What bothers severe asthma patients most? A paired patient–clinician study across seven European countries
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What bothers severe asthma patients most? A paired patient–clinician study across seven European countries. / Ainsworth, Ben; Chatburn, Eleanor; Bansal, Aruna T.; Fulton, Olivia; Hamerlijnck, Dominique; Coleman, Courtney; Eger, Katrien; Hyland, Michael; Holmes, Joshua; Heaney, Liam; Sedlák, Vratislav; Škrgat, Sabina; Edelbaher, Natalija; Brinke, Anneke Ten; Porsbjerg, Celeste; Gaga, Mina; Loureiro, Claudia; Djukanovic, Ratko; Berret, Emmanuelle; Kwon, Namhee.
In: ERJ Open Research, Vol. 9, No. 3, 00717-2022, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - What bothers severe asthma patients most? A paired patient–clinician study across seven European countries
AU - Ainsworth, Ben
AU - Chatburn, Eleanor
AU - Bansal, Aruna T.
AU - Fulton, Olivia
AU - Hamerlijnck, Dominique
AU - Coleman, Courtney
AU - Eger, Katrien
AU - Hyland, Michael
AU - Holmes, Joshua
AU - Heaney, Liam
AU - Sedlák, Vratislav
AU - Škrgat, Sabina
AU - Edelbaher, Natalija
AU - Brinke, Anneke Ten
AU - Porsbjerg, Celeste
AU - Gaga, Mina
AU - Loureiro, Claudia
AU - Djukanovic, Ratko
AU - Berret, Emmanuelle
AU - Kwon, Namhee
N1 - Publisher Copyright: © The authors 2023.
PY - 2023
Y1 - 2023
N2 - Introduction Severe asthma is a complex, multidimensional disease. Optimal treatment, adherence and outcomes require shared decision-making, rooted in mutual understanding between patient and clinician. This study used a novel, patient-centred approach to examine the most bothersome aspects of severe asthma to patients, as seen from both perspectives in asthma registries. Methods Across seven countries, 126 patients with severe asthma completed an open-ended survey regarding most the bothersome aspect(s) of their asthma. Patients’ responses were linked with their treating clinician who also completed a free-text survey about each patient’s most bothersome aspect(s). Responses were coded using content analysis, and patient and clinician responses were compared. Finally, asthma registries that are part of the SHARP (Severe Heterogeneous Asthma Research collaboration, Patient-centred) Clinical Research Collaboration were examined to see the extent to which they reflected the most bothersome aspects reported by patients. Results 88 codes and 10 themes were identified. Clinicians were more focused on direct physical symptoms and were less focused on “holistic” aspects such as the effort required to self-manage the disease. Clinicians accurately identified a most bothersome symptom for 29% of patients. Agreement was particularly low with younger patients and those using oral corticosteroids infrequently. In asthma registries, patient aspects were predominantly represented in questionnaires. Conclusions Results demonstrated different perspectives and priorities between patients and clinicians, with clinicians more focused on physical aspects. These differences must be considered when treating individual patients, and within multidisciplinary treatment teams. The use of questionnaires that include multifaceted aspects of disease may result in improved asthma research.
AB - Introduction Severe asthma is a complex, multidimensional disease. Optimal treatment, adherence and outcomes require shared decision-making, rooted in mutual understanding between patient and clinician. This study used a novel, patient-centred approach to examine the most bothersome aspects of severe asthma to patients, as seen from both perspectives in asthma registries. Methods Across seven countries, 126 patients with severe asthma completed an open-ended survey regarding most the bothersome aspect(s) of their asthma. Patients’ responses were linked with their treating clinician who also completed a free-text survey about each patient’s most bothersome aspect(s). Responses were coded using content analysis, and patient and clinician responses were compared. Finally, asthma registries that are part of the SHARP (Severe Heterogeneous Asthma Research collaboration, Patient-centred) Clinical Research Collaboration were examined to see the extent to which they reflected the most bothersome aspects reported by patients. Results 88 codes and 10 themes were identified. Clinicians were more focused on direct physical symptoms and were less focused on “holistic” aspects such as the effort required to self-manage the disease. Clinicians accurately identified a most bothersome symptom for 29% of patients. Agreement was particularly low with younger patients and those using oral corticosteroids infrequently. In asthma registries, patient aspects were predominantly represented in questionnaires. Conclusions Results demonstrated different perspectives and priorities between patients and clinicians, with clinicians more focused on physical aspects. These differences must be considered when treating individual patients, and within multidisciplinary treatment teams. The use of questionnaires that include multifaceted aspects of disease may result in improved asthma research.
U2 - 10.1183/23120541.00717-2022
DO - 10.1183/23120541.00717-2022
M3 - Journal article
C2 - 37260457
AN - SCOPUS:85161430492
VL - 9
JO - ERJ Open Research
JF - ERJ Open Research
SN - 2312-0541
IS - 3
M1 - 00717-2022
ER -
ID: 366305587