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Influence of ethnicity on adherence to non-surgical interventions for COPD: scoping review

Lookup NU author(s): Anna Robinson-BarellaORCiD, Dr Hamde Nazar, Professor Andy HusbandORCiD



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


AbstractObjective Poor therapeutic adherence and the contributing factors have been extensively researched in several chronic diseases, including COPD. However, the influence of ethnicity on adherence to non-surgical treatment interventions for COPD (e.g., smoking cessation and pulmonary rehabilitation) is not well understood. This scoping review was performed to better understand variations in adherence amongst people from minority ethnic communities diagnosed with COPD.Method This scoping review was designed based on the refined frameworks of Arksey and O'Malley, developed by the Joanna Briggs Institute (JBI). Systematic searches were performed across three data bases: CINHAL (EBSCO), Medline (OVID), and EMBASE (OVID).Results Out of 3654 identified records, 37 studies were deemed eligible for inclusion; these were conducted in various countries and involved populations of diverse ethnic groups diagnosed with COPD. The included studies considered provision and/or adherence to: medication (n=8, 21.6%), smoking cessation (n=11, 29.7%), influenza vaccinations (n=7, 18,9%), pulmonary rehabilitation (n=11, 29.7%), and oxygen therapy (n=2, 5.4%). Outcomes varied widely between studies within a single intervention (e.g., initiation, adherence, and complete the pulmonary rehabilitation program). However, most of the included studies suggested the presence of inequalities linked to ethnicity across interventions.Conclusion This review indicated the presence of poor adherence to non-surgical interventions amongst people from minority ethnic backgrounds living with COPD. However, due to the heterogeneity in population groups considered and compared within the individual studies, it is challenging to identify and understand the key inequalities influencing adherence to non-surgical interventions. Further research is needed to better explore this

Publication metadata

Author(s): Alamer S, Robinson-Barella A, Nazar H, Husband A

Publication type: Article

Publication status: Published

Journal: ERJ Open Research

Year: 2023

Pages: epub ahead of print

Online publication date: 21/09/2023

Acceptance date: 08/09/2023

Date deposited: 18/10/2023

ISSN (electronic): 2312-0541

Publisher: European Respiratory Society


DOI: 10.1183/23120541.00421-2023

ePrints DOI: 10.57711/fns6-sr44


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