Patients' experience of asthma control and clinical guidelines: perspectives from a qualitative study

Respiratory Medicine
Katja RudellLinda Abetz

Abstract

Clinical guidelines consider the concept of 'asthma control' as the primary goal of asthma treatment. This study aimed to explore patients' views of concepts that are important for understanding and evaluating asthma control. Patients with mild to severe asthma in four countries completed the Asthma Control Questionnaire (ACQ) and discussed their experiences in focus groups. Clinicians evaluated patients' levels of asthma control based on Global Initiative for Asthma (GINA) guidelines. Clinician- and questionnaire-based ratings of asthma control were compared. Thematic analysis was used to identify key concepts from focus group transcripts. The sample consisted of 55 patients. Classification of asthma control, based on the ACQ, was consistent with clinician rating in 28 cases (51%). In focus groups, patients discussed concepts related to symptoms, asthma attacks (exacerbations), activity limitations, panic/fear, tiredness, sleep disturbances (nocturnal awakening and difficulty falling asleep), and rescue medication use when describing asthma control. Clinical guidelines also focus on symptoms, activity limitations, rescue medication use, and exacerbations but, in addition include lung function parameters. Guidelines do not take...Continue Reading

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Citations

Apr 30, 2014·Archivos de bronconeumología·María del Carmen VenneraUNKNOWN Study Group CONTROL
Nov 7, 2013·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·M JonssonI Kull
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Mar 31, 2021·The Clinical Respiratory Journal·Fatma Esra GünaydınMüge Erbay

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