Difficult asthma: people's perspectives on taking corticosteroid therapy

Abstract

This study uncovers issues participants consider when making decisions regarding adherence and highlights the importance of the nurse's role in eliciting patients' concerns and the providing appropriate information to allay fears and misconceptions.

Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence

“…[69] "I don't really think I need it … and … if I was to continue using it … I feel I'd get … hooked on it." [71].…”

“…Chiu et al [45] did not specify in which six Asian countries they conducted their study and two studies [65,69] did not state the country.…”

“…16 (44%) of the studies reported on patients using preventer asthma medications [33,39,41,44,[50][51][52][54][55][56]62,66,68,[70][71][72], seven (19%) on a combination of preventer and reliever therapies [13,42,45,47,48,67,69]; eight (22%) on different treatments for different groups within the studies (monotherapy and combination therapies) [49,53,[57][58][59]61,63,64]. In five (14%) of the studies, no type of medication was stated [40,43,46,60,65].…”

“…[72] "I wouldn't take them in work; I'd wait till I'm on my own." [69] Denial of asthma Denial of asthma diagnosis or the seriousness of having asthma, with adolescents holding the belief they will 'outgrow' their asthma at some point:…”

“…26 (72%) of the included studies had adult participants (≥20 years old) [33,[39][40][41][42][44][45][46][47]49,50,52,[54][55][56][57][58][59][61][62][63][64]66,[68][69][70] and 6 (17%) adolescents (between 12 and 20 years) [13,51,65,67,71,72]. The age threshold for adult and adolescent participants within this review was guided by the age categories used in a study by Wamboldt et al [72] who categorised patients between 12 and 20 years old as adolescents.…”