Real-world Drivers Behind Communication, Medication Adherence, and Shared Decision Making In Minority Adults with Asthma

Norful, Allison A.; Bilazarian, Ani; Chung, Albert E.; George, Maureen

doi:10.1177/2150132720967806

Cited by 10 publications

(15 citation statements)

References 31 publications

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“…during consultations. Such approaches may be particularly important for particular patient subgroups [37,38] such as males, those with lower OCS use, and younger patients. Future work should explore how these groups can be offered personalised, supportive treatment that maintains an appropriate therapeutic partnership [39].…”

Section: Study Implicationsmentioning

confidence: 99%

What bothers severe asthma patients most? A paired patient–clinician study across seven European countries

Ainsworth

Chatburn

Bansal³

et al. 2023

ERJ Open Res

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IntroductionSevere asthma is a complex, multi-dimensional 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.MethodsAcross seven countries, 126 patients with severe asthma completed an open-ended survey regarding most bothersome aspect(s) of their asthma. Patients’ responses were linked with their treating clinician who also completed 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 Clinical Research Collaboration were examined to see the extent to which they reflected the most bothersome aspects reported by patients.ResultsEighty-eight 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 their disease. Clinicians accurately identified a most bothersome symptom for 29% of patients. Agreement was particularly low in younger patients and those infrequently using oral corticosteroids. In asthma registries, patient aspects were predominantly represented in questionnaires.ConclusionsResults 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 multi-disciplinary treatment teams. The use of questionnaires that include multi-faceted aspects of disease may result in improved asthma research.

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Section: Study Implicationsmentioning

confidence: 99%

What bothers severe asthma patients most? A paired patient–clinician study across seven European countries

Ainsworth

Chatburn

Bansal³

et al. 2023

ERJ Open Res

View full text Add to dashboard Cite

show abstract

“…Structural support was not associated with adherence. In contrast, Norful et al [53] examined how 80 black adults with uncontrolled asthma and their primary care physicians communicated about non-adherence to ICS and used shared decision-making to identify strategies to increase adherence to ICS. Conversations between physicians and patients addressed ICS overuse and lack of knowledge and beliefs about ICS.…”

Section: Medication Adherence In Asthmamentioning

confidence: 99%

Adherence to treatment recommendations of patients with chronic non-communicable respiratory diseases – a narrative review

Henryka¹

2023

J Educ Health Sport

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Despite modern therapeutic solutions, patients with chronic obstructive pulmonary disease (COPD) and asthma do not achieve therapeutic benefits due to emerging obstacles to compliance. This review aimed to present and analyze the results of available studies evaluating the influence of sociodemographic, clinical, and psychosocial factors on the level of adherence of patients with COPD and asthma. This narrative review was based on papers indexed in the following databases: PubMed, MEDLINE, CINAHL, Web of Science, and Scopus. The analyzed studies showed that the adherence level of patients with COPD and asthma is unsatisfactory, ranging from 23.6 to 80%. The main factors increasing the level of adherence of COPD patients mentioned in the analyzed studies were: unemployment, taking LAMA, not smoking cigarettes, belief that medication is necessary, higher education, use of multi-dose DPI and MDI inhalers, a greater sense of self-efficacy, and longer duration of disease. Independent determinants of good adherence of patients with asthma were better quality of life, high level of disease control, treatment with ICS + LABA or FF/UMEC/VI, good knowledge about asthma, and positive attitude towards the disease. According to available studies, determinants lowering adherence among patients with COPD were overweight or obesity, depression, poor quality of life, belief that treatment is harmful, frequent hospitalizations, lack of knowledge about the disease and treatment, sleep disorders, and use of ICS, LABA/ICS. Patients with asthma who received infrequent functional support consumed alcohol and were convinced of the harm and lack of need for treatment were non-adherent. In addition, an association was shown between high levels of adherence and a reduction in ED visits and hospitalizations in asthma and COPD patients.

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“…This was similar to patients with asthma who believe that their exacerbations are new events each time they happen, like catching a bad cold. 14…”

Section: Lack Of Comprehensionmentioning

confidence: 99%

Impressions of Conventional Bedside Discharge Teaching Among Readmitted Heart Failure Patients

Gatto

Newcomb

2022

JONA: The Journal of Nursing Administration

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OBJECTIVEThe purpose of this project was to report patient impressions of discharge teaching delivered by nurses among a population of heart failure (HF) inpatients.BACKGROUNDHeart failure readmissions are frequently attributed to the quality of discharge teaching delivered by nurses.METHODSThematic analysis, an atheoretical approach to the identification, organization, and analysis of themes in texts, was used to explore the data collected from patient interviews.RESULTSSixteen interviews were conducted with patients readmitted for HF on dedicated cardiac units. Six major themes were identified including: 1) recall of instructions; 2) comprehension; 3) teaching media; 4) follow-up; 5) role of caregivers; 6) mismatch between nurse and patient concerns; and 7) readmission stories.CONCLUSIONDischarge teaching could be improved by diminishing the volume of print materials distributed to HF patients, providing simple summaries of the most relevant advice, focusing on patient concerns more than the hospital agenda, and directly including home caregivers in teaching.

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Real-world Drivers Behind Communication, Medication Adherence, and Shared Decision Making In Minority Adults with Asthma

Cited by 10 publications

References 31 publications

What bothers severe asthma patients most? A paired patient–clinician study across seven European countries

What bothers severe asthma patients most? A paired patient–clinician study across seven European countries

Adherence to treatment recommendations of patients with chronic non-communicable respiratory diseases – a narrative review

Impressions of Conventional Bedside Discharge Teaching Among Readmitted Heart Failure Patients

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