Patients' needs in asthma treatment: development and initial validation of the NEAT questionnaire

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
Adrian LoerbroksPeter Angerer

Abstract

We aimed to develop and tentatively validate an instrument assessing patients' needs related to asthma treatment. Patients were recruited through various approaches (e.g. physicians, pharmacies and patient organizations). Utilizing a mixed methods design, we first conducted five focus groups to explore needs among patients. Next, we devised an item pool which was revised, reduced and evaluated by patients. Finally, data from a survey (n = 362) were used to further reduce the item pool and to examine the questionnaire's psychometric properties and validity. Four broad needs categories emerged from the focus groups: (1) information needs; (2) consideration of patient views in diagnosis; (3) consideration of patient views in treatment planning; and (4) addressing patients' fears. We devised 45 items, which were reduced to 22 items based on patient feedback. The survey data suggested a 13-item scale with four subscales ("patient expertise", "drug effects", "handling drugs" and "exacerbations"). Cronbach's alpha was acceptable for those subscales (>0.7) and for the total score (0.9). Increasing scores on subscales and the total score (implying more unmet needs) showed close and consistent associations with poor asthma control, reduc...Continue Reading

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Citations

Aug 12, 2016·NPJ Primary Care Respiratory Medicine·Adrian LoerbroksPeter Angerer
Oct 17, 2016·The Journal of Allergy and Clinical Immunology·Luzmercy PerezAndrea J Apter
Jan 13, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Julia Schreitmüller, Adrian Loerbroks
Jun 7, 2019·Journal of Occupational Medicine and Toxicology·Jessica ScharfAdrian Loerbroks
Jun 30, 2019·International Journal of Environmental Research and Public Health·Jessica ScharfAdrian Loerbroks
Jun 7, 2019·Clinical and Translational Allergy·Katherina HeinrichsAdrian Loerbroks
Feb 19, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Katherina HeinrichsAdrian Loerbroks

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