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dc.contributor.authorAinsworth, B
dc.contributor.authorChatburn, E
dc.contributor.authorBansal, AT
dc.contributor.authorFulton, O
dc.contributor.authorHamerlijnck, D
dc.contributor.authorColeman, C
dc.contributor.authorEger, K
dc.contributor.authorHyland, M
dc.contributor.authorHolmes, J
dc.contributor.authorHeaney, L
dc.contributor.authorSedlák, V
dc.contributor.authorŠkrgat, S
dc.contributor.authorEdelbaher, N
dc.contributor.authorten Brinke, A
dc.contributor.authorPorsbjerg, C
dc.contributor.authorGaga, M
dc.contributor.authorLoureiro, C
dc.contributor.authorDjukanovic, R
dc.contributor.authorBerret, E
dc.contributor.authorKwon, N
dc.date.accessioned2023-12-22T14:07:42Z
dc.date.available2023-12-22T14:07:42Z
dc.date.issued2023-05
dc.identifier.issn2312-0541
dc.identifier.issn2312-0541
dc.identifier.otherARTN 00717-2022
dc.identifier.urihttps://pearl.plymouth.ac.uk/handle/10026.1/21831
dc.description.abstract

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, Patientcentred) 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.

dc.format.extent00717-2022
dc.format.mediumElectronic-eCollection
dc.languageen
dc.publisherEuropean Respiratory Society (ERS)
dc.subject32 Biomedical and Clinical Sciences
dc.subject3201 Cardiovascular Medicine and Haematology
dc.subject3211 Oncology and Carcinogenesis
dc.subjectClinical Research
dc.subjectLung
dc.subjectAsthma
dc.subject7 Management of diseases and conditions
dc.subject7.1 Individual care needs
dc.subject7.3 Management and decision making
dc.subjectRespiratory
dc.subject3 Good Health and Well Being
dc.titleWhat bothers severe asthma patients most? A paired patient–clinician study across seven European countries
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/37260457
plymouth.issue3
plymouth.volume9
plymouth.publisher-urlhttp://dx.doi.org/10.1183/23120541.00717-2022
plymouth.publication-statusPublished
plymouth.journalERJ Open Research
dc.identifier.doi10.1183/23120541.00717-2022
plymouth.organisational-group|Plymouth
plymouth.organisational-group|Plymouth|Research Groups
plymouth.organisational-group|Plymouth|Research Groups|Centre for Brain, Cognition and Behaviour (CBCB)
plymouth.organisational-group|Plymouth|Research Groups|Centre for Brain, Cognition and Behaviour (CBCB)|Behaviour
plymouth.organisational-group|Plymouth|Faculty of Health
plymouth.organisational-group|Plymouth|Faculty of Health|School of Psychology
plymouth.organisational-group|Plymouth|Users by role
plymouth.organisational-group|Plymouth|Users by role|Academics
dc.publisher.placeEngland
dcterms.dateAccepted2023-02-27
dc.date.updated2023-12-22T14:07:09Z
dc.rights.embargodate2023-12-23
dc.identifier.eissn2312-0541
rioxxterms.versionofrecord10.1183/23120541.00717-2022


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