| Baseline | Six weeks | Three months | One year | One year and a half | Two years | Main effect of time | |
---|---|---|---|---|---|---|---|---|
(Visit 1) | (Visit 2) | (Visit 3) | (Visit 4) | (Visit 5) | (Visit 6) | |||
Health literacy# | N | 64 | Â | Â | Â | Â | Â | Â |
Inadequate n (%) | 13 (20.3) | Â | Â | Â | Â | Â | Â | |
Knowledge | N | Â | 50 | Â | 34 | Â | 9 | Â |
Median total score (IQR) | Â | 6 (0) | Â | 6 (0) | Â | 6 (1) | Â | |
Mean (SD) | Â | 5.7 (1) | Â | 5.6 (0.9) | Â | 5.6 (0.7) | Â | |
Range |  | 1–6 |  | 2–6 |  | 4–6 |  | |
Score lower than 6, n (%) | Â | 8 (16) | Â | 8 (23.5) | Â | 3 (33.3) | Â | |
Estimated mean score (95% CI) |  | 5.7 (5.4; 5.9) |  | 5.6 (5.3; 5.9) |  | 5.6 (5.3; 5.9) | p = 0.8021 | |
Side effects to pirfenidone | N | Â | 54 | 51 | 38 | 22 | 11 | Â |
Patients experiencing min 1 side effect, n (%) | Â | 38 (70.4) | 40 (78.4) | 24 (63.2) | 15 (68.2) | 9 (81.8) | Â | |
Number of side effects/patients | Â | Â | Â | Â | Â | Â | Â | |
Median (IQR) | Â | 1 (2) | 1 (1) | 1 (3) | 1.5 (3) | 3 (4) | Â | |
Range |  | 0–5 | 0–7 | 0–5 | 0–4 | 0–6 |  | |
Predicted mean count (95%CI) |  | 1.4 (1.1; 1.7) | 2.5 (2; 3) | 1.5 (1.1; 2) | 1.5 (1.1; 2.2) | 2.7 (1.8; 4) | p = 0.0002 | |
Depression | N | Â | 50 | 49 | 34 | Â | 9 | Â |
Total score: median (IQR) | Â | 3 (6) | 4 (7) | 3 (6) | Â | 2 (4) | Â | |
Total score: range |  | 0–17 | 0–14 | 0–13 |  | 0–7 |  | |
Moderate depression n (%) | Â | 8 (16) | 8 (16.3) | 3 (8.8) | Â | 0 | Â | |
Estimated mean total score (95%CI) |  | 2.9 (2.1; 3.9) | 2.8 (2; 3.8) | 2.2 (1.5; 3.1) |  | 2.3 (1.3; 3.9) | p = 0.3785 | |
Anxiety | N | Â | 51 | Â | 35 | Â | 9 | Â |
Total score: median (IQR) | Â | 4 (11) | Â | 2 (5) | Â | 3.5 (6) | Â | |
Total score: range |  | 0–18 |  | 0–15 |  | 0–9 |  | |
Moderate anxiety n (%) | Â | 9 (17.6) | Â | 3 (8.6) | Â | 0 | Â | |
Estimated mean total score (95%CI) |  | 3 (1.9;4.7) |  | 1.9 (1.1;3) |  | 0.8 (0.1;1.9) | p < 0.0001 | |
Intentions to be adherent to treatment# | N | 60 | 51 | Â | 35 | Â | 10 | Â |
‘I expect to […]’ |  |  |  |  |  |  |  | |
Mean (SD) | 6.8 (0.9) | 6.8 (0.5) | Â | 6.7 (1) | Â | 7 (0) | Â | |
Range | 1–7 | 5–7 |  | 1–7 |  | 7 |  | |
‘I want to […]’ |  |  |  |  |  |  |  | |
Mean (SD) | 6.9 (0.8) | 6.9 (0.3) | Â | 6.8 (1) | Â | 7 (0) | Â | |
Range | 1–7 | 5–7 |  | 1–7 |  | 7 |  | |
‘I intend to […]’ |  |  |  |  |  |  |  | |
Mean (SD) | 6.9 (0.8) | 6.9 (0.3) | Â | 6.8 (0.9) | Â | 7 (0) | Â | |
Range | 1–7 | 5–7 |  | 1–7 |  | 7 |  | |
Level of motivation# | N | 59 | 53 | Â | 35 | Â | 10 | Â |
Pre-Contemplation n | 0 | 0 | Â | 0 | Â | 0 | Â | |
Contemplation n | 2 | 0 | Â | 0 | Â | 0 | Â | |
Sufficient motivation n | 57 | 53 | Â | 35 | Â | 10 | Â | |
Pirfenidone medication adherence | N | Â | 56 | 49 | 37 | 24 | 11 | Â |
Taking nonadherence n (%) | Â | 11 (19.6) | 12 (24.5) | 12 (32.4) | 8 (33.3) | 4 (36.4) | Â | |
N | Â | 11 | 12 | 12 | 8 | 4 | Â | |
Drug holiday n (%) | Â | 2 (18.2) | 3 (25) | 0 | 1 (12.5) | 0 | Â | |
N | Â | 56 | 47 | 36 | 24 | 11 | Â | |
Dosing nonadherence n (%) | Â | 0 | 0 | 0 | 1 (4.2) | 0 | Â | |
N | Â | 56 | 8 | 36 | 24 | 11 | Â | |
Discontinuation n (%) | Â | 0 | 0 | 0 | 0 | 0 | Â | |
N | Â | 10 | 12 | 12 | 8 | 4 | Â | |
Omitted to take pirfenidone n (%) | ||||||||
 1 time |  | 7 (70) | 6 (50) | 7 (58.3) | 4 (50) | 2 (50) |  | |
 2 times |  | 1 (10) | 4 (33.3) | 2 (16.7) | 2 (25) | 1 (25) |  | |
 3 times |  | 0 | 1 (8.3) | 1 (8.3) | 1 (12.5) | 0 |  | |
 4 times |  | 1 (10) | 0 | 2 (16.7) | 0 | 1 (25) |  | |
 More than 4 times |  | 1 (10) | 1 (8.3) | 0 | 1 (12.5) | 0 |  | |
Predicted % of taking adherence (95%CI) |  | 90.4 (77;96.3) | 86.7 (71;94.5) | 75.9 (55.5;88.8) | 67.9 (46.2;83.9) | 67.9 (46.2;83.9) | p = 0.0268 | |
Pantoprazole medication adherence# | N | Â | 56 | 46 | 36 | 24 | 11 | Â |
Pantoprazole intake yes n (%) | Â | 42 (75) | 38 (82.6) | 25 (69.4) | 18 (75) | 10 (90.9) | Â | |
N | Â | 40 | 37 | 25 | 18 | 9 | Â | |
Taking nonadherence n (%) | Â | 3 (7.5) | 1 (2.7) | 1 (4) | 0 | 1 (10.0) | Â | |
Barriers to medication adherence# | N | Â | 51 | Â | 35 | Â | 8 | Â |
Total numbers of barriers | Â | Â | Â | Â | Â | Â | Â | |
 Median (IQR) |  | 1 (4) |  | 4 (4) |  | 4 (6) |  | |
 Mean (SD) |  | 3 (4.2) |  | 3.7 (3.4) |  | 5.6 (5.9) |  | |
 Range |  | 0–15 |  | 0–11 |  | 19-Jan |  | |
Persons having min 1 barrier n (%) | Â | 35 (68.6) | Â | 27 (77.1) | Â | 8 (100) | Â | |
Sun protection* | N | Â | 52 | 48 | 35 | 23 | 10 | Â |
Inadequate sunscreen use | Â | 22 (42.3) | 20 (41.7) | 6 (17.1) | 4 (17.4) | 3 (30.0) | Â | |
N | Â | 52 | 46 | 34 | 23 | 9 | Â | |
Inadequate use of protective clothes | Â | 18 (34.6) | 14 (30.4) | 7 (20.6) | 5 (21.7) | 4 (44.4) | Â | |
N |  | 52 | 46 | 34 | 23 | N = 9 |  | |
Not staying in the shadows | Â | 14 (26.9) | 11 (23.9) | 7 (20.6) | 5 (21.7) | 2 (22.2) | Â | |
Use of sunscreen* |  | p = 0.0245 | ||||||
Physical inactivity | N | Â | 49 | Â | 21 | Â | Â | |
Not sufficiently active n (%) | Â | 28 (57.1) | Â | 9 (42.9) | Â | Â | ||
Predicted timepoint % (95% CI) |  | 59.2 (44.1;72.7) |  | 42.9 (23;65.4) |  | p = 0.2271 | ||
Alcohol use# | N | Â | 49 | Â | 22 | Â | Â | |
At-risk drinking behaviour n (%) | Â | 15 (30.6) | Â | 7 (31.8) | Â | Â | ||
Perceived health status EQ-5D-5L | Descriptive health index, N | 62 | Â | 50 | 35 | 22 | 10 | Â |
 Median (IQR) | 0.840 (0.210) |  | 0.863(0.225) | 0.857 (0.219) | 0.753 (0.218) | 0.824 (0.183) |  | |
 Mean (SD) | 0.780 (0.189) |  | 0.804 (0.193) | 0.824 (0.161) | 0.760 (0.174) | 0.794 (0.205) |  | |
Global health score based on the VAS, N | 62 | Â | 51 | 35 | 22 | 10 | Â | |
 Median (IQR) | 70 (23) |  | 70 (20) | 70 (20) | 66 (21) | 62.5 (26) |  | |
 Mean (SD) | 67.8 (15.8) |  | 68.4 (20.3) | 68 (13) | 63.6 (15.9) | 66.8 (17.4) |  | |
 Range | 20–99 |  | 10–100 | 40–90 | 30–92 | 40–90 |  | |
Frequencies reported problems, N | ||||||||
 Mobility, n (%) | 64 |  | 51 | 35 | 22 | 10 |  | |
  No problems |  |  |  |  |  |  |  | |
  Slight-extreme problems | 28 (43.8) |  | 24 (47.1) | 17 (48.6) | 9 (40.9) | 7 (70) |  | |
 Self-care, n (%) | 36 (56.2) |  | 27 (52.9) | 18 (51.4) | 13 (59.1) | 3 (30) |  | |
  No problems |  |  |  |  |  |  |  | |
  Slight-extreme problems | 47 (73.4) |  | 36 (72) | 29 (82.9) | 16 (72.7) | 8 (80) |  | |
 Activities, n (%) | 17 (26.6) |  | 14 (28) | 6 (17.1) | 6 (27.3) | 2 (20) |  | |
  No problems |  |  |  |  |  |  |  | |
  Slight-extreme problems | 29 (45.3) |  | 29 (56.9) | 17 (48.6) | 9 (40.9) | 6 (60) |  | |
 Pain/discomfort, n (%) | 35 (54.7) |  | 22 (43.1) | 18 (51.4) | 13 (59.1) | 4 (40) |  | |
  No problems |  |  |  |  |  |  |  | |
  Slight-extreme problems | 33 (51.6) |  | 23 (45.1) | 16 (45.7) | 9 (40.9) | 3 (30) |  | |
 Anxiety/depression, n (%) | 31 (48.4) |  | 28 (54.9) | 19 (54.3) | 13 (59.1) | 7 (70) |  | |
  No problems | 39 (60.9) |  | 35 (68.6) | 25 (71.4) | 13 (59.1) | 5 (50) |  | |
  Slight-extreme problems | 25 (39.1) |  | 16 (31.4) | 10 (28.6) | 9 (40.9) | 5 (50) |  | |
Mobility* |  | p = 0.1957 | ||||||
Self-care* | p = 0.7186 | |||||||
Activities* | p = 0.4568 | |||||||
Pain/discomfort | p = 0.4575 | |||||||
Anxiety/depression* | p = 0.2751 | |||||||
Quality of life K-BILDÂ | N | 66 | Â | 50 | 35 | 23 | 10 | Â |
Total score | ||||||||
 Mean (SD) | 57.1 (12) |  | 60.7 (10.4) | 61.9 (13) | 60 (12.3) | 62.5 (11.4) |  | |
 Range | 32–100 |  | 35.5–84.6 | 36.5–90.8 | 36.5–90.8 | 47.8–84.6 |  | |
Breathlessness/activities | ||||||||
 Mean (SD) | 48.4 (19.8) |  | 50.5 (20.2) | 50.9 (17.9) | 49.3 (17.6) | 55.7 (13.5) |  | |
 Range | 0–100 |  | 0–100 | 0–79.9 | 0–79.9 | 39.9–79.9 |  | |
Psychological | ||||||||
 Mean (SD) | 55.1 (14.7) |  | 60.2 (15) | 63.7 (18.4) | 59 (17.6) | 61.6 (18.2) |  | |
Range | 28–100 |  | 32.3–100 | 33.9–100 | 25.3–100 | 41.2–100 |  | |
Chest symptoms | ||||||||
 Mean (SD) | 73.8 (20.4) |  | 77.6 (18) | 75.2 (20) | 72.9 (16.3) | 79.8 (18.1) |  | |
 Range | 17.3–100 |  | 17.3–100 | 32.1 (100) | 32.1–100 | 44–100 |  | |
Estimated mean (95% CI) | ||||||||
 Total score | 57.5 (54.6;60.4) |  | 60.6 (57.7;63.4) | 59.3 (55.7;62.9) | 56.8 (53.1;60.5) | 57.4 (52.9;62) | p = 0.0397 | |
 Breathlessness/activities | 48.4 (43.6;53.2) |  | 49.7 (44.4;55) | 46.3 (40.5;52) | 43.5 (37.2;49.8) | 48 (42;54) | p = 0.2339 | |
 Psychological | 55.1 (51.6;58.7) |  | 60 (55.8;64.2) | 61.4 (56.3;66.9) | 56.1 (51.2;61) | 56.7 (49;64.5) | p = 0.0151 | |
 Chest symptoms | 73.8 (68.9;78.7) |  | 78.1 (73.4;82.9) | 73.2 (67.3;79.1) | 72.1 (66;78.1) | 72.9 (64.2;81.5) | p = 0.1798 | |
Quality of life SGRQ | N | 39 | Â | 34 | 28 | 20 | 6 | Â |
Total score | ||||||||
 Mean (SD) | 39 (20.6) |  | 33.3 (21.1) | 35.3 (17.2) | 35.3 (18.4) | 26.5 (13.6) |  | |
 Range | 0.4–92.4 |  | 4.3–76.3 | 9.6–67.4 | 6.7–85.5 | 10.5–47 |  | |
Symptoms | ||||||||
 Mean (SD) | 42.6 (25.2) |  | 30.8 (24) | 29.7 (21.7) | 35.8 (23.6) | 22.8 (9.8) |  | |
 Range | 0–97.7 |  | 0–88 | 0–73 | 2.7–92.8 | 12.9–40 |  | |
Activities | ||||||||
 Mean (SD) | 54.4 (26) |  | 49.9 (26.7) | 53.3 (23) | 50.5 (23.1) | 45 (20.4) |  | |
 Range | 0–100 |  | 0–100 | 0–92.5 | 0–100 | 18.1–67.2 |  | |
Impact | ||||||||
 Mean (SD) | 29.2 (19.3) |  | 24.4 (19.7) | 25.6 (17.3) | 26.5 (16.9) | 16.7 (12.1) |  | |
 Range | 0–85.3 |  | 0–70.5 | 0–59.7 | 1.8–82 | 5.5–37.6 |  | |
Estimated mean (95% CI) | ||||||||
 Total score | 36.2 (30.4; 42. 1) |  | 33.4 (27.6;39.2) | 37.8 (31.6; 44) | 36.7 (30.2;43. 2) | 35.1 (28.8; 41. 4) | p = 0.4953 | |
 Symptoms | 37.6 (31.2; 40) |  | 31 (24.4;37.3) | 29.4 (22.6; 36. 1) | 35.9 (27.9; 43.9) | 35.3 (29; 41.6) | p = 0.0532 | |
 Activities | 52.4 (45.8; 59.1) |  | 52 (44.7;59.3) | 55.2 (47.9; 62.6) | 53.8 (46.5; 61.1) | 51.9 (43.5; 60.2) | p = 0.8818 | |
 Impact | 25.2 (20.3; 30.2) |  | 23.3 (18.3;28.3) | 28.8 (22.3; 35.3) | 27 (21; 33) | 33.8 (22.3; 45.3) | p = 0.1039 |