performed across six databases MEDLINE (OVID), EMBASE (OVID), CINAHL (EBSCO), PsycINFO (OVID), Web of Science, and Scopus from their inception until November 2023. Quality appraisal of included studies was conducted using Critical Appraisal Skills Programme (CASP) tools.
Out of 1,329 identified citations, seven qualitative studies were included in this meta-ethnography. Using reciprocal translation, four overarching themes were developed to represent the barriers and facilitators of adherence to treatment interventions of COPD amongst minority ethnic communities: 1) positive and negative experiences affecting a person's motivation for their care, 2) patient attitude and beliefs, 3) being able to access and attend care, and 4) the influence of communication and culture on a person's care.
This review highlighted the barriers and facilitators of adherence to treatment interventions for COPD amongst individuals from minority ethnic communities. The key barriers include language difficulties and the inability to comprehend and communicate effectively with healthcare professionals. This demonstrates the need for further research on the impact of linguistic and cultural characteristics on adherence to treatment interventions for COPD. Addressing ethnicity-specific barriers could inform the development of tailored protocols and strategies for optimising adherence among minority ethnic communities. (PROSPERO CRD42023476187).
众多研究记录了少数族裔社区中慢性阻塞性肺疾病（COPD）治疗干预措施的低依从率。进行这项系统的元民族志综述，以确定少数族裔社区中COPD治疗干预措施（如戒烟和肺康复）依从性的障碍和促进因素。
这项系统的元民族志综述遵循诺布利特和黑尔的方法。从六个数据库MEDLINE（OVID）、EMBASE（OVID）、CINAHL（EBSCO）、PsycINFO（OVID）、科学网和Scopus自创建至2023年11月进行系统检索。使用批判性评估技能计划（CASP）工具对纳入研究进行质量评估。
在1329条识别出的引文中，七项定性研究纳入了该元民族志。通过相互翻译，形成了四个总体主题，以代表少数族裔社区中COPD治疗干预措施依从性的障碍和促进因素：1）影响个人护理动机的积极和消极经历；2）患者态度和信念；3）能够获得并接受护理；4）沟通和文化对个人护理的影响。
本综述突出了少数族裔社区个体中COPD治疗干预措施依从性的障碍和促进因素。关键障碍包括语言困难以及无法与医疗保健专业人员有效理解和沟通。这表明需要进一步研究语言和文化特征对COPD治疗干预措施依从性的影响。解决特定族裔的障碍可为制定优化少数族裔社区依从性的量身定制方案和策略提供信息。（国际前瞻性系统评价注册库编号CRD42023476187）
