Exasperations" of asthma: a qualitative study of patient language about worsening asthma.

The Medical Journal of Australia
Stephen D VincentHelen K Reddel

Abstract

To identify expressions used by patients to describe worsening asthma; to examine the relevance of the word "exacerbation" to patients' experience; and to investigate whether their language is influenced by the severity of the episode and/or the target audience such as family members, friends and work colleagues. Qualitative study carried out from 1 January to 30 December 2004 among community volunteers to a research institute. Semistructured face-to-face interviews were used to elicit descriptions of episodes of worsening asthma, and further questioning was used to examine language used with family, employer and doctor. 25 people with asthma, aged 22-75 years. Themes identified by open coding about patient language for worsening asthma. 12 participants were not familiar with "exacerbation" and only three would use it themselves. "Attack" was the only specific term spontaneously volunteered (20 participants), but it was used for anything from mild to life-threatening episodes. Patients often downplayed the severity of worsening asthma to their families. Different language was used with employers, sometimes to justify sick leave and sometimes because of fear of perceived discrimination. When communicating with clinicians about w...Continue Reading

References

Sep 12, 1998·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·S Janson, G Becker
Jan 22, 2000·BMJ : British Medical Journal·C PopeN Mays
Feb 24, 2001·American Journal of Respiratory and Critical Care Medicine·M J AbramsonUNKNOWN Victorian Asthma Mortality Study Group
Apr 27, 2002·BMJ : British Medical Journal·Jo DouglassMichael Abramson
May 14, 2003·The Medical Journal of Australia·David H WilsonRichard E Ruffin
Nov 3, 2004·Family Practice·Nigel Williams, Jane Ogden
Dec 9, 2004·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·R AroniJ Douglass

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Citations

Feb 7, 2020·Pulmonary Therapy·Biljana CvetkovskiSinthia Bosnic-Anticevich
Aug 26, 2009·Respirology : Official Journal of the Asian Pacific Society of Respirology·Helen K Reddel
Dec 31, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Linda M NelsenHenrik Svedsater
May 29, 2010·The Patient·Diane M Turner-BowkerChristopher P Bransfield
Mar 30, 2011·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Nicola RingAziz Sheikh
Apr 21, 2012·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·V M McDonald, P G Gibson
Aug 23, 2019·Scientific Reports·Ahmed Abdulgadir NoureddinMohammed S Tawer Salman
Aug 1, 2015·NPJ Primary Care Respiratory Medicine·Helen K ReddelUNKNOWN Global Initiative for Asthma Scientific Committee and Dissemination and Implementation Committee
Sep 17, 2015·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Luke E Grzeskowiak, Vicki L Clifton
Sep 7, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Kimberley A JonesVanessa M McDonald

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